Adherence
Very-low-calorie diets (VLCD) combined with behavior modification and active follow-up yield the highest median success rate (38%) among specific regimen combinations.
If you choose a Very-Low-Calorie Diet (300-600 kcal/day), you significantly increase your chances of long-term success (up to 38%) ONLY if you also engage in behavior modification and receive active, regular follow-up from a clinic. This intensive approach was the most effective combination found, though data was limited.
Combining VLCD and behaviour modification with active follow-up appears to be the most efficacious treatment (median success rate 38%) but the total number of subjects was only 71 (two study groups).
Why this rating
Based on only two study groups totaling 71 patients; high heterogeneity and small N limit statistical power.
Source
Long‐term efficacy of dietary treatment of obesity: a systematic review of studies published between 1931 and 1999
C. Ayyad et al. · Obesity Reviews · 2000
DOI 10.1046/j.1467-789x.2000.00019.x
More from this paper
- Dietary treatment for obesity yields a median long-term success rate of 15% over 3-14 years, defined as maintaining all initial weight loss or at least 9-11 kg.Moderate
- Conventional Diet (CD) combined with group therapy yields better long-term success rates (median 27%) than CD alone or CD with behavior modification.Moderate
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- 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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