Adherence
Long-term weight loss maintenance is achieved through a multidisciplinary lifestyle modification approach featuring extended care, high physical activity, self-monitoring, and cognitive-behavioral strategies, rather than short-term dieting alone.
To keep weight off long-term, you must treat maintenance as a separate, active phase, not just the end of a diet. Adopt a routine that includes daily self-weighing, eating breakfast, and about an hour of daily physical activity. Engage in a structured program with regular check-ins (monthly or more) with a counselor or healthcare provider to maintain accountability and address psychological barriers like self-efficacy.
Trials based on the most recent protocols of lifestyle modification, with a prolonged extended treatment after the weight loss phase, have also shown promising long-term weight loss results. These data should stimulate the adoption of a lifestyle modification-based approach for the management of obesity, featuring a nonphysician lifestyle counselor... as a pivotal component of the multidisciplinary team.
Why this rating
Based on multiple RCTs (Look AHEAD, DPP, NWCR) and systematic reviews cited.
Source
Long-term weight loss maintenance for obesity: a multidisciplinary approach
Giulio Marchesini et al. · Diabetes Metabolic Syndrome and Obesity · 2016
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