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Is Behavioural Intervention the Key to Weight Loss?

No doubt the hallmark study of the European Congress on Obesity was that involving eating vs. inactivity as a cause of obesity.

However, when perusing the other studies from this conference, a recurring theme on the importance of behaviour modification strategies for weight maintenance was evident. Here are the details of the findings:

Scottish researchers (lead by Susan Murray, MA, University of Aberdeen) looked at which weight loss interventions were most effective at maintaining an initial weight loss of more than 10% body weight. The weight-loss trials included only the most rigorously controlled studies which looked at the following interventions:

  • Lifestyle
  • Behavioural
  • Pharmacological
  • Surgical
Researchers found that studies combining high intensity behavioural change techniques with changes in diet were the most successful at keeping weight off during the maintenance period. Here is a breakdown of the rates of weight maintenance in the different groups:

Combined diet/Behavioural change: 89.5% of initial weight loss.
Diet only: 60.4%.
Pharmacological: 81.5% (drug interventions were always accompanied by dietary/behavioural guidance).

Which Behaviour Techniques Work Best?

The 3 most common (and successful) intervention included:

  1. Food Logs
  2. Education on making healthy choices
  3. Identifying barriers to success
A second study (Mirjam Lips, MD, Leiden University) involving type II diabetics showed similar success. Not only did participants reap better BMI and blood sugar readings as a result of the lifestyle intervention, but 87% of the patients were still in the study after week 65.

Parting Words

This just goes to show that a weight loss (fat loss) journey requires a change in lifestyle, and a change in lifestyle requires a change in behaviour. It all seems to relate back to developing a healthy mindset.

If you find you've been struggling with weight or just need to know where to start, try the following:

  • Start a food log today
  • Write down any potential barriers to success
  • Write down how you are going to tackle those obstacles
  • Make simple dietary substitutions to include more dark-coloured produce, good sources of protein and other nutrient-rich foods.
  • Make exercise a daily part of your life and include strength training.

Source: Eureka Alerts

More like this in Psychology and Science · May 20, 2009
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11 Comments

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Mike on 05/20/09

I really think everyone, regardless of current heath, buy a scale and keep a food/calorie log for a least 8 weeks of their life. It really forces you to look at portions in a new light.

I wish some of these studies mentioned if successful diets weight themselves everyday.

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jill on 05/20/09

Here is a website gives statistical findings on what people who have successfully kept weight off did: http://www.nwcr.ws/ They report weighing themselves once a week on average, I believe.

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Barry on 05/20/09

The "key" to weight loss is eating fewer calories than you expend.

I also wish Diet Blog would stop using the phrase "weight loss".

Concentration camp prisoners achieve weight loss. The goal is FAT LOSS.

Say it again: FAT LOSS.

Anyone can lose weight. It takes a bit of intelligence and work to lose fat and keep muscle.

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Gina on 05/20/09

I had a question about South Beach Diet for anybody that can help me. I just started phase I and im feeling horrible. This is my 2nd day. I'm nausiated, i'm feeling weak and just not feeling good at all! Is that normal on this diet??? Thank you for whoever can help me with this question.

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susan on 05/20/09

I wish "keep a food log" was not such a universal piece of advice. For those of us who've battled disordered eating, they are really not a good idea.

Gina, I think sometimes if you ate a lot of carbohydrates before starting, you can initially feel like that on SB. Also, are you eating the recipes in the book? I think some people try to make SB into Atkins. If you make & eat the recipes in the book, your diet will be more balanced.

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Gina on 05/20/09

Thanks Susan for replying back.
I feel like I had way to much water today and not enough food. At this moment I feel like going to the bathroom again.. I'm looking at other website and everbody is saying how hard phase I really is. I hope this "feeling sick" part goes away because I dont think I can handle this for 2 weeks. I will try your advice and keep a log book. I have not been following the exact recipes but i've been eating Very healthy and no carbs or maybe just a few.I've been good for this 2 days BuT WOW is it hard...

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angiers on 05/25/09

People are still doing atkins? I thought that was old news. A no carbohydrate diet is not the way to permenant weight loss.

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Christine on 06/24/09

I've never had an eating disorder, but I dislike keeping a food log and seem to be unable to keep to it for more than 3 days at a time. I've never kept a diary, either...

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Spectra on 05/23/09

I used to keep a food log, but I started to get obsessive about it, so I stopped writing every little thing down. Instead, I just kind of mentally keep track of what I eat in a day so I have a general idea of how many calories I've eaten. I definitely don't just eat randomly anymore like I used to. Back in the day when I was fat, I used to plow through an economy-sized box of Goldfish in two days just by snacking on them while dong my homework. Now, I just eat similar foods every day, but if I do happen to indulge, I cut back somewhere else to compensate.

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Susan on 05/26/09

For me, these three behavior techniques are huge!! Every time I was successful in managing my weight I always used a food log. Reading about health/fitness/nutrition etc. has always given me the motivation to continue, and journaling about my experiences is crucial too.

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