Mixed
An 18-month multidisciplinary commercial obesity treatment program combining cognitive behavioral therapy, nutritional advice, and physical activity results in significant weight loss (-10.9 kg), improved cardiometabolic risk factors, and better quality of life in severely obese individuals.
If you are severely obese, a structured 18-month program that combines diet, exercise, and psychological counseling (specifically CBT) can lead to significant weight loss (around 11 kg on average for completers) and improvements in blood pressure, blood sugar, and quality of life. The key is consistency; the program uses financial commitment and flexible scheduling to help maintain adherence. While it requires significant time and potentially money, the health benefits for cardiometabolic risk factors are substantial.
All collected data in this study provide evidence that a multidisciplinary treatment programme based on lifestyle modification results in significant weight loss and improvements in cardiometabolic risk factors, quality of life and eating behaviour.
Why this rating
It is a practice-based observational study with high dropout rates and no control group, limiting causal inference compared to RCTs.
Source
Evaluation of an 18‐month commercial multidisciplinary obesity treatment programme
Erik E. J. G. Aller et al. · Clinical Obesity · 2015
DOI 10.1111/cob.12122
Related findings · Mixed
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- 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
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