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Eur J Cardiovasc Nurs. 2006 Jun;5(2):102-14. Epub 2006 Jan 10.

Management of overweight and obesity in adults: behavioral intervention for long-term weight loss and maintenance.

Author information

  • 1University of Vienna (Department Nursing Science), Hasnerstrasse 57/2/22, 1160 Wien, Austria. astrid.lang@hausderbarmherzigkeit.at

Abstract

BACKGROUND:

The World Health Organization has identified obesity as a global epidemic. While weight loss is a considerable challenge, long-term maintenance of weight loss is an even greater problem.

AIMS:

This review of the assessment and management of overweight and obesity in adults covers factors contributing to overweight and obesity, components of weight-loss management, and interventions and effects of behavioral treatment for long-term weight loss and maintenance.

METHODS:

A thorough search of the medical and nursing literature recorded in the MEDLINE database from 1995 to 2003 was conducted by using the keywords "overweight", "obesity", and "behavioral therapy".

RESULTS:

Obesity is a complex, multifaceted condition in which excessive body fat places a person at risk of multiple health problems. Excessive body fat results from energy intake that exceeds energy expenditure.

CONCLUSIONS:

Increasing evidence suggests that obesity is not simply a problem of will power or self-control but a complex disorder involving appetite regulation and energy metabolism that is associated with a variety of comorbid conditions. Effective strategies of weight loss require management strategies in a combined approach of dietary therapy and physical activity by using behavioral interventions.

PMID:
16406709
[PubMed - indexed for MEDLINE]
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