Long-term weight loss maintenance for obesity: a multidisciplinary approach

Luca Montesi,1 Marwan El Ghoch,2 Lucia Brodosi,1 Simona Calugi,2 Giulio Marchesini,1 Riccardo Dalle Grave2 1Unit of Metabolic Diseases, S Orsola-Malpighi Hospital, “Alma Mater Studiorum” University, Bologna, Italy; 2Department of Eating and Weight Disorders, Villa Garda Hospital,...

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Autores principales:	Montesi L, El Ghoch M, Brodosi L, Calugi S, Marchesini G, Dalle Grave R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	obesity lifestyle modification cognitive behavior therapy multidisciplinary treatment Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/27c20a0f776b4f819c0c40d89edecd72
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spelling	oai:doaj.org-article:27c20a0f776b4f819c0c40d89edecd722021-12-02T02:05:22ZLong-term weight loss maintenance for obesity: a multidisciplinary approach1178-7007https://doaj.org/article/27c20a0f776b4f819c0c40d89edecd722016-02-01T00:00:00Zhttps://www.dovepress.com/long-term-weight-loss-maintenance-for-obesity-a-multidisciplinary-appr-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Luca Montesi,1 Marwan El Ghoch,2 Lucia Brodosi,1 Simona Calugi,2 Giulio Marchesini,1 Riccardo Dalle Grave2 1Unit of Metabolic Diseases, S Orsola-Malpighi Hospital, “Alma Mater Studiorum” University, Bologna, Italy; 2Department of Eating and Weight Disorders, Villa Garda Hospital, Verona, Italy Abstract: The long-term weight management of obesity remains a very difficult task, associated with a high risk of failure and weight regain. However, many people report that they have successfully managed weight loss maintenance in the long term. Several factors have been associated with better weight loss maintenance in long-term observational and randomized studies. A few pertain to the behavioral area (eg, high levels of physical activity, eating a low-calorie, low-fat diet; frequent self-monitoring of weight), a few to the cognitive component (eg, reduced disinhibition, satisfaction with results achieved, confidence in being able to lose weight without professional help), and a few to personality traits (eg, low novelty seeking) and patient–therapist interaction. Trials based on the most recent protocols of lifestyle modification, with a prolonged extended treatment after the weight loss phase, have also shown promising long-term weight loss results. These data should stimulate the adoption of a lifestyle modification-based approach for the management of obesity, featuring a nonphysician lifestyle counselor (also called “lifestyle trainer” or “healthy lifestyle practitioner”) as a pivotal component of the multidisciplinary team. The obesity physicians maintain a primary role in engaging patients, in team coordination and supervision, in managing the complications associated with obesity and, in selected cases, in the decision for drug treatment or bariatric surgery, as possible more intensive, add-on interventions to lifestyle treatment. Keywords: obesity, lifestyle modification, cognitive behavior therapy, multidisciplinary treatmentMontesi LEl Ghoch MBrodosi LCalugi SMarchesini GDalle Grave RDove Medical Pressarticleobesitylifestyle modificationcognitive behavior therapymultidisciplinary treatmentSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2016, Iss Issue 1, Pp 37-46 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	obesity lifestyle modification cognitive behavior therapy multidisciplinary treatment Specialties of internal medicine RC581-951
spellingShingle	obesity lifestyle modification cognitive behavior therapy multidisciplinary treatment Specialties of internal medicine RC581-951 Montesi L El Ghoch M Brodosi L Calugi S Marchesini G Dalle Grave R Long-term weight loss maintenance for obesity: a multidisciplinary approach
description	Luca Montesi,1 Marwan El Ghoch,2 Lucia Brodosi,1 Simona Calugi,2 Giulio Marchesini,1 Riccardo Dalle Grave2 1Unit of Metabolic Diseases, S Orsola-Malpighi Hospital, “Alma Mater Studiorum” University, Bologna, Italy; 2Department of Eating and Weight Disorders, Villa Garda Hospital, Verona, Italy Abstract: The long-term weight management of obesity remains a very difficult task, associated with a high risk of failure and weight regain. However, many people report that they have successfully managed weight loss maintenance in the long term. Several factors have been associated with better weight loss maintenance in long-term observational and randomized studies. A few pertain to the behavioral area (eg, high levels of physical activity, eating a low-calorie, low-fat diet; frequent self-monitoring of weight), a few to the cognitive component (eg, reduced disinhibition, satisfaction with results achieved, confidence in being able to lose weight without professional help), and a few to personality traits (eg, low novelty seeking) and patient–therapist interaction. Trials based on the most recent protocols of lifestyle modification, with a prolonged extended treatment after the weight loss phase, have also shown promising long-term weight loss results. These data should stimulate the adoption of a lifestyle modification-based approach for the management of obesity, featuring a nonphysician lifestyle counselor (also called “lifestyle trainer” or “healthy lifestyle practitioner”) as a pivotal component of the multidisciplinary team. The obesity physicians maintain a primary role in engaging patients, in team coordination and supervision, in managing the complications associated with obesity and, in selected cases, in the decision for drug treatment or bariatric surgery, as possible more intensive, add-on interventions to lifestyle treatment. Keywords: obesity, lifestyle modification, cognitive behavior therapy, multidisciplinary treatment
format	article
author	Montesi L El Ghoch M Brodosi L Calugi S Marchesini G Dalle Grave R
author_facet	Montesi L El Ghoch M Brodosi L Calugi S Marchesini G Dalle Grave R
author_sort	Montesi L
title	Long-term weight loss maintenance for obesity: a multidisciplinary approach
title_short	Long-term weight loss maintenance for obesity: a multidisciplinary approach
title_full	Long-term weight loss maintenance for obesity: a multidisciplinary approach
title_fullStr	Long-term weight loss maintenance for obesity: a multidisciplinary approach
title_full_unstemmed	Long-term weight loss maintenance for obesity: a multidisciplinary approach
title_sort	long-term weight loss maintenance for obesity: a multidisciplinary approach
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/27c20a0f776b4f819c0c40d89edecd72
work_keys_str_mv	AT montesil longtermweightlossmaintenanceforobesityamultidisciplinaryapproach AT elghochm longtermweightlossmaintenanceforobesityamultidisciplinaryapproach AT brodosil longtermweightlossmaintenanceforobesityamultidisciplinaryapproach AT calugis longtermweightlossmaintenanceforobesityamultidisciplinaryapproach AT marchesinig longtermweightlossmaintenanceforobesityamultidisciplinaryapproach AT dallegraver longtermweightlossmaintenanceforobesityamultidisciplinaryapproach
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Long-term weight loss maintenance for obesity: a multidisciplinary approach

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