Mixed
A personalized, integrative, long-term (5-year) coaching program based on a systems health perspective significantly improves health-related quality of life, physical outcomes (weight, waist circumference, aerobic capacity), and psychosocial well-being (fatigue, self-esteem) in adults with obesity compared to baseline.
If you have obesity and have struggled with standard diet/exercise programs, consider a long-term, personalized coaching approach that addresses not just weight but also mental health, social support, and physical activity. Expect a significant time commitment initially, but the goal is to build sustainable habits. Progress may be slow, but improvements in quality of life and physical function are possible.
Compared to baseline, there were significant improvements in the SF-36 subscales ‘physical functioning’ (MD 9.9 points, 95% CI: 2.1–17.5, p = 0.013) and ‘general health perceptions’ (MD 9.3 points, 95% CI 2.9–15.7, p = 0.006). Furthermore, significant improvements in physical outcomes and psychosocial questionnaires (e.g., weight loss (MD 3.5 kg, 95% CI: 1.2–5.7, p = 0.003), waist circumference (MD 5.1 cm, 95% CI: 2.4–7.8, p < 0.001), and CIS fatigue (MD 6.8, 95% CI: 3.1–10.5, p = 0.001) were observed.
Why this rating
Single-center, evolutionary longitudinal study with no control group; per-protocol analysis; high attrition rate (44.3% dropout).
Source
Two-Year Results of a Five-Year Personalized Integrative Obesity Coaching Program (IBO) Based upon a Systems Health Perspective and an Evolutionary Longitudinal Study Approach
Sander M. Brink et al. · International Journal of Environmental Research and Public Health · 2024
DOI 10.3390/ijerph21060807
Related findings · Mixed
- Bariatric surgery (VSG and RYGB) is the most effective and sustainable treatment for obesity, producing marked and sustained weight loss that non-surgical interventions cannot match.Strong
- Severely protein-deficient diets (2–3% energy) induce lean body mass loss and metabolic imbalance, whereas adequate protein intake (0.66 g/kg/d minimum) is a prerequisite for maintaining muscle, bone, and physiological function.Strong
- For patients with Class III obesity (BMI >39.9 kg/m2), metabolic bariatric surgery (MBS) is significantly more effective than any currently approved medication, with BilioPancreatic Diversion (BPD) showing the highest estimated weight loss.Strong
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →