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Saturday, October 08, 2011

Behavioral Therapies Effective in Weight Loss

With the one exception that makes all this hogwash...
Behavior-based weight loss interventions are safe and effective, according to a systematic review published in the October 4 issue of the Annals of Internal Medicine.

A 2007-2008 study showed that 32% of US men and 36% of US women were obese. The US Preventive Services Task Force recommends that physicians screen all adults for obesity and institute intensive counseling and behavioral interventions for obese adults. one actually changes their behavior.

Also note that "intensive counseling and behavioral interventions for obese adults" were necessary.

I don't want to pay for it. Do you?

And how much additional weight was lost? Did it make a "health" difference?
The researchers found that behaviorally based treatments resulted in 3 kg (6.6 pounds; 95% confidence interval [CI], -4.0 to -2.0 kg) greater weight loss compared with control groups after 12 to 18 months; this is based on data from 21 studies combined by meta-analysis. Higher numbers of treatment sessions were associated with higher weight loss totals. Some evidence suggested that weight loss was maintained for 1 year or longer, but this was limited.

Programs that combined orlistat with behavioral intervention and could be included in a meta-analysis achieved 3.0 kg (95% CI, -3.9 to -2.0 kg) more weight loss compared with placebo after 12 months.

There were insufficient data to assess the effects of weight loss on health outcomes such as death or cardiovascular disease, but the researchers did note a reduction in the incidence of diabetes in patients with prediabetes who were trying to achieve weight loss.
This is all garbage, plain and simple.

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