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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

Miura J
3rd Department of Internal Medicine, Jikei University School of Medicine, Tokyo, Japan.
Arai K
No affiliation info available
Tsukahara S
No affiliation info available
Ohno M
No affiliation info available
Ikeda Y
No affiliation info available

MeSH

Behavior TherapyCombined Modality TherapyDiet, ReducingEnergy IntakeFemaleFollow-Up StudiesHumansMaleObesityWeight GainWeight Loss

Pub Type(s)

Journal Article

Language

eng

PubMed ID

2613431

Clinical Trial Links

A Rural OPTIFAST Intervention for Partial Remission of Type 2 Diabetes in Adults With Obesity

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 -