Conservative treatment of obesity in an academic obesity unit. Long-term outcome and drop-out

Abstract

This study has showed the difficulties of long-term clinical treatment of obese outpatients, even in a specialised obesity clinic. The findings demonstrate that educated and experienced staff together with an extended package of treatment options is not enough to keep patients in treatment for two years. However though the drop-out rate was high, two thirds of the included subjects reduced their weight, which is a satisfactory result in a clinical setting. The drop-out rate and the reasons for dropping out could give a clue in which direction the diagnostics and analysis of the subject's individual needs in health care should be directed.

Predictors of dropout in weight loss interventions: a systematic review of the literature

“…Absence of fibromyalgia and a metabolic disorder (50) have also been found to be associated with higher attrition rates. While some studies could not associate the number of obesity‐related diseases (63) or the patient's medical history (33) to attrition, another study linked smaller number of obesity‐related diseases to higher attrition rates (3).…”

Increasing the motivation for physical activity in obese patients

“…18,[27][28][29][30] Our onesession motivation intervention strongly decreased obese individuals' dropout rates in an 8-week aerobic exercise program and also increased their minutes spent on daily physical activity when compared with a one-session relaxation control intervention. It thus offers a quick, efficacious, and for a majority of obese patients readily available opportunity to enhance their level of physical activity.…”

The association of low-grade inflammation, urinary albumin, and insulin resistance with metabolic syndrome in nondiabetic Taiwanese

“…However, obesity is a more difficult issue for clinical practice than other risk factors [32,33]. The effect of treatment of obesity, as compared with other risks, should be assessed in a long-term prospective study.…”