Willing to go the extra mile: Prospective evaluation of an intensified non-surgical treatment for patients with morbid obesity

Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition
Arved WeimannStephan C Bischoff

Abstract

Bariatric surgery has been well established and considered the treatment of choice in morbid obesity. However, some patients refuse surgery because long-term effects have not been fully elucidated, quality of life might change and lifelong supplementation with vitamins and trace elements may be required. Our aim was to exhaust non-surgical treatment modalities and to evaluate such an intensified treatment alternative. A total of 206 patients (mean age = 46 years; BMI = 49 kg/m2) enrolled since 2013 into a non-surgical multimodality obesity treatment program covered by major health insurances were prospectively evaluated over a three year period. The 12-month treatment course comprised 57 h cognitive-behavioral therapy, 53.5 h physical exercise training, and 43.5 h nutritional therapy offered in small groups. Weight loss was induced by a formula-based, very low-calorie diet for 12 weeks in combination with a gastric balloon. The primary outcome was relative weight loss (RWL). Secondary outcome measures were waist-to-hip ratio, blood pressure, antihypertensive drug treatment, anti-diabetic medication, HbA1c, and quality of life. 166 Patients (81%) completed treatment. Mean (±SD) weight loss after 12 months for women and men were ...Continue Reading

Citations

Feb 11, 2021·Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy·Merridie ReesVanessa M McDonald
Sep 4, 2021·Nutrition·Aline Cristine Souza LopesPatrícia Pinheiro de Freitas

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