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
DOI 10.1155/2015/194696
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
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