Obesity treatment: examining the premises.

Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
D B Allison, F X Pi-Sunyer

Abstract

Five basic premises underlie the recommendation that obese persons should lose weight: (1) obesity is physically unhealthy; (2) in obese persons, weight loss improves physical health; (3) long-term weight loss is possible; (4) the benefits of weight loss exceed the costs; and (5) weight loss is superior to or can add incrementally to the effects of alternative methods of improving the health and happiness of obese persons. Although the data are occasionally ambiguous, they generally support these premises. Obesity apparently causes increased morbidity and decreased longevity, even after controlling for many plausible confounding factors. Clinical studies consistently show that weight loss reduces morbidity. No adequate data exist on which to evaluate the effects of weight loss on mortality among obese persons. Additional data are needed, but long-term weight loss seems possible, although such losses remain difficult to maintain. A crude estimate is that about 20% of obese persons who attempt to lose weight can achieve and maintain a clinically meaningful weight loss. The short-term health and psychologic costs of gradual weight loss are minor, manageable, and easily surpassed by the short-term health and psychologic benefits. L...Continue Reading

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Citations

Apr 6, 2004·Schizophrenia Research·Ric M ProcyshynGordon Tse
Mar 6, 2004·Eating Behaviors·K R Fontaine, D B Allison
Jul 26, 2012·Journal of Obesity·C E OwersM Khan
May 29, 2013·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Kandauda K A S WickramaTae Kyoung Lee
May 18, 2005·Obesity Research·Joseph R VasselliDavid B Allison
Mar 20, 1998·The Journal of Pediatrics·A PietrobelliS B Heymsfield
Sep 19, 2000·Behavior Modification·M S FaithD B Allison
Aug 5, 2009·International Journal of Psychiatry in Medicine·Bernardo CarpinielloAndrea Loviselli
Sep 10, 2004·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·C S CoffeyD B Allison
Aug 15, 2003·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·G L GadburyD B Allison
May 4, 2000·The Medical Clinics of North America·D B Allison, S E Saunders

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