6. Summary
Behavioral weight control generally involves two phases: (1) weight loss induction and (2) weight maintenance. During the period of weight loss, energy intake via eating is reduced and energy expenditure resulting from physical activity is increased. During the period of weight maintenance, the person learns to match energy intake (eating habits) with energy expenditure (physical activity and exercise). The most effective behavioral weight loss programs have offered a combination of exercise, diet, and behavior modification. Specific treatment components can be used to enhance long-term successful weight management for adults and children. These components include, but are not limited to, (1) portion control and structured meal plans, (2) home-based and short-bout exercise prescriptions, (3) prolonged and regular therapeutic contact during weight loss induction, (4) utilization of social support throughout treatment, and (5) extended therapeutic contact or booster treatment to promote long-term weight maintenance. For long-term success, it is clear that the overweight person must sustain his or her efforts to change behavior patterns and prevent relapse by proactively modifying barriers to lifestyle behavior change. Further, behavioral weight management is most efficacious when the treatment plan is tailored to match an individual’s cultural, social, and motivational circumstances.
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Williamson, D.A., Martin, C.K., Stewart, T.M. (2006). Behavioral Strategies for Controlling Obesity. In: Bray, G.A., Ryan, D.H. (eds) Overweight and the Metabolic Syndrome. Endocrine Updates, vol 26. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-32164-6_13
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