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The long term effectiveness of combined therapy by behavior modification and very low calorie diet: 2 years follow-up.
Int J Obes. 1989; 13 Suppl 2:73-7.IJ

Abstract

Seventy refractory obese subjects were assigned to one of three treatments; (a) very low calorie diet (VLCD) alone; (b) behavior modification alone; and (c) combined therapy by VLCD and behavior modification. Fifteen obese patients were treated by VLCD for 1-2 months on the outpatient clinic; 16 obese patients were treated by a combined therapy and 39 subjects were treated by behavior modification alone. Formula diet used in this program was Optifast 70 (420 kcal/day). The behavior modification had been performed for 4 months with eight group meetings, using the revised textbook based on the Learn Program (University of Pennsylvania). Effects on weight reduction and its maintenance during 2 years follow-up were compared in each treatment group. There were no significant differences between average weight loss of patients treated by VLCD (7.5 +/- 2.1 kg/month) and that attained by the combined therapy (8.3 +/- 2.3 kg/month). At 2 years after the termination of the VLCD treatment, 67 percent of patients had regained more than half of their reduced weight, with an average weight regain of 4.3 +/- 3.5 kg. In contrast, 12 of 16 (75 percent) and 33 of 39 (85 percent) patients had maintained their reduced weight for 2 years after the combined therapy or the behavior modification program. Continuing weight loss of 1.0 +/- 0.7 kg by the combined therapy and 1.3 +/- 2.2 kg by the behavior modification were observed at 2 years of follow-up. Weight reducing effect of combined therapy by behavior modification and VLCD was almost identical with that obtained by VLCD alone in a short term observation of one month.(ABSTRACT TRUNCATED AT 250 WORDS)

Authors+Show Affiliations

3rd Department of Internal Medicine, Jikei University School of Medicine, Tokyo, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

2613431

Citation

Miura, J, et al. "The Long Term Effectiveness of Combined Therapy By Behavior Modification and Very Low Calorie Diet: 2 Years Follow-up." International Journal of Obesity, vol. 13 Suppl 2, 1989, pp. 73-7.
Miura J, Arai K, Tsukahara S, et al. The long term effectiveness of combined therapy by behavior modification and very low calorie diet: 2 years follow-up. Int J Obes. 1989;13 Suppl 2:73-7.
Miura, J., Arai, K., Tsukahara, S., Ohno, M., & Ikeda, Y. (1989). The long term effectiveness of combined therapy by behavior modification and very low calorie diet: 2 years follow-up. International Journal of Obesity, 13 Suppl 2, 73-7.
Miura J, et al. The Long Term Effectiveness of Combined Therapy By Behavior Modification and Very Low Calorie Diet: 2 Years Follow-up. Int J Obes. 1989;13 Suppl 2:73-7. PubMed PMID: 2613431.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The long term effectiveness of combined therapy by behavior modification and very low calorie diet: 2 years follow-up. AU - Miura,J, AU - Arai,K, AU - Tsukahara,S, AU - Ohno,M, AU - Ikeda,Y, PY - 1989/1/1/pubmed PY - 1989/1/1/medline PY - 1989/1/1/entrez SP - 73 EP - 7 JF - International journal of obesity JO - Int J Obes VL - 13 Suppl 2 N2 - Seventy refractory obese subjects were assigned to one of three treatments; (a) very low calorie diet (VLCD) alone; (b) behavior modification alone; and (c) combined therapy by VLCD and behavior modification. Fifteen obese patients were treated by VLCD for 1-2 months on the outpatient clinic; 16 obese patients were treated by a combined therapy and 39 subjects were treated by behavior modification alone. Formula diet used in this program was Optifast 70 (420 kcal/day). The behavior modification had been performed for 4 months with eight group meetings, using the revised textbook based on the Learn Program (University of Pennsylvania). Effects on weight reduction and its maintenance during 2 years follow-up were compared in each treatment group. There were no significant differences between average weight loss of patients treated by VLCD (7.5 +/- 2.1 kg/month) and that attained by the combined therapy (8.3 +/- 2.3 kg/month). At 2 years after the termination of the VLCD treatment, 67 percent of patients had regained more than half of their reduced weight, with an average weight regain of 4.3 +/- 3.5 kg. In contrast, 12 of 16 (75 percent) and 33 of 39 (85 percent) patients had maintained their reduced weight for 2 years after the combined therapy or the behavior modification program. Continuing weight loss of 1.0 +/- 0.7 kg by the combined therapy and 1.3 +/- 2.2 kg by the behavior modification were observed at 2 years of follow-up. Weight reducing effect of combined therapy by behavior modification and VLCD was almost identical with that obtained by VLCD alone in a short term observation of one month.(ABSTRACT TRUNCATED AT 250 WORDS) UR - https://www.unboundmedicine.com/medline/citation/2613431/The_long_term_effectiveness_of_combined_therapy_by_behavior_modification_and_very_low_calorie_diet:_2_years_follow_up_ DB - PRIME DP - Unbound Medicine ER -