Lifestyle Modification in Long-Term Management of Chronic Diseases

  • Haleama Al Sabbah


Nowadays, unfortunately, obesity has been viewed as a cosmetic issue rather than a chronic disease; furthermore, health insurance systems do not include the costs of obesity treatment except if it is associated with a chronic disease such as hypertension and diabetes [1]. Obesity could be defined as an excess amount of energy intake and fat storage through overnutrition and adopting sedentary lifestyle [2, 3]. It can be caused by a combination of several factors including cultural and environmental factors, such as elevated energy diet, low levels of physical activity, eating disorders, and increased portion size. These factors can cause a fundamental change in the structure of adipose tissue leading to “hypertrophy and hyperplasia of adipocytes, inflammation” as well as it causes a change in the secretion of adipokines, which is a biologically active protein that can cause severe impact on the metabolism of glucose and lipids [3, 4]. A study found in UAE indicated that factors that may attribute to low levels of activities are mainly due to the hot climate that can reach up to 45° C in the summer, in addition to the cultural norms that can restrict female outdoor physical activities [5].


  1. 1.
    Vega GL. Cardiovascular outcomes for obesity and metabolic syndrome. Obes Res. 2002;10:S27–32.CrossRefGoogle Scholar
  2. 2.
    Rippe JM, Hess S. The role of physical activity in the prevention and management of obesity. J Am Diet Assoc. 1998:S31–8.Google Scholar
  3. 3.
    Tsigos C, Hainer V, Basdevant A, Finer N, Fried M, Mathus-Vliegen E, Micic D, Maislos M, Roman G, Schutz Y, Toplak H, Zahorska-Markiewicz B, Obesity Management Task Force of the European Association for the Study of Obesity. Management of obesity in adults: European clinical practice guidelines. Obes Facts. 2008;1(2):106–16.CrossRefPubMedGoogle Scholar
  4. 4.
    Kondo T, Kobayashi I, Murakami M. Effect of exercise on circulating adipokine levels in obese young women. Endocr J. 2006;53(2):189–95.CrossRefPubMedGoogle Scholar
  5. 5.
    Al Junaibi A, Abdulle A, Sabri S, Hagali M, Nagelkerke N. The prevalence and potential determinants of obesity among school children and adolescents in Abu-Dhabi, United Arab Emirates. Int J Obes (Lond). 2013;37(1):68–74.CrossRefGoogle Scholar
  6. 6.
    Debraganza N. Self-monitoring in the long-term management of obesity (Order No. 3467696). 2010. Available from ProQuest Dissertations & Theses Global. (880861957).
  7. 7.
    Farina MG, Baratta R, Nigro A, Vinciguerra F, Puglisi C, Schembri R, Frittitta L. Intragastric balloon in association with lifestyle and/or pharmacotherapy in the long-term management of obesity. Obes Surg. 2012;22(4):565–71.CrossRefPubMedGoogle Scholar
  8. 8.
    Rogovik AL, Chanoine J, Goldman RD. Pharmacotherapy and weight-loss supplements for treatment of pediatric obesity. Drugs. 2010;70(3):335–46.CrossRefPubMedGoogle Scholar
  9. 9.
    Arnold M, Jiang L, Stefanick ML, Johnson KC, Lane DS, LeBlanc ES, Anton-Culver H. Duration of adulthood overweight, obesity, and cancer risk in the women's health initiative: a longitudinal study from the United States. PLoS Med. 2016;13(8):1–16.CrossRefGoogle Scholar
  10. 10.
    Rappange DR, Brouwer WBF, Hoogenveen RT, Van Baal PHM. Healthcare costs and obesity prevention. Pharmacoeconomics. 2009;27(12):1031–44.CrossRefPubMedGoogle Scholar
  11. 11.
    Cobbold A, Lord S. Treatment and management of obesity: is surgical intervention the answer? J Perioper Pract. 2012;22(4):114–21.CrossRefPubMedGoogle Scholar
  12. 12.
    Russu G, Frasinariu O, Trandafir L. Cardiovascular suffering in childhood obesity. Romanian. J Pediatr. 2016;65(4):366–71.Google Scholar
  13. 13.
    Sharma AM. The value of current interventions for obesity. Nat Clin Pract Cardiovasc Med. 2008;5(Suppl 1):S3–9.CrossRefPubMedGoogle Scholar
  14. 14.
    Tekle AT. Examination of factors associated with obesity, physical activity and income in metropolitan areas of the United States (Order No. 3576341). 2013. Available from ProQuest Dissertations & Theses Global. (1465413156).
  15. 15.
    Teixeira PJ, Silva MN, Mata J, Palmeira AL, Markland D. Motivation, self-determination, and long-term weight control. Int J Behav Nutr Phys Act. 2012;9:22–8.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Sidorov JE, Fitzner K. Obesity disease management opportunities and barriers. Obesity. 2006;14(4):645–9.CrossRefPubMedGoogle Scholar
  17. 17.
    Olson K, Bond D, Wing RR. Behavioral approaches to the treatment of obesity. R I Med J. 2017;100(3):21–4.Google Scholar
  18. 18.
    Davidson K, Vidgen H. Why do parents enroll in a childhood obesity, management program: a qualitative study with parents of overweight and obese children? BMC Public Health. 2017;17(1):1–10.CrossRefGoogle Scholar
  19. 19.
    Park H. Longitudinal relationships between physical activity, sedentary behaviors, and obesity in children and adolescents (Order No. 3289070). 2007. Available from ProQuest Central; ProQuest Dissertations & Theses Global. (304842292).
  20. 20.
    Wadden TA, Butryn ML, Byrne KJ. Efficacy of lifestyle modification for long-term weight control. Obes Res. 2004;12:S151–62.CrossRefGoogle Scholar
  21. 21.
    U.S. Department of Health and Human services. Managing overweight and obesity in adults: systematic evidence review from the obesity expert panel. 2013. National institutes of Health website
  22. 22.
    Aditya BS, Wilding JPH. Modern management of obesity. Clin Med. 2009;9(6):617–21.CrossRefGoogle Scholar
  23. 23.
    Xu F, Ware RS, Leslie E, Tse LA, Wang Z, Li J, Wang Y. Effectiveness of a randomized controlled lifestyle intervention to prevent obesity among Chinese primary school students: CLICK-Obesity Study. PLoS One. 2015;10(10):1–12.Google Scholar
  24. 24.
    Neumark-Sztainer D. Eating disorders prevention: looking backward, moving forward; looking inward, moving outward. Eat Disord. 2016;24(1):29–38.CrossRefPubMedGoogle Scholar
  25. 25.
    Kouris-Blazos A, Wahlqvist ML. Health economics of weight management: evidence and cost. Asia Pac J Clin Nutr. 2007;16:329–38.PubMedGoogle Scholar
  26. 26.
    Peterson ND, Middleton KR, Nackers LM, Medina KE, Milsom VA, Perri MG. Dietary self-monitoring and long-term success with weight management. Obesity. 2014;22(9):1962–7.CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Abyad A. Obesity management in primary health care. Middle East J Intern Med. 2016;9(3):26–8.CrossRefGoogle Scholar
  28. 28.
    Dixon JB, Straznicky NE, Lambert EA, Schlaich MP, Lambert GW. Surgical approaches to the treatment of obesity. Nat Rev. 2011;8(8):429–37.Google Scholar
  29. 29.
    Dixon JB, Dixon ME. Combined strategies in the management of obesity. Asia Pac J Clin Nutr. 2006;15:63–9.PubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Health Sciences DepartmentZayed UniversityDubaiUAE

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