Mixed
A fully health-insurance-financed, long-term (4-year) conservative multimodal obesity therapy program achieves clinically significant weight loss (average 5 kg or 4%) and metabolic improvements in patients with obesity grade 2 and 3 under real-world conditions.
If you have obesity grade 2 or 3, a fully funded, long-term conservative therapy program combining diet, exercise, and behavioral therapy can help you lose an average of 5 kg and improve your metabolic health. This program is available in Germany through specific health insurance contracts and may be more cost-effective than some medications.
The available real world data show, that an obesity treatment program, which is completely covered by a public health insurance company, can reach a clinically significant weight loss with metabolic improvements.
Why this rating
Prospective real-world data with a control group (completers vs. non-completers) but no randomization or external control group.
Source
Ausweg aus der Versorgungslücke: voll krankenkassenfinanzierte konservative Adipositastherapie
Sarah Victoria Frenzel et al. · Aktuelle Ernährungsmedizin · 2021
DOI 10.1055/a-1293-3555
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 →