Group therapy in obesity control: results of our 8-year experience

  • Roberta Spiti
  • Paola Lanzi
  • Silvana Braggiotti
  • Donatella Noè
Short Communication


We have analysed group therapy efficacy in weight loss of obese outpatients, non responders to previous hypocaloric treatments. The results we have obtained during the last 8 years have been compared to those reported in literature, to our previous observations and to results obtained in a group of obese outpatients in traditional diet-therapy. The mean weight loss in patients followed for 6 months with group therapy was 5.5% of the initial weight (IW); 48.5% of them lost more than 5% and 13% lost more than 10% of IW. The results obtained in a traditional treated group were a little better: mean weight loss was −6.6%, 61% lost more than 5% and 22% more than 10% of IW. So, in our opinion, group therapy can be usefully applied only in selected patients (i.e. older in age/non-responders to traditional treatments), where it might have a possible role as a more cost-effective treatment.


Obesity Group therapy 


Conflict of interest



  1. 1.
    Penick SB, Filion R, Fox S, Stunkard AJ (1971) Behavior modification in the treatment of obesity. Psychosom Med 33(1):49–56Google Scholar
  2. 2.
    Fabricatore AN, Wadden TA (2003) Treatment of obesity: an overview. Clin Diabetes 21(2):67–72CrossRefGoogle Scholar
  3. 3.
    Bray GA (2011) Behavioral strategies in the treatment of obesity. UpToDate 19:1–9. Google Scholar
  4. 4.
    Sarwer DB, von Sydow Green A, Vetter ML, Wadden TA (2009) Behavior therapy for obesity: where are we now? Curr Opin Endocrinol Diabetes Obes 16:347–352CrossRefGoogle Scholar
  5. 5.
    Perri MG, McAllister DA, Gange JJ, Jordan RC, McAdoo G, Nezu AM (1988) Effects of four maintenance programs on the long-term management of obesity. J Consult Clin Psychol 56:529–534CrossRefGoogle Scholar
  6. 6.
    Wadden TA (1993) Treatment of obesity by moderate and severe caloric restriction. Ann Intern Med 119:668–693Google Scholar
  7. 7.
    Spiti R, Combi S, Noè D, Poli M (2005) Trattamenti di gruppo nell’obesità: una rassegna della nostra esperienza. In: Comi D, Crippa A, Muratori F, Noè D, Poli M (eds) Attualità in Nutrizione Clinica, vol 3. Wichtig Editore, Milan, pp 44–52Google Scholar
  8. 8.
    Manore MM, Berry TE, Skinner JS, Carroll SS (1991) Energy expenditure at rest and during exercise in nonobese female cyclical dieters and in nondieting control subjects. Am J Clin Nutr 54:41–46Google Scholar
  9. 9.
    Bosello O, Bissoli L (1998) La fluttuazione del peso corporeo. In: Bosello O (ed) Obesità—un trattato multimediale. Kurtis, Milan, pp 615–626Google Scholar
  10. 10.
    Kruger J, Blank HM, Gillespie C (2006) Dietary and physical activity behaviors among adults successful at weight loss maintenance. Int J Behav Nutr Phys Act 3:3–17CrossRefGoogle Scholar
  11. 11.
    Ulen CG, Huizinga MM, Beech B, Elasy TA (2008) Weight regain prevention. Clin Diabetes 26(3):100–113CrossRefGoogle Scholar
  12. 12.
    Wing RR, Tate DF, Gorin AA, Raynor HA, Fava JL (2006) A self-regulation program for maintenance of weight loss. N Engl J Med 355(15):1563–1571CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Roberta Spiti
    • 1
  • Paola Lanzi
    • 1
  • Silvana Braggiotti
    • 1
  • Donatella Noè
    • 1
  1. 1.UO Dietologia e Nutrizione ClinicaAO Ospedale San Carlo Borromeo, MilanoMilanItaly

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