Behavioral weight list programs are useful – but where are they? – Harvard Health


The US Prevention Service (USPSTF) is a team of volunteers from primary care and nursing facilities. They identify major health problems, research reviews, and interpret an action plan (called training tips) for the same doctors.

In the autumn, they have been dealing with obesity, with the aim of finding effective ways of getting basic care can help people lose weight.

And not about esteem. This is about preventing the disease, especially diabetes, high blood pressure, and heart disease that are related specifically to obesity.

We have not seen any surgical or other procedures, just research experiments involving budget programs or treatment-based weight-treatment.

The task of the Commissioner has conducted a series of budget tests around the world, including both male and female participants, between the ages of 22 and 66, and the body's size up to 25 39.

What is involved in the behavioral intervention program?

The programs were ongoing between 12 and 24 months, and they were involved in at least 12 meetings (face-to-face, group meetings, or web-based). Different specialists were involved (psychologists, psychologists, registered doctors, physiotherapy, therapist and physicians) who provided basic counseling for nutrition, physical activity, and protection, and as well as mental parts such as identifying barriers, early planning, problem-solving, and preventive prevention. By email, phone, and / or support supporters are usually added. Basically, these are strong programs focusing on diet and lifestyle changes.

And supplemental food and lifestyle programs work well with weight loss. The participants lost weight compared to the control, between average 1 and 20 pounds, average weight loss of 5 pounds, and they were more than lost 5% of the total body weight 12 to 18 months. Tens of thousands of patients looked at the risk of diabetes, and the results showed that participants were at risk of getting diabetes.

Here is the most important part: the risk of participating in this study was very small. This is a great way to include behavioral interventions: no effect or drug problems.

How did the treatment program compare to the medicines?

This is different from the loss of weight loss treatment. Thirty-five studies for different therapeutic drugs (such as liraglutide, lorcaserin, naltrexone and bupropion, orlistat, and phentermine-topiramate) have complex and highly complex requirements. Why? Because of some of these medical treatments, and the side effects of the medication, severe.

Yes, the research studies showed a very large scale, between 2 and 13 pounds. But at the end, USPSTF should balance the benefits and risks, and conclude that "the interfacing of adult impairment can lead to a significant growth in the underlying situation and reduce the type of event 2nd adult diabetes by weight and levels of glucose upgrading …[]… and the impact of extensive behavioral interventions, including weight loss treatment for infants.

Basically, rapid behavioral programs for living modified organisms work well with weight loss, and the risk is extremely small.

Where are you from such programs?

Yes, here is the difference between science and technology.

Some of the weight loss programs are in place, not everyone who meets the insurance requirements to cover them. So most people, if they are not able to pay for pocket, these programs are only available in research studies.

For example, Diabetes Prevention Program (DPP) is a very good program based on lifestyle behaviors that have been studied recently in decades and are working well. It is an annual commitment, including 22 educational (personal or online) links and regular contact with famine training. The insurance will cover this program for people with BMI over 25 years and diagnostic diagnosis. Diabetes, just the lung disease. DPP curriculum is available on the CDC website. Everyone can create a program.

But the program must meet many requirements before the official CDC is officially recognized, the insurance companies will not cover the program until they accept the CDC. Even then, the money may vary. As a result, there are not many of these programs on the rise, but there are is it some. To access your state or online DPP program, check with CDC.

Most hospitals offer a structural change of lifestyle habits, but these are pockets of pocket worth around $ 500.

What can you do if you can not get the weight loss program?

You can work with your doctor and develop your program by consulting the appropriate specialists (eg, nutritionist, personal trainer and therapist), following your progress (eg, a doctor's office or app use) for your friends support (ask your friends and family to join you on your journey, or join a team like Weight Loss). I've had patients who have succeeded in making regular lifestyle changes – including weight loss – using this method.

Mobile mobility software is a small device but with hope. In the 2015 review of the research, multiple customer reviews, used for six weeks to nine months, showed a 2.2 pound weight gain. Some of the many free programs, including MyFitnessPal, Lose It, Numbers, Weight Bonds, and Foods (Remember that these are not mandatory for the review review).

I hope that soon, the livelihood-based livelihoods program will be more accessible to anyone who needs this support.

Resources

There are books that can help you. I wrote a clear statement based on the nutritional and lifestyle changes, Healthy Causes for Your Heart.

But my book is not the only one; other quality models address the behavioral changes of a healthy lifestyle

Illness by David Katz, MD, MPH

Spectrum by Dean Ornish, MD

Eat, Drink, and Health by Walter Willet, MD, DrPH

Smart of the heart (female) by Malissa Wood, MD, FACC

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