Bischoff, Stephan C. and Damms-Machado, A. and Betz, C. and Herpertz, S. and Legenbauer, T. and Loew, T. and Wechsler, J. G. and Bischoff, G. and Austel, A. and Ellrott, T. (2012) Multicenter evaluation of an interdisciplinary 52-week weight loss program for obesity with regard to body weight, comorbidities and quality of life-a prospective study. INTERNATIONAL JOURNAL OF OBESITY, 36 (4). pp. 614-624. ISSN 0307-0565, 1476-5497
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Objectives: To determine the effectiveness of a structured multidisciplinary non-surgical obesity therapy program on the basis of a temporary low-calorie-diet for 12 weeks, and additional intervention modules to enhance nutritional education, to increase physical activity and to modify eating behavior. Design: Prospective multicenter observational study in obese individuals undergoing a medically supervised outpatient-based 52-week treatment in 37 centers in Germany. Subjects: A total of 8296 participants with a body mass index (BMI) of 430 kg m(-2) included within 8.5 years. Measurements: Main outcome measures were body weight loss, waist circumference (WC), blood pressure, quality of life and adverse events. Results: In females, initial body weight was reduced after the 1-year-intervention by 19.6 kg (95% confidence intervals 19.2-19.9 kg) and in males by 26.0 kg (25.2-26.8) according to per protocol analysis of 4850 individuals. Intention-to-treat (ITT) analysis revealed a weight reduction of 15.2 kg (14.9-15.6) in females and 19.4 kg (18.7-20.1) in males. Overall, the intervention resulted in mean reduction in WC of 11 cm; it reduced the prevalence of the metabolic syndrome by 50% and the frequency of hypertension from 47 to 29% of all participants (ITT, all P<0.001). The beneficial effects could be documented for up to 3 years and comprised significant improvement of health-related quality of life. The incidence of adverse effects was low; the only event repeatedly observed and possibly related to either the intervention or the underlying disease was biliary disorders. Conclusion: The present non-surgical intervention program is a highly effective treatment of obesity grades I-III and obesity-related diseases, and therefore, could be a valuable basis for future weight maintenance strategies required for sustained success. International Journal of Obesity (2012) 36, 614-624; doi: 10.1038/ijo.2011.107; published online 14 June 2011
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | BLOOD-PRESSURE; RISK-FACTORS; OVERWEIGHT; EPIDEMIOLOGY; PROGRESSION; PREVALENCE; DISEASE; STYLE; low calorie diet; metabolic syndrome; weight loss; blood pressure; quality of life |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Psychiatrie und Psychotherapie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 18 May 2020 06:29 |
| Last Modified: | 18 May 2020 06:29 |
| URI: | https://pred.uni-regensburg.de/id/eprint/18960 |
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