Behavioral Treatment of Obesity

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Abstract
Behavioraltreatmentisanapproachusedtohelpindividualsdevelop a set of skills to achieve a healthier weight. It is more than helping people to decide what to change; it is helping them identify how to change.Thebehaviorchangeprocessisfacilitatedthroughtheuseof self-monitoring, goal setting, and problem solving. Studies suggest that behavioral treatment produces weight loss of 8-10% during the first 6 mo of treatment. Structured approaches such as meal replace- ments and food provision have been shown to increase the magni- tude of weight loss. Most research on behavioral treatment has been conductedinuniversity-basedclinicprograms.Althoughsuchstud- ies are important, they tell us little about the effectiveness of these approachesinsettingsoutsideofspecializedclinics.Futureresearch might focus more on determining how these behavioral techniques canbebestappliedinareal-worldsetting. AmJClinNutr2005; 82(suppl):230S-5S.

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