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date: 18 November 2019

Abstract and Keywords

Cognitive-behavioral treatment for weight management involves the application of cognitive and behavioral principles and techniques, including self-monitoring, goal setting, problem solving, and cognitive restructuring, to modify eating behaviors and physical activity. Treatment is based on the principles of classical conditioning, operant conditioning, and social cognitive theory. Treatment is most commonly offered in weekly group sessions lasting up to 6 months. Reduction of 8% 10% of initial body weight is typical, which is associated with clinically meaningful improvements in several chronic conditions. Weight regain is common following treatment, although about 20% of participants achieve long-term success. The provision of extended care contacts following initial treatment significantly improves weight loss maintenance. While efficacy trials document the significant outcomes of behavioral interventions, additional research examining the effectiveness and dissemination of these treatments into applied real-world settings is needed. Additional research focused on young adults, older adults, and at-risk groups (e.g., racial minorities) is also warranted.

Keywords: overweight, obesity, weight loss, behavioral treatment, lifestyle intervention, efficacy, effectiveness

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