A review of evidence-based strategies to treat obesity in adults

Deepika Laddu, Caitlin Dow, Melanie D Hingle, Cynthia Thomson, Scott B Going

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

Obesity, with its comorbidities, is a major public health problem. Population-based surveys estimate 2 of every 3 U.S. adults are overweight or obese. Despite billions of dollars spent annually on weight loss attempts, recidivism is high and long-term results are disappointing. In simplest terms, weight loss and maintenance depend on energy balance, and a combination of increased energy expenditure by exercise and decreased energy intake through caloric restriction is the mainstay of behavioral interventions. Many individuals successfully lose 5%-10% of body weight through behavioral approaches and thereby significantly improve health. Similar success occurs with some weight loss prescriptions, although evidence for successful weight loss with over-the-counter medications and supplements is weak. Commercial weight loss programs have helped many individuals achieve their goals, although few programs have been carefully evaluated and compared, limiting recommendations of one program over another. For the very obese, bariatric surgery is an option that leads to significant weight loss and improved health, although risks must be carefully weighed. Lifestyle changes, including regular physical activity, healthy food choices, and portion control, must be adopted, regardless of the weight loss approach, which requires ongoing support. Patients can best decide the appropriate approach working with a multidisciplinary team, including their health care provider and experts in nutrition, exercise, and behavioral intervention.

Original languageEnglish (US)
Pages (from-to)512-525
Number of pages14
JournalNutrition in Clinical Practice
Volume26
Issue number5
DOIs
StatePublished - Oct 2011

Fingerprint

Weight Loss
Obesity
Exercise
Weight Reduction Programs
Caloric Restriction
Bariatric Surgery
Health
Energy Intake
Health Personnel
Energy Metabolism
Prescriptions
Life Style
Comorbidity
Public Health
Body Weight
Maintenance
Food
Population

Keywords

  • bariatric surgery
  • diet
  • obesity
  • pharmacotherapy
  • physical activity
  • treatment
  • weight loss

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

A review of evidence-based strategies to treat obesity in adults. / Laddu, Deepika; Dow, Caitlin; Hingle, Melanie D; Thomson, Cynthia; Going, Scott B.

In: Nutrition in Clinical Practice, Vol. 26, No. 5, 10.2011, p. 512-525.

Research output: Contribution to journalArticle

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