A fogyás motivációi súlycsökkentő kezelésben részt                     vevők körében

Abstract: Introduction: Unrealistic expectations about weight goal and about weight loss-related benefits can hinder the effort for a successful long-term weight control. Aim: To explore weight loss-related goals and their background among overweight/obese patients. Method: Study sample consisted of patients who participated in the inpatient weight loss treatment in the Lipidological Department of Szent Imre Hospital (n = 339, 19% men). Mean age: 50.2 years (SD = 13.47 years), mean BMI: 38.6 (SD = 7.58). Measures: self-reported anthropometric data, type and number of treated illnesses, Goals and Relative Weights Questionnaire, Motivations for Weight Loss Scale, Body Shape Questionnaire. Results: Participants would feel disappointed with a possible 10% weight loss in a half-year time span. The acceptable weight loss percentage was higher among women, younger participants and among those who had more excess weight. Motivation regarding the increase in social desirability by weight loss is in association with body dissatisfaction, health related motivation is in association with the number of treated illnesses. Conclusions: Our results are contributing to the understanding of motivational factors behind weight reduction efforts, considering these can improve treatment success rates. Orv Hetil. 2017; 158(49): 1960–1967.

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Az együttműködés növelésének eszközei a testsúlykontrollban

Orvosi Hetilap ◽

10.1556/650.2019.31546 ◽

2019 ◽

Vol 160 (43) ◽

pp. 1687-1697

Author(s):

Edit Czeglédi

Keyword(s):

Weight Loss ◽

Transtheoretical Model ◽

Behavioral Change ◽

Weight Control ◽

Health Risk Behaviors ◽

Point Of View ◽

Behavior Motivation ◽

Health Related ◽

Clinically Significant

Abstract: Long-term successful weight control poses a huge challenge to people who are overweight and treat them in the obesogenic environment. After reaching a clinically significant (5–10%) weight loss, the goal is to maintain the weight loss achieved. However, this requires virtually constant resistance to temptations and requires sustained effort in terms of dietary restriction and physical activity, which requires a strong motivational base. From the point of view of behavior, motivation is the probability that the patient starts, pursues, or persistently follows a strategy that triggers change, that is, in the case of obesity, is committed to health-related behaviors that support weight management and abandons health risk behaviors that hinders weight control efforts. The present study describes the transtheoretical model of behavioral change and provides examples of practical ways to increase motivation and adherence at all stages of behavioral change. All this can contribute to the work of primary care and outpatient care professionals in supporting weight loss patients with excess weight. Orv Hetil. 2019; 160(43): 1687–1697.

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Responses to Two Weight-loss Programs Based on Approximating the Diet to the Ideal: Differences Associated with Increased Cereal or Vegetable Consumption

International Journal for Vitamin and Nutrition Research ◽

10.1024/0300-9831.76.6.367 ◽

2006 ◽

Vol 76 (6) ◽

pp. 367-376 ◽

Cited By ~ 9

Author(s):

Ortega ◽

Rodríguez-Rodríguez ◽

Aparicio ◽

Marín-Arias ◽

López-Sobaler

Keyword(s):

Weight Loss ◽

Weight Control ◽

Dietary Intervention ◽

Vegetable Consumption ◽

Healthy Eating Index ◽

Anthropometric Data ◽

Control Programs ◽

Weight Loss Programs ◽

Spanish Women ◽

The Ideal

The fight against excess weight and obesity is a health priority. The aim of this study was to analyze the anthropometric changes induced by two weight control programs based on approximating the diet to the theoretical ideal (increasing the consumption of foods with the largest differences between the recommended and observed intakes: cereals and vegetables – for which a minimum of 6 and 3 servings/day are recommended, respectively). The study subjects were 57 Spanish women with a body-mass index (BMI) of 24–35 kg/m², all of whom were randomly assigned to one of two slightly hypocaloric diets for a six-week period: diet V, in which the consumption of greens and vegetables was increased, or diet C, in which the consumption of cereals was increased. Dietetic and anthropometric data were collected at the start of the study and again at two and six weeks. The dietary intervention approximated the subjects’ energy provision from proteins, fats, and carbohydrates to those recommended. The Healthy Eating Index (HEI) improved with both diets. Reductions in body weight, BMI, and the amount of body fat (kg) were also achieved with both diets. Weight loss was 1.56 ± 0.93 kg and 1.02 ± 0.55 kg at two weeks with diet C and V respectively, and 2.8 ± 1.4 kg and 2.0 ± 1.3 kg at six weeks (p < 0.05). Approximating the diet to the theoretical ideal by increasing the consumption of vegetables or cereals may therefore be of use in weight control. In terms of weight loss and the improvement of the diet quality (energy profile and HEI), diet C was significantly more effective than diet V.

