Endocrine Abstracts

Approximately 2.6 billion people worldwide (38% of the planet’s population) are already overweight or obese. In 12 years, according to analysts’ forecasts, every second person on the planet will have an excess of fat. Unfortunately, adhering to diets only contributes to weight gain. Under calorie restriction, physiological adaptation mechanisms are activated in the body, which increase hunger and reduce basal metabolism. In such conditions, weight loss is possible only in the case of sustainable food restriction, which inevitably leads to breakdowns and relapses. The only method that will help reduce weight in the long term is changing eating habits and working on food behavior.

Aim: To evaluate the effect of behavioral interventions in the treatment of overweight/obesity in adults.

Methods: The study was conducted in obese/overweight adults in an outpatient setting and with remote monitoring. The behavior modification included goal-setting, motivational counseling, self-monitoring and self-motivation, reward system, problem-solving, and social support. The observation period consisted of weekly sessions for the first three months and then monthly supporting meetings. Evaluation of the results of observation was carried out after 9 months.

Results: A total of 17 patients at the age from 23 to 45 years old were examined. The average body mass index was 31.3 ± 3.14 kg/m². Аverage weight loss was 8.2%; average rate of weight loss - 2.7 kg/month. Patients had good adherence to recommendations and continued to maintain/lose weight after the active intervention period.

Conclusion: Long-term weight loss is possible when abandoning restrictions and under conditions of adequate activity. There is a need for a more holistic approach that includes behavioral treatments to promote adherence to treatment and maintain lifestyle modifications.