The Evidence
National Institute for Health and Care Excellence (NICE) UK Guidelines for Obesity (2014) “Multicomponent interventions are the treatment of choice. Ensure weight management programmes include behaviour change strategies to increase people’s physical activity levels or decrease inactivity, improve eating behaviour and the quality of the person’s diet, and reduce energy intake.”Click here for link
European Guidelines for Obesity Management in Adults (2015) “Cognitive behavioural therapy directly addresses behaviours that require change for successful weight loss and weight loss maintenance.”Click here for link
Evaluation Of A Modified Cognitive–Behavioural Programme For Weight Management (2000)Journal: International Journal of Obesity "Over 12 weeks, patients achieved significant, if small, improvements in dietary quality and cardio-vascular disease risk factors, and reported physical activity, which was substantiated by changes in the psycho-physiological data, and substantial improvements in body image, binge eating and well-being.”Click here for link
American Association Of Clinical Endocrinologists And American College Of Endocrinology Comprehensive Clinical Practice Guidelines For Medical Care Of Patients With Obesity (2016) "A structured lifestyle intervention program designed for weight loss (lifestyle therapy) and consisting of a healthy meal plan, physical activity, and behavioral interventions should be available to patients who are being treated for overweight or obesity"Click here for link
Synopsis of the 2006 Canadian Clinical Practice Guidelines on the Management and Prevention of Obesity in Adults and Children (2006) “Obesity is a complex chronic disease that requires long-term and sustainable management strategies aimed at changing lifestyle habits and introducing healthier behaviours.”Click here for link
Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report (1998)Institutes of Health: National Heart, Lung, and Blood Institute.“What Treatments Are Effective? A variety of effective options exist for the management of overweight and obese patients, including dietary therapy approaches such as low-calorie diets and lower-fat diets; altering physical activity patterns; behavior therapy techniques; pharmacotherapy; surgery; and combinations of these techniques.”Click here for link
Cognitive-Behavioural Approaches and Weight Management: An Overview (2000)Journal: Perspectives in Public Health “There is increasing interest in adopting CBT approaches to achieve more modest and sustainable weight loss and improved psychological well-being.”Click here for link
Long-term Effects Of A Lifestyle Intervention On Weight And Cardiovascular Risk Factors In Individuals With Type 2 Diabetes Mellitus: Four-year Results Of The Look AHEAD Trial. (2010)Journal: Archives of Internal Medicine “Intensive lifestyle intervention can produce sustained weight loss and improvements in fitness, glycemic control, and CVD risk factors”Click here for link
Behavior Modification and Cognitive Therapy (2016)Journal: Lifestyle Medicine “Successfully demonstrated the efficacy of behavioral strategies in assisting participants to achieve and maintain long-term weight losses.”Click here for link
One-Year Weight Losses in the Look AHEAD Study: Factors Associated with Success (2009)Journal: Obesity “This study’s principal finding was that an intensive lifestyle intervention induced a clinically significant weight loss in all subsets of a demographically and ethnically diverse population.”Click here for link
Clinical Practice Guidelines For The Management Of Overweight And Obesity In Adults, Adolescents And Children In Australia (2013) “In the context of overweight and obesity, the goal of psychological therapies is to assist individuals to make long-term changes to their lifestyle. A range of psychological interventions (e.g. behavioural therapy, cognitive-behavioural therapy) can facilitate weight loss”Click here for link
Efficacy Of Lifestyle Modification For Long-term Weight Control.(2004)Journal: Obesity “A comprehensive program of lifestyle modification induces loss of approximately 10% of initial weight in 16 to 26 weeks, as revealed by a review of recent randomized controlled trials”Click here for link
A Cognitive Behavioral Therapy Intervention To Promote Weight Loss Improves Body Composition And Blood Lipid Profiles Among Overweight Breast Cancer Survivors (2007)Journal: Breast Cancer Research and Treatment “Significant differences in weight, body mass index, percent fat, trunk fat, leg fat, as well as waist and hip circumference between intervention and control groups (P ≤ 0.05). Furthermore, levels of triglycerides and total cholesterol/high density lipoprotein cholesterol levels were also significantly reduced following the intervention.”Click here for link
Effect Of Modest Weight Loss On Changes In Cardiovascular Risk Factors: Are There Differences Between Men And Women Or Between Weight Loss And Maintenance? (1995)Journal: International Journal of Obesity “Participants who lost 4.5 kg or more from baseline to 6 months (mean weight loss of 11.8 kg or 13% of initial body weight) and maintained this weight loss within +/- 2.3 kg had significant long term improvements (through 18 months) in triglycerides, HDL and LDL-cholesterol, WHR, systolic and diastolic blood pressure, and fasting and 2 h insulin.”Click here for link
Effects Of Behavioral Treatment On Long-term Weight Loss: Lessons Learned From The Look AHEAD Trial (2013)Journal: Obesity “The Look AHEAD results demonstrate that weight losses can be achieved and, for the most part, sustained via behavioral management of diet and physical activity."Click here for link
Long-term Weight Loss Maintenance (2005)Journal: American Journal of Clinical Nutrition“In conclusion, the intensive lifestyle intervention was successful in producing sustained weight losses and improvements in cardiovascular fitness through 4 years of follow-up.”Click here for link