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Faculty Opinions recommendation of Long-term effect of weight loss on obstructive sleep apnea severity in obese patients with type 2 diabetes.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718006218.793506796 ◽

2015 ◽

Author(s):

Martica Hall

Keyword(s):

Type 2 Diabetes ◽

Weight Loss ◽

Obstructive Sleep Apnea ◽

Term Effect ◽

Obese Patients ◽

Long Term Effect ◽

Obstructive Sleep Apnea Severity ◽

Obstructive Sleep

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A Conceptual Model of Long-Term Weight Loss Maintenance: The Importance of Cognitive, Empirical and Computational Approaches

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020635 ◽

2021 ◽

Vol 18 (2) ◽

pp. 635

Author(s):

Darren Haywood ◽

Blake J. Lawrence ◽

Frank D. Baughman ◽

Barbara A. Mullan

Keyword(s):

Weight Loss ◽

Weight Loss Maintenance ◽

Computational Approaches ◽

Healthy Habits ◽

Health Related ◽

The One ◽

Major Factors ◽

Positive Social Support ◽

Weight Loss Interventions

Living with obesity is related to numerous negative health outcomes, including various cancers, type II diabetes, and cardiovascular disease. Although much is known about the factors associated with obesity, and a range of weight loss interventions have been established, changing health-related behaviours to positively affect obesity outcomes has proven difficult. In this paper, we first draw together major factors that have emerged within the literature on weight loss to describe a new conceptual framework of long-term weight loss maintenance. Key to this framework is the suggestion that increased positive social support influences a reduction in psychosocial stress, and that this has the effect of promoting better executive functioning which in turn facilitates the development of healthy habits and the breaking of unhealthy habits, leading to improved ongoing maintenance of weight loss. We then outline how the use of computational approaches are an essential next step, to more rigorously test conceptual frameworks, such as the one we propose, and the benefits that a mixture of conceptual, empirical and computational approaches offer to the field of health psychology.

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Evaluation of the Effects of Bariatric Surgery in Terms of Weight Loss and Diabetes Remission in the Indian Population

Dubai Diabetes and Endocrinology Journal ◽

10.1159/000518856 ◽

2021 ◽

pp. 1-7

Author(s):

Manish Khaitan ◽

Riddhish Gadani ◽

Koshish Nandan Pokharel

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Gastric Bypass ◽

Complete Remission ◽

Predictive Factors ◽

Indian Population ◽

Diabetes Remission ◽

Obese Patients ◽

Sustained Weight Loss

Objectives: The growing prevalence of obesity rates worldwide is associated with an upsurge in its comorbidities, particularly type 2 diabetes mellitus (T2DM). Bariatric surgery is a proven treatment modality for producing sustained weight loss and resolution of associated T2DM providing marked improvement in quality of life with rapid recovery. This study aims to investigate the effects of laparoscopic sleeve gastrectomy (LSG), Roux-en-Y gastric bypass (RYGB), and mini-gastric bypass (MGB) on obese patients suffering from T2DM in the Indian population and their long-term association with regard to diabetes remission, resolution of comorbidities, and percentage EWL. Methods: Retrospective data of obese patients with T2DM (preoperative BMI 45.37 ± 8.1) who underwent bariatric surgery (RYGB, LSG, and MGB) were analyzed in this study over a period of 9 years. The mean follow-up period was 2.2 years. Following surgery, the clinical outcome on BMI, resolution of percentage weight loss, and T2DM were studied. The predictive factors of diabetic remission after surgery were determined. Student’s t test and ANOVA and McNemar’s test were applied. Results: Out of a total of 274 patients, complete remission of T2DM was achieved in 52.9% (n = 145) with mean fasting blood glucose and glycated hemoglobin values being 6.1 ± 0.769 (p = 0.00) at 1 year after surgery. The independent predictive factors of remission were age, gender, BMI, preoperative comorbidities, and % EWL. Gender had no correlation with the chance of achieving disease remission. Conclusion: Based on our results, bariatric surgery proves to be a successful treatment option resulting in sustained weight loss in obese patients suffering from T2DM. It is found to be beneficial for the long-term resolution of T2DM and improving comorbidities such as hypertension and dyslipidemia. The outcome of the different surgical methods is found to be similar for all patients irrespective of the independent predictors of complete remission.

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Long-Term Sympathoinhibitory Effects of Surgically Induced Weight Loss in Severe Obese Patients

Hypertension ◽

10.1161/hypertensionaha.113.02988 ◽

2014 ◽

Vol 64 (2) ◽

pp. 431-437 ◽

Cited By ~ 37

Author(s):

Gino Seravalle ◽

Manuela Colombo ◽

Paolo Perego ◽

Vittorio Giardini ◽

Marco Volpe ◽

...

Keyword(s):

Weight Loss ◽

Obese Patients ◽

Surgically Induced

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Abstract 12368: Impact of Weight Trends on Long-term Outcomes After Atrial Fibrillation Ablation in Obese Patients

Circulation ◽

10.1161/circ.132.suppl_3.12368 ◽

2015 ◽

Vol 132 (suppl_3) ◽

Author(s):

T J Bunch ◽

Heidi T May ◽

Tami L Bair ◽

Victoria Jacobs ◽

Brian G Crandall ◽

...

