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BMJ Case Rep. 2016 Feb 1;2016. pii: bcr2015213218. doi: 10.1136/bcr-2015-213218.

Lifestyle medicine consulting walking meetings for sustained weight loss.

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Department of Physical Medicine and Rehabilitation, Harvard Medical School, Needham, Massachusetts, USA.
School of Psychology, The University of Queensland, St Lucia, Queensland, Australia.


With rates of obesity and diabetes rising worldwide, effective ways of managing weight are becoming more important. We present the case study of a middle-aged Caucasian-American woman (body mass index (BMI) 27.8, overweight category) who wanted to lose weight. The patient participated in a behaviour modification programme with a physician trained in lifestyle medicine as well as health and wellness coaching. After the 14-week programme, which included 9, 1 h long walking sessions with the clinician, the patient lost 11 Ibs (BMI 24.7, normal category). The programme included a combination of increasing physical activity, eating appropriate quantities of healthy foods, goal setting and a positive attitude. The patient has kept her BMI at or below 24.1 for over 2 years. This case demonstrates a novel approach to weight loss management--walking therapeutic sessions--and also outlines critical components of lifestyle medicine counselling that facilitate the process of sustainable weight loss and lasting change.

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