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Combination of very-low-calorie diet and behavior modification in the treatment of obesity.
Am J Clin Nutr. 1992 07; 56(1 Suppl):199S-202S.AJ

Abstract

Very-low-calorie diets (VLCDs) cause rapid weight loss. However, weight regain is rapid upon discontinuing the VLCD unless lifestyle is altered. The addition of a behavioral-modification (BMOD) program improves the long-term outcome. The major components of a BMOD program to alter lifestyle are education about nutrition and eating habits with alteration of amount and patterns of eating, institution of an aerobic activity program designed to increase energy expenditure, training in self-awareness and assertiveness, and training in coping techniques for long-term alteration of lifestyle. By retrospective chart review, we evaluated two VLCD programs at the same institution. One program gave 12 wk of BMOD before a 12-wk course of VLCD (Program 1), then scheduled individual visits regularly thereafter. The other program used simultaneous VLCD and BMOD in a 26-wk treatment course (Program 2), consisting of 2 wk of stabilization on 5020 kJ/d (1200 kcal/d), 12 wk of VLCD, and 12 wk of transition to a low-calorie solid food diet. Follow-up was obtained at 1 y in both groups. Maximum weight loss was similar, but subjects in Program 2 regained about one-third of the lost weight versus approximately 10% in Program 2. A third program of preceding BMOD followed by a low-calorie diet (Program 3) gave similar weight maintenance at 1 y as Program 1. Prospective studies are needed to determine if BMOD simultaneously with or preceding VLCD promotes better long-term weight maintenance. These data confirm the benefits of long-term follow-up for maintaining weight loss.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Atkinson RL
Department of Internal Medicine, Eastern Virginia Medical School, Veterans Affairs Medical Center, Hampton 23667.
Fuchs A
No affiliation info available
Pastors JG
No affiliation info available
Saunders JT
No affiliation info available

MeSH

AdultBehavior TherapyDiet, ReducingEnergy IntakeExerciseFeeding BehaviorFemaleHumansLife StyleMaleObesityRetrospective Studies

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

1615884

Citation

Atkinson, R L., et al. "Combination of Very-low-calorie Diet and Behavior Modification in the Treatment of Obesity." The American Journal of Clinical Nutrition, vol. 56, no. 1 Suppl, 1992, 199S-202S.
Atkinson RL, Fuchs A, Pastors JG, et al. Combination of very-low-calorie diet and behavior modification in the treatment of obesity. Am J Clin Nutr. 1992;56(1 Suppl):199S-202S.
Atkinson, R. L., Fuchs, A., Pastors, J. G., & Saunders, J. T. (1992). Combination of very-low-calorie diet and behavior modification in the treatment of obesity. The American Journal of Clinical Nutrition, 56(1 Suppl), 199S-202S. https://doi.org/10.1093/ajcn/56.1.199S
Atkinson RL, et al. Combination of Very-low-calorie Diet and Behavior Modification in the Treatment of Obesity. Am J Clin Nutr. 1992;56(1 Suppl):199S-202S. PubMed PMID: 1615884.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Combination of very-low-calorie diet and behavior modification in the treatment of obesity. AU - Atkinson,R L, AU - Fuchs,A, AU - Pastors,J G, AU - Saunders,J T, PY - 1992/7/1/pubmed PY - 1992/7/1/medline PY - 1992/7/1/entrez SP - 199S EP - 202S JF - The American journal of clinical nutrition JO - Am J Clin Nutr VL - 56 IS - 1 Suppl N2 - Very-low-calorie diets (VLCDs) cause rapid weight loss. However, weight regain is rapid upon discontinuing the VLCD unless lifestyle is altered. The addition of a behavioral-modification (BMOD) program improves the long-term outcome. The major components of a BMOD program to alter lifestyle are education about nutrition and eating habits with alteration of amount and patterns of eating, institution of an aerobic activity program designed to increase energy expenditure, training in self-awareness and assertiveness, and training in coping techniques for long-term alteration of lifestyle. By retrospective chart review, we evaluated two VLCD programs at the same institution. One program gave 12 wk of BMOD before a 12-wk course of VLCD (Program 1), then scheduled individual visits regularly thereafter. The other program used simultaneous VLCD and BMOD in a 26-wk treatment course (Program 2), consisting of 2 wk of stabilization on 5020 kJ/d (1200 kcal/d), 12 wk of VLCD, and 12 wk of transition to a low-calorie solid food diet. Follow-up was obtained at 1 y in both groups. Maximum weight loss was similar, but subjects in Program 2 regained about one-third of the lost weight versus approximately 10% in Program 2. A third program of preceding BMOD followed by a low-calorie diet (Program 3) gave similar weight maintenance at 1 y as Program 1. Prospective studies are needed to determine if BMOD simultaneously with or preceding VLCD promotes better long-term weight maintenance. These data confirm the benefits of long-term follow-up for maintaining weight loss. SN - 0002-9165 UR - https://www.unboundmedicine.com/medline/citation/1615884/Combination_of_very_low_calorie_diet_and_behavior_modification_in_the_treatment_of_obesity_ DB - PRIME DP - Unbound Medicine ER -