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Med Clin North Am. 2018 Jan;102(1):183-197. doi: 10.1016/j.mcna.2017.08.012.

Maintenance of Lost Weight and Long-Term Management of Obesity.

Author information

1
National Institute of Diabetes and Digestive and Kidney Diseases, 12A South Drive, Room 4007, Bethesda, MD 20892, USA. Electronic address: kevinh@niddk.nih.gov.
2
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; George Washington University School of Medicine, 1020 19th Street NW, Suite 450, Washington, DC 20036, USA.

Abstract

Weight loss can be achieved through a variety of modalities, but long-term maintenance of lost weight is much more challenging. Obesity interventions typically result in early weight loss followed by a weight plateau and progressive regain. This review describes current understanding of the biological, behavioral, and environmental factors driving this near-ubiquitous body weight trajectory and the implications for long-term weight management. Treatment of obesity requires ongoing clinical attention and weight maintenance-specific counseling to support sustainable healthful behaviors and positive weight regulation.

KEYWORDS:

Appetite; Behavioral counseling; Obesity treatment; Physiology; Weight loss; Weight maintenance

PMID:
29156185
PMCID:
PMC5764193
DOI:
10.1016/j.mcna.2017.08.012
[Indexed for MEDLINE]
Free PMC Article

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