Keyword(s):

Heart Failure ◽

Atrial Fibrillation ◽

Weight Loss ◽

Catheter Ablation ◽

Obese Patients ◽

Long Term Outcomes ◽

Sustained Weight Loss ◽

Index Weight ◽

Af Recurrence

Introduction: Catheter ablation of atrial fibrillation (AF) is an established therapeutic rhythm approach in symptomatic patients. Obesity is a dominant driver of AF recurrence after ablation. Weight reduction strategies lower general AF burden and as such may be critical to long-term success rates after ablation. Hypothesis: Long-term outcomes after AF ablation will be better in obese patients with sustained weight loss. Methods: All patients that underwent an index ablation with a BMI recorded and >30 kg/m 2 and at least 3 years of follow-up were included (n=407). The group was separated and compared by weight trends over the 3 years (1. Lost >3% of index weight, n=141; 2. Maintained index weight ±3%, n=147; 3. Gained >3% of index weight at 3 years, n=119). Long-term outcomes included AF recurrence and a composite defined as major adverse clinical events, MACE (stroke/TIA, heart failure (HF) hospitalization, and death). Results: The average age was 63.6±10.4 years, 59.3% were male and 51.7% had paroxysmal AF. AF comorbidities include: hypertension (79.5%), heart failure (36.0%), sleep apnea (35.2%), diabetes (28.9%), and stroke/TIA (5.9%). Those that maintained their weight (HR: 1.45, p=0.05) and those that gained weight (HR 1.54, p=0.07) were more likely to have AF recurrence compared to those that lost weight. Similarly, MACE increased from 18.4% in those that lost weight at 3 years compared to 18.6% (HR 1.32, p=0.29) in those that maintained their weight and 26.5% in those that gained weight (HR 2.01, p=0.02). A small group of patients (n=5), lost >3% then gained it back and ultimately increased their weight by 3%. This group had the highest rates of AF recurrence (100%). Conclusion: Maintained weight loss is a critical component in reducing AF recurrence rates after index catheter ablation in obese patients. Sustained weight loss also results in a reduction in AF-related comorbidities and mortality.

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Session 23: Maintaining Motivation

Effective Weight Loss ◽

10.1093/med:psych/9780190232023.003.0024 ◽

2016 ◽

pp. 139-144

Author(s):

Evan M. Forman ◽

Meghan L. Butryn

Keyword(s):

Weight Loss ◽

Weight Control ◽

Hard Work ◽

Short Term ◽

Self Monitoring ◽

Healthy Behaviors ◽

Weight Control Behaviors ◽

Motivate Behavior ◽

Do So

This chapter (Session 23) discusses how to maintain long-term motivation for weight control by focusing on the importance of values to motivate behavior, even if short-term reward of weight control behaviors is decreasing (e.g., weight loss is slowing, self-monitoring is becoming tiresome). Clients are encouraged to view the hard work of weight control as working toward their values and to use the skill of willingness to continue to engage in healthy behaviors, even when it is difficult uncomfortable to do so.

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Low and reduced carbohydrate diets: challenges and opportunities for type 2 diabetes management and prevention

Proceedings of The Nutrition Society ◽

10.1017/s0029665120000105 ◽

2020 ◽

Vol 79 (4) ◽

pp. 498-513 ◽

Cited By ~ 4

Author(s):

Chaitong Churuangsuk ◽

Michael E. J. Lean ◽

Emilie Combet

Keyword(s):

Type 2 Diabetes ◽

Weight Loss ◽

Weight Control ◽

Diabetes Management ◽

Food Selection ◽

Food Sources ◽

Micronutrient Deficiencies ◽

Clinical Endpoints

Low-carbohydrate diets (LCD) have been promoted for weight control and type 2 diabetes (T2D) management, based on an emerging body of evidence, including meta-analyses with an indication of publication bias. Proposed definitions vary between 50 and 130 g/d, or <10 and <40 % of energy from carbohydrate, with no consensus on LCD compositional criteria. LCD are usually followed with limited consideration for other macronutrients in the overall diet composition, introducing variance in the constituent foods and in metabolic responses. For weight management, extensive evidence supports LCD as a valid weight loss treatment, up to 1–2 years. Solely lowering carbohydrate intake does not, in the medium/long term, reduce HbA1c for T2D prevention or treatment, as many mechanisms interplay. Under controlled feeding conditions, LCD are not physiologically or clinically superior to diets with higher carbohydrates for weight-loss, fat loss, energy expenditure or glycaemic outcomes; indeed, all metabolic improvements require weight loss. Long-term evidence also links the LCD pattern to increased CVD risks and mortality. LCD can lead to micronutrient deficiencies and increased LDL-cholesterol, depending on food selection to replace carbohydrates. Evidence is limited but promising regarding food choices/sources to replace high-carbohydrate foods that may alleviate the negative effects of LCD, demanding further insight into the dietary practice of medium to long term LCD followers. Long-term, high-quality studies of LCD with different food sources (animal and/or plant origins) are needed, aiming for clinical endpoints (T2D incidence and remission, cardiovascular events, mortality). Ensuring micronutrient adequacy by food selection or supplementation should be considered for people who wish to pursue long-term LCD.

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