Obesity behavioral modification

Successful obesity treatment plans incorporate diet, exercise, behavior modification with or without pharmacologic therapy, and/ or surgery (Fig. 59-1). 

Marcus, M. D., R. R. Wing, L. Ewing, E. Kern, M. McDermott and W. Gooding (1990). A double-blind, placebo-controlled trial of fluoxetine plus behavior modification in the treatment of obese binge-eaters and non-binge-eaters. Am J Psychiatry 147(7) 876-81. 

The success of obesity therapy has been measured most often as weight loss over study periods of up to 12 months. Successful obesity treatment plans have incorporated diet, exercise, behavior modification (with or without pharmacologic therapy), and/or surgical intervention. Figure 140-4 shows the sites of action of these therapies within the energy intake, storage, and expenditure cycle. 

Faith MS, Fontaine KR, Cheskin LJ, Allison DB. Behavioral approaches to the problems of obesity. Behav Modif 2000 24 459-493. 

An appropriate weight loss goal is 1-2 pounds per week. Many Americans want a quick-fix solution to obesity, but a slow weight loss program that includes reduced calories, exercise, and behavior modification is the only proven method of sustained weight loss other than surgery. 

Treatment of obesity includes lifestyle changes (e.g., dietary modification, enhanced physical activity, and behavioral therapy),... 

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