Skip to main content

Increasing Adherence to Diet and Exercise Through Cognitive Behavioural Strategies

Abstract

In obesity management, behavioural therapy is tailored to provide patients with a set of effective procedures and strategies for improving their long-term adherence to the necessary changes in their eating and exercising habits. Behavioural therapy was originally based exclusively on learning theory (i.e. behaviourism) but later incorporated cognitive strategies and specific recommendations on diet and exercise, giving rise to the multifaceted treatment that we know today as ‘weight loss lifestyle modification’. The evidence suggests that such programmes can now be combined with pharmacotherapy, residential treatment, and/or bariatric surgery to maximize the outcome of major weight loss. Here we provide an overview of weight loss lifestyle modification programmes, describing their principal components, the short- and long-term results that can be expected, and the latest developments in the field.

Keywords

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

The original version of this chapter was revised. An erratum to this chapter can be found at DOI 10.1007/978-3-319-09045-0_29

An erratum to this chapter can be found at http://dx.doi.org/10.1007/978-3-319-09045-0_29

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Stuart RR (1967) Behavioral control of overeating. Behav Res Ther 5:357–365

    Article  Google Scholar 

  2. Bandura A (1986) Social foundations of thought and action: a social cognitive theory. Prentice-Hall, Englewood Cliffs

    Google Scholar 

  3. Beck AT, Rush AJ, Shaw BF, Emery G (1979) Cognitive therapy of depression: a treatment manual. Guilford Press, New York

    Google Scholar 

  4. Fabricatore AN (2007) Behavior therapy and cognitive-behavioral therapy of obesity: is there a difference? J Am Diet Assoc 107:92–99

    Article  PubMed  Google Scholar 

  5. Dalle Grave R, Calugi S, El Ghoch M (2013) Lifestyle modification in the management of obesity: achievements and challenges. Eat Weight Disord 18:339–349

    Article  PubMed  Google Scholar 

  6. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults-the evidence report. National Institutes of Health (1998). Obes Res 6(Suppl 2):51S–209S

    Google Scholar 

  7. Wing RR, Jeffery RW, Burton LR, Thorson C, Sperber-Nissimoff K, Baxter JE (1996) Food provision vs. structured meal plans in the behavioral treatment of obesity. Int J Obes Relat Metab Disord 20:56–62

    CAS  PubMed  Google Scholar 

  8. Heymsfield SB, van Mierlo CA, van der Knaap HC, Heo M, Frier HI (2003) Weight management using a meal replacement strategy: meta and pooling analysis from six studies. Int J Obes Relat Metab Disord 27:537–549

    Article  CAS  PubMed  Google Scholar 

  9. Metz JA, Stern JS, Kris-Etherton P, Reusser ME, Morris CD, Hatton DC, Oparil S, Haynes RB, Resnick LM, Pi-Sunyer FX, Clark S, Chester L, McMahon M, Snyder GW, McCarron DA (2000) A randomized trial of improved weight loss with a prepared meal plan in overweight and obese patients: impact on cardiovascular risk reduction. Arch Intern Med 160:2150–2158

    Article  CAS  PubMed  Google Scholar 

  10. Dalle Grave R, Centis E, Marzocchi R, El Ghoch M, Marchesini G (2013) Major factors for facilitating change in behavioural strategies to reduce obesity. Psychol Res Behav Manag 6:101–110

    PubMed  PubMed Central  Google Scholar 

  11. Perri MG, Martin AD, Leermakers EA, Sears SF, Notelovitz M (1997) Effects of group – versus home-based exercise in the treatment of obesity. J Consult Clin Psychol 65:278–285

    Article  CAS  PubMed  Google Scholar 

  12. Andersen RE, Wadden TA, Bartlett SJ, Zemel B, Verde TJ, Franckowiak SC (1999) Effects of lifestyle activity vs structured aerobic exercise in obese women: a randomized trial. JAMA 281:335–340

    Article  CAS  PubMed  Google Scholar 

  13. Jakicic JM, Wing RR, Butler BA, Robertson RJ (1995) Prescribing exercise in multiple short bouts versus one continuous bout: effects on adherence, cardiorespiratory fitness, and weight loss in overweight women. Int J Obes Relat Metab Disord 19:893–901

    CAS  PubMed  Google Scholar 

  14. Wadden TA, Webb VL, Moran CH, Bailer BA (2012) Lifestyle modification for obesity: new developments in diet, physical activity, and behavior therapy. Circulation 125:1157–1170

    Article  PubMed  PubMed Central  Google Scholar 

  15. The Diabetes Prevention Program (DPP): description of lifestyle intervention (2002). Diabetes Care 25:2165–2171

    Google Scholar 

  16. Ryan DH, Espeland MA, Foster GD, Haffner SM, Hubbard VS, Johnson KC, Kahn SE, Knowler WC, Yanovski SZ (2003) Look AHEAD (Action for Health in Diabetes): design and methods for a clinical trial of weight loss for the prevention of cardiovascular disease in type 2 diabetes. Control Clin Trials 24:610–628

    Article  PubMed  Google Scholar 

  17. Fairburn CG, Cooper Z, Shafran R, Bohn K, Hawker DM, Murphy R, Straebler S (2008) Enhanced cognitive behavior therapy for eating disorders: the core protocol. In: Fairburn CG (ed) Cognitive behavior therapy and eating disorders. Guilford Press, New York, pp 45–193

    Google Scholar 

  18. Christian JG, Tsai AG, Bessesen DH (2010) Interpreting weight losses from lifestyle modification trials: using categorical data. Int J Obes 34:207–209

    Article  CAS  Google Scholar 

  19. Wing RR (2002) Behavioral weight control. In: Wadden TA, Stunkard AJ (eds) Handbook of obesity treatment. The Guildford Press, New York, pp 301–316

    Google Scholar 

  20. Eight-year weight losses with an intensive lifestyle intervention: the look AHEAD study (2014). Obesity 22:5–13

    Google Scholar 

  21. Wadden TA, Berkowitz RI, Womble LG, Sarwer DB, Phelan S, Cato RK, Hesson LA, Osei SY, Kaplan R, Stunkard AJ (2005) Randomized trial of lifestyle modification and pharmacotherapy for obesity. N Engl J Med 353:2111–2120

    Article  CAS  PubMed  Google Scholar 

  22. Dalle Grave R, Calugi S, Gavasso I, El Ghoch M, Marchesini G (2013) A randomized trial of energy-restricted high-protein versus high-carbohydrate, low-fat diet in morbid obesity. Obesity 21:1774–1781

    CAS  PubMed  Google Scholar 

  23. Nijamkin MP, Campa A, Sosa J, Baum M, Himburg S, Johnson P (2012) Comprehensive nutrition and lifestyle education improves weight loss and physical activity in Hispanic Americans following gastric bypass surgery: a randomized controlled trial. J Acad Nutr Diet 112:382–390

    Article  PubMed  Google Scholar 

  24. Shang E, Hasenberg T (2010) Aerobic endurance training improves weight loss, body composition, and co-morbidities in patients after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis 6:260–266

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Riccardo Dalle Grave .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Grave, R.D., Calugi, S., El Ghoch, M. (2015). Increasing Adherence to Diet and Exercise Through Cognitive Behavioural Strategies. In: Lenzi, A., Migliaccio, S., Donini, L. (eds) Multidisciplinary Approach to Obesity. Springer, Cham. https://doi.org/10.1007/978-3-319-09045-0_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-09045-0_27

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-09044-3

  • Online ISBN: 978-3-319-09045-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics