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British Medical Bulletin 53:389-408 (1997)
© 1997 The British Council

research-article

Obesity management by life-style strategies

Gill cowburn*,, Melvyn Hillsdon{dagger} and Catherine R Hankey§

*Health Education Authority, The churchill Oxford, UK
{dagger}Health Promotion Sciences Unit, London School of Hygiene and Tropical Medicine London, UK
§University Department of Human Nutrition, Glasgow Royal Infirmary Glasgow, UK

correspondence to: Gill Cowburn, Health Education Authority, Block 10, The Churchill, Oxford OX3 7JL, UK

Abstract

This chapter discusses lifestyle management strategies for obesity in adults and is based on an assumption that treatment, resulting in appropriate and sustained weight loss, is of benefit to individuals. It examines dietary management strategies including the use of very low calorie diets, moderate energy restriction and individual and group approaches in commercial and non-commercial environments. It explores the role of physical activity in the treatment of obesity in particular focusing on the associated health benefits and the increasing evidence of the importance of physical activity in weight maintenance. It discusses the effect of behavioural interventions on acheiving and maintaining weight loss and briefly offers suggestions for the organisation of lifestyle interventions.


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