Adherence
An intensive lifestyle intervention (ILI) comprising behavioral therapy, nutritional counseling, and physical activity produces significant weight loss (-11.3%) in morbidly obese patients, serving as an effective alternative to bariatric surgery for non-surgical candidates.
If you have morbid obesity and cannot or choose not to have surgery, an intensive lifestyle program focusing on behavioral changes, Mediterranean-style eating, and daily light exercise plus aerobic activity can lead to significant weight loss (over 11% on average) compared to standard medical care. Consistency is key, as the program requires frequent initial engagement.
Patients who received ILI had a greater percentage of weight loss than patients receiving COT (-11.3% versus -1.6%; p < 0.0044)... An ILI approach could be an alternative therapy to patients with obesity, who are not candidates to undergo bariatric surgery.
Why this rating
Randomized controlled trial with a two-year duration, though with high dropout rates.
Source
An Intensive Lifestyle Intervention Is an Effective Treatment of Morbid Obesity: The TRAMOMTANA Study—A Two-Year Randomized Controlled Clinical Trial
Bartolomé Burguera et al. · International Journal of Endocrinology · 2015
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