Bariatrics And Weight Management
Please seek advice from your physician just before starting any diet regime or exercise system. Authors of books aimed at the lay public have proposed advantages of high protein diets, like that consuming a higher-protein, low-CHO diet program produces a near-euphoric” state of maximal physical and mental overall performance (Sears and Lawren, 1998). These claims are unsupported by scientific information.
Reinforcement approaches are also an integral part of the behavioral therapy of overweight and obesity. For example, subjects might pick a positively reinforcing event, such as participating in a particularly enjoyable activity or purchasing a special item when a purpose is met (Brownell and Kramer, 1994).
More modest reductions in fat intake, which make a dietary regimen easier to comply with and more acceptable to several folks, can also market weight loss (Astrup, 1999 Astrup et al., 1997, 2000 Blundell, 2000 Castellanos and Rolls, 1997 Flatt, 1997 Kendall et al., 1991 Shah and Garg, 1996). For instance, Sheppard and colleagues (1991) reported that after 1 year, obese females who reduced their fat intake from approximately 39 percent to 22 percent of total caloric intake lost 3.1 kg of body weight, though ladies who lowered their fat intake from 38 % to 36 percent of total calories lost only .four kg.
Winick and coworkers (2002) evaluated personnel in higher-pressure jobs (e.g., police, firefighters, and hospital and aviation personnel) who participated in worksite weight-reduction and upkeep applications that applied meal replacements. The meal replacements had been identified to be powerful in lowering weight and sustaining weight loss at a 1-year follow-up. In contrast, Bendixen and coworkers (2002) reported from Denmark that meal replacements have been related with unfavorable outcomes on weight loss and weight maintenance. Even so, this was not an intervention study participants have been followed for six years by phone interview and information were self-reported.
A further significant component of behavioral remedy programs may possibly be cognitive restructuring of erroneous or dysfunctional beliefs about weight regulation (Wing, 1998). Tactics created by cognitive behavior therapists can be employed to assistance the individual determine particular triggers for overeating, deal with damaging attitudes towards obesity in society, and comprehend that a minor dietary infraction does not imply failure. Nutrition education and social assistance, discussed later in this chapter, are also components of behavioral programs.