New interdisciplinary cognitive-behavioural-nutritional approach to obesity treatment: A 5-year follow-up study

Golay, Alain; Buclin, S.; Ybarra, Juan; Toti, Florian; Pichard, Claude; Picco, N.; Tonnac, N. De; Allaz, Anne‐Françoise

doi:10.1007/bf03325042

Cited by 26 publications

(34 citation statements)

References 26 publications

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“…The creation of a complex model of therapeutic education is often required by numerous authors of the meta-analyses we analysed and we propose a model in 5 dimensions [2]. An interdisciplinary, multidimensional TPE program showed that more than 50% of participants maintained their body weight at 5 years [39]. A combination between a inhospital and ambulatory follow-up seems to show more satisfactory results in the long-term [40].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of therapeutic patient education in chronic diseases and obesity

Lagger

Pataky

Golay

2010

Patient Education and Counseling

152

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Section: Discussionmentioning

confidence: 99%

Efficacy of therapeutic patient education in chronic diseases and obesity

Lagger

Pataky

Golay

2010

Patient Education and Counseling

152

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“…For instance, several researches have shown that, compared to a purely dietetic approach, a better improvement in the eating behavioural disorders is observed when cognitive-behavioural therapies are associated with a nutritional approach [11][12][13]. A study from our group demonstrated that a 1-day motivational workshop significantly increased regular physical activity among obese patients, thus reducing the risk of obesity relapse [14].…”

Section: Introductionmentioning

confidence: 93%

“…Patients gave their written informed consent. Before study entry, patients had a multiple multi-disciplinary patient educational approach previously described [12,13,15], including diet, physical activity, cognitive behavioural treatment, and/or Orlistat prescription.…”

Section: Methodsmentioning

confidence: 99%

Multi-Factorial Approach Associated with a New ‘On/Off’ Orlistat® Use in a Weight Loss Maintenance Programme: 4 Years Follow-Up

et al. 2011

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Aim: To assess the efficacy of a specific long-term programme for weight loss maintenance using a new ‘on/off’ Orlistat approach in obese subjects who previously lost more than 10% of their body weight. Methods: 50 patients were followed up during 4 years; 34 completed the study. Subjects were followed up by physicians trained in obesity management. Anthropometrical, biological and psychological parameters were measured. Insulin sensitivity was evaluated by euglycaemic insulin clamp. Orlistat was given in case of weight relapse more than 2.5%. Subjects could take Orlistat on a voluntary basis for special occasions. Results: The BMI of completers remained stable (29.5 ± 0.9 vs. 30.6 ± 1.0 kg/m²). 73% of completers maintained 10% or more of their weight loss. Subjects from the no-regain group improved most of their parameters while the regain group did not. Insulin sensitivity was negatively linked to body weight during the follow up (p < 0.01, r² = 0.20). A negative relationship has been found between extent of the previous weight loss and the evolution of body weight during the 4 years follow-up (p < 0.01, r² = 0.26). Orlistatintake showed a body fat lowering effect (p < 0.05). Conclusion: 73% of subjects maintained more than 10% of their weight loss. Subject with a large weight loss amount are at high risk for weight regain. The Orlistat ‘on/off’ intake regarding his lowering body fat mass effect seems to be efficient.

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“…A five-year follow-up study where interdisciplinary cognitive behavioural techniques, restrictions in nutrition, daily physical exercise, and relaxation sessions where used, found that 45% of individuals had either lost weight or maintained their weight. The remainder of the individuals (55%) had regained their weight or even weighed more than at their starting point [14]. Another five-year follow-up study with persons in the third age found that a new psycho-pedagogic approach (self-control, cognitive restructuring reinforcement, and relapse prevention) was successful; 70% of the patients lost weight or maintained their weight loss [15].…”

Section: Introductionmentioning

confidence: 99%

Sustainable Lifestyle Change—Participatory Design of Support Together with Persons with Obesity in the Third Age

Axelsson

Wikberg-Nilsson

Melander‐Wikman

2016

IJERPH

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Sustainable lifestyle changes due to obesity are difficult to achieve regardless methods used. We need to know more about the lived experience of obesity and older persons’ needs for support to make a sustainable change. This paper focuses on the need-finding process in designing support for a sustainable lifestyle change. Multistage focus group interviews were conducted with persons aged 61–72 living in Northern Sweden. A participatory and appreciative reflection and action (PAAR) approach was used in the group-sessions. Probes were used to increase reflections and achieve a deeper knowledge about the participants’ needs of support. Data were analysed using qualitative thematic content analysis. Our findings revealed that to be able to succeed with a lifestyle change a focus has to be on a converted way of thinking, managing vulnerability, and achieving an emotional balance. To achieve a sustainable lifestyle change due to obesity in the third age the focus has to be on a health identity instead of a weight identity. Personalised support with enjoyable physical activities should be designed and developed. Strategies for emotional balance based on autonomy and self-empowerment must be included. This knowledge is important when designing support for sustainable change.

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New interdisciplinary cognitive-behavioural-nutritional approach to obesity treatment: A 5-year follow-up study

Abstract: As a whole, these results show the efficacy of an interdisciplinary approach to the long-term treatment of morbidly obese patients. It is likely that an outpatient psychological follow-up would have improved this therapeutic success.

Cited by 26 publications

References 26 publications

Efficacy of therapeutic patient education in chronic diseases and obesity

Efficacy of therapeutic patient education in chronic diseases and obesity

Multi-Factorial Approach Associated with a New ‘On/Off’ Orlistat® Use in a Weight Loss Maintenance Programme: 4 Years Follow-Up

Sustainable Lifestyle Change—Participatory Design of Support Together with Persons with Obesity in the Third Age

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