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Abstract

Obesity is defined as an excess of adipose (or fat) tissue. Until most recently, excess weight was defined in terms of normative tables of weight for a given height, such as the Metropolitan Life Insurance Company (1983) charts or statistics from the National Research Council (1989). This method for defining obesity does not actually measure adiposity, however, and is no longer generally used in research programs on obesity (Bray, 1992b). Methods for estimating body fat range from relatively inexpensive methods, such as measurement of skin-fold thickness, to expensive methods such as magnetic resonance. In recent years, the use of body mass index (wt/(ht)2) has become a popular method for defining weight status. The body-mass index (BMI) has been found to be highly correlated with other measures of adiposity, except in bodybuilders and other athletes with high muscle mass (Garrow, 1983).

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References

  • American Dietetic Association (1989). Exchange lists for weight management. Chicago, IL: Author.

    Google Scholar 

  • American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Bray, G. A. (1992a). Drug treatment of obesity. American Journal of Nutrition, 55, 5385–5455.

    Google Scholar 

  • Bray, G. A. (1992b). Pathophysiology of obesity. American Journal of Clinical Nutrition, 55, 4885–4945.

    Google Scholar 

  • Bums, D. D. (1980). Feeling good: The new mood therapy. New York: Signet.

    Google Scholar 

  • Gamer, D. M., & Garfinkel, P. E. (1979). The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273–279.

    Article  Google Scholar 

  • Garrow, J. S. (1983). Indices of adiposity. Reviews in Clinical Nutrition, 53, 697–708.

    Google Scholar 

  • Kuczmarski, R. J. (1992). Prevalence of overweight and weight gain in the United States. American Journal of Clinical Nutrition, 55, 4955–5025.

    Google Scholar 

  • Metropolitan Life Foundation. (1983). 1983 Metropolitan height and weight tables. Statistical Bulletin, 64, 2–9.

    Google Scholar 

  • National Research Council. (1989). Diet and health, implications for reducing chronic disease risk. National Academy Press. Washington, DC: Author.

    Google Scholar 

  • Perri, M. G. (1992). Improving the long term management of obesity: Theory, research, and clinical guidelines. New York: Wiley.

    Google Scholar 

  • Sjostrom, L. V. (1992). Morbidity of severely obese subjects. American Journal of Clinical Nutrition, 55, 5085–5155.

    Google Scholar 

  • Smith, M. C., & Thelen, M. H. (1984). Development and validation of a test for bulimia. Journal of Consulting and Clinical Psychology, 52, 863–872.

    Article  PubMed  Google Scholar 

  • Stunkard, A. J., & Messick, S. (1985). The three-factor eating questionnaire to measure dietary restraint, disinhibition, and hunger. Journal of Psychometric Research, 29, 71–83.

    Article  Google Scholar 

  • Thelen, M. H., Farmer, J., Wonderlich, S., & Smith, M. (1991). A revision of the bulimia test: The BULIT-R. Psychological Assessment, 3, 119–124.

    Article  Google Scholar 

  • Williamson, D. A., Davis, C. J., Bennett, S. M., Goreczny, A. J., & Gleaves, D. H. (1989). Development of a simple procedure for assessing body image disturbances. Behavioral Assessment, 11, 433–466.

    Google Scholar 

  • Williamson, D. A., Davis, C. J., Norris, L., & Van Buren, D. J. (1990, November). Development of reliability and validity for a new structured interview for diagnosis of eating disorders. Paper presented at the annual meeting of the Association for the Advancement of Behavior Therapy, San Francisco, CA.

    Google Scholar 

  • Williamson, D. A., Gleaves, D. H., Watkins, P. C., & Schlundt, D. G. (1993). Validation of a self-ideal body size discrepancy as a measure of body size dissatisfaction. Journal of Psychopathology and Behavioral Assessment, 15, 57–68.

    Article  Google Scholar 

  • Williamson, D. A., Kelley, M. L., Davis, C. J., Ruggiero, L., & Blouin, D. C. (1985). Psychopathology of eating disorders: A controlled comparison of bulimic, obese, and normal subjects. Journal of Consulting and Clinical Psychology, 53, 161–166.

    Article  PubMed  Google Scholar 

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© 1996 Springer Science+Business Media New York

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Williamson, D.A., Champagne, C.M., Jackman, L.P., Varnado, P.J. (1996). Lifestyle Change. In: Van Hasselt, V.B., Hersen, M. (eds) Sourcebook of Psychological Treatment Manuals for Adult Disorders. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1528-3_12

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  • DOI: https://doi.org/10.1007/978-1-4899-1528-3_12

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-1530-6

  • Online ISBN: 978-1-4899-1528-3

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