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Lifestyle Therapy as Medicine for the Treatment of Obesity

  • Jamy D. ArdEmail author
  • Gary D. Miller
Chapter

Abstract

Obesity is a chronic disease of excess adiposity that affects approximately one-third of the adult population in the USA with a growing prevalence worldwide. Obesity has been one of the most challenging complex diseases because of the overwhelming influence of the obesogenic environment. Despite this challenging environment, lifestyle interventions for obesity can be successful at creating a negative energy balance, the cornerstone of obesity management. The methods of lifestyle therapy for obesity treatment can be individualized to target associated risk factors, enhance adherence to a treatment plan, and lead to sustained maintenance of weight loss. Using dietary modification, physical activity, and behavioral counseling, the practitioner can address the physiological and behavioral underpinnings that contribute to calorie imbalance and excess weight gain. This chapter reviews the components of effective and individualized lifestyle therapy strategies to prevent and treat obesity.

Keywords

Behavior modification Energy balance Physical activity Diet therapy Built environment Dietary patterns Meal replacements Glycemic index Energy density 

Abbreviations

α-MSH

Alpha-Melanocyte-stimulating hormone

ARGP

Agouti-related peptide

AEE

Activity energy expenditure

BMI

Body Mass Index

CMR

Complete meal replacements

CVD

Cardiovascular disease

DHEA

Dehydroepiandrosterone

EOSS

Edmonton Obesity Staging System

GERD

Gastroesophageal reflux disease

GLP-1

Glucagon-like polypeptide-1

HIIT

High-intensity interval training

LCTs

Long-chain triglycerides

MCTs

Medium-chain triglycerides

MI

Motivational interviewing

MRs

Meal replacements

NCEP

National Cholesterol Education Program

NHANES

National Health and Nutrition Examination Survey

NPY

Neuropeptide Y

NTS

Nucleus Tractus Solitaries

PMR

Partial meal replacements

POMC

Proopiomelanocortin

RCT

Randomized controlled trial

REE

Resting energy expenditure

T2D

Type-2 diabetes

TEE

Total energy expenditure

TEF

Thermic effect of feeding

VAT

Visceral adipose tissue

VLCD

Very low-calorie diet

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of Epidemiology and PreventionWake Forest UniversityWinston-SalemUSA
  2. 2.Department of Health and Exercise ScienceWake Forest UniversityWinston-SalemUSA

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