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Obesity. Part II--Treatment.

G A Bray, D S Gray

    The Western Journal of Medicine
    |November 1, 1988
    PubMed
    Summary

    Behavior modification is key for obesity treatment, alongside diets and exercise. Emerging drugs and gastric bypass surgery offer additional therapeutic avenues for specific patient groups.

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    Area of Science:

    • Obesity treatment and management
    • Behavioral science in health

    Background:

    • Traditional obesity therapies include diet and exercise.
    • Behavior modification is crucial for sustained weight management.
    • Current pharmacotherapies for appetite suppression have limited efficacy.

    Purpose of the Study:

    • To review current and emerging strategies for obesity management.
    • To highlight the importance of behavioral components in weight loss programs.
    • To discuss the role of pharmacotherapy and surgery in obesity treatment.

    Main Methods:

    • Review of existing literature on obesity treatment modalities.
    • Analysis of the efficacy of behavioral interventions.
    • Evaluation of current and developing pharmacological agents.
    • Assessment of surgical interventions like gastric bypass.

    Main Results:

    • Behavior modification is identified as the most critical element for successful obesity therapy.
    • Very-low-calorie diets (VLCDs) are used, often under medical supervision.
    • Existing appetite suppressants show limited effectiveness, but new drugs are in development.
    • Gastric bypass surgery is effective but reserved for high-risk individuals.

    Conclusions:

    • Behavior modification is paramount for effective and lasting obesity treatment.
    • Pharmacological and surgical options are evolving and offer potential for specific patient populations.
    • A comprehensive approach integrating behavioral strategies with other interventions is essential for managing obesity.

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