The Effectiveness of a Nondiet Multidisciplinary Weight Reduction Program for Severe Overweight Patients with Psychological Comorbidities

Objective. For successful sustainable weight reduction, a multimodal program including behaviour therapy is needed. Lifestyle modification is mostly used for obesity BMI <40 kg/m2. The present study demonstrated the effect of an in-patient nondiet lifestyle program for patients with BMI >40 kg...

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Main Authors: Bettina Bannert, Wolfgang Schobersberger, Ulrich Tran, Andreas Remmel
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2011/641351
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author Bettina Bannert
Wolfgang Schobersberger
Ulrich Tran
Andreas Remmel
author_facet Bettina Bannert
Wolfgang Schobersberger
Ulrich Tran
Andreas Remmel
author_sort Bettina Bannert
collection DOAJ
description Objective. For successful sustainable weight reduction, a multimodal program including behaviour therapy is needed. Lifestyle modification is mostly used for obesity BMI <40 kg/m2. The present study demonstrated the effect of an in-patient nondiet lifestyle program for patients with BMI >40 kg/m2 with psychological comorbidity. Research Methods and Procedere. A retrospective data analysis of 99 participants who passed the program based on moderate activity, healthy and regular food intake over metabolic rate and behaviour therapy was conducted. Results. 64 had a BMI >40 kg/m2 (mean value 49.99±8.74). The relative weight reduction was −6.9 ± 3.9%; (Friedman test P<0.05). Binary logistic regression analysis for n=79 revealed that the achievement of the weight reduction goal (0.5 kg per week; predictors: sex, incidence of MTS, duration of in-patient therapy, psychological symptoms, BMI and activity level at baseline) was associated with a shorter duration of in-patient therapy (P=0.007) and higher BMI at baseline (P=0.010). Conclusion. Participants with BMI >40 kg/m2 may achieve significant changes of weight reduction and psychological symptoms. However, the primary outcome should not be weight reduction. It is necessary to identify the benefits of lifestyle modification on changing risk profiles and emotional regulation of food intake.
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spelling doaj-art-241704014f284f628b65ae47f73ea2122025-02-03T05:58:11ZengWileyJournal of Obesity2090-07082090-07162011-01-01201110.1155/2011/641351641351The Effectiveness of a Nondiet Multidisciplinary Weight Reduction Program for Severe Overweight Patients with Psychological ComorbiditiesBettina Bannert0Wolfgang Schobersberger1Ulrich Tran2Andreas Remmel3Psychosomatisches Zentrum Waldviertel (PSZW), Grafenbergerstraße 2, 3730 Eggenburg, AustriaInstitute for Sports Medicine, Alpine Medicine and Health Tourism, Private University for Health Sciences, Medical Informatics and Technology (UMIT), Eduard Wallnöfer-Zentrum1, 6060 Hall in Tirol, AustriaEggenburg Institute for Complex Systems, Health and Neuroscience (EICoN), Grätzl 5, 3730 Eggenburg, AustriaPsychosomatisches Zentrum Waldviertel (PSZW), Grafenbergerstraße 2, 3730 Eggenburg, AustriaObjective. For successful sustainable weight reduction, a multimodal program including behaviour therapy is needed. Lifestyle modification is mostly used for obesity BMI <40 kg/m2. The present study demonstrated the effect of an in-patient nondiet lifestyle program for patients with BMI >40 kg/m2 with psychological comorbidity. Research Methods and Procedere. A retrospective data analysis of 99 participants who passed the program based on moderate activity, healthy and regular food intake over metabolic rate and behaviour therapy was conducted. Results. 64 had a BMI >40 kg/m2 (mean value 49.99±8.74). The relative weight reduction was −6.9 ± 3.9%; (Friedman test P<0.05). Binary logistic regression analysis for n=79 revealed that the achievement of the weight reduction goal (0.5 kg per week; predictors: sex, incidence of MTS, duration of in-patient therapy, psychological symptoms, BMI and activity level at baseline) was associated with a shorter duration of in-patient therapy (P=0.007) and higher BMI at baseline (P=0.010). Conclusion. Participants with BMI >40 kg/m2 may achieve significant changes of weight reduction and psychological symptoms. However, the primary outcome should not be weight reduction. It is necessary to identify the benefits of lifestyle modification on changing risk profiles and emotional regulation of food intake.http://dx.doi.org/10.1155/2011/641351
spellingShingle Bettina Bannert
Wolfgang Schobersberger
Ulrich Tran
Andreas Remmel
The Effectiveness of a Nondiet Multidisciplinary Weight Reduction Program for Severe Overweight Patients with Psychological Comorbidities
Journal of Obesity
title The Effectiveness of a Nondiet Multidisciplinary Weight Reduction Program for Severe Overweight Patients with Psychological Comorbidities
title_full The Effectiveness of a Nondiet Multidisciplinary Weight Reduction Program for Severe Overweight Patients with Psychological Comorbidities
title_fullStr The Effectiveness of a Nondiet Multidisciplinary Weight Reduction Program for Severe Overweight Patients with Psychological Comorbidities
title_full_unstemmed The Effectiveness of a Nondiet Multidisciplinary Weight Reduction Program for Severe Overweight Patients with Psychological Comorbidities
title_short The Effectiveness of a Nondiet Multidisciplinary Weight Reduction Program for Severe Overweight Patients with Psychological Comorbidities
title_sort effectiveness of a nondiet multidisciplinary weight reduction program for severe overweight patients with psychological comorbidities
url http://dx.doi.org/10.1155/2011/641351
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