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Orlistat weight loss efficacy A randomized controlled trial was conducted to investigate the efficacy of diet and exercise interventions in the treatment of patients with abdominal obesity, defined as a body mass index (BMI) > or = 30 kg/m2. This trial was conducted at two hospitals in Southern California. A total of 468 obese men/women (BMI <30) were enrolled. Subjects randomly assigned to 1 of 3 groups. The first group (n = 122) was assigned to an experimental group and prescribed a lifestyle modification that involved total of 13 behavioral changes. The intervention group also followed a weight reduction program (n = 124), but it did not include a diet component. The third group (n = 113) was assigned to a control group (n = 114) and prescribed a lifestyle modification that did not include a lifestyle modification. The control group did not follow a treatment program. All subjects attended 5 group sessions a week and did regular activity. In addition, after an initial baseline evaluation, subjects who did not respond to behavioral or diet counseling were instructed to lose 5% of their weight. At the end of 2-year intervention, experimental group had significantly greater decreases in body weight (-4.8 vs. -2.5 kg) compared to the control group (-0.7 vs. 0.2 kg). These results indicate that behavioral counseling is a safe and effective adjunct to dietary counseling for the treatment of obese patients with abdominal obesity. INTRODUCTION Weight cycling is common in both men and women, it occurs at a rate of 3–5% the population every year. 1 This can be categorized into short-term cycles involving weight loss of 3–10% initial body weight, lasting 1–8 weeks, or long-term cycles involving weight gain of at least 10–20% initial body weight and lasting 4–12 weeks. Long-term weight cycling is the most severe condition with potential for long-term morbidity. 2-3 Although a variety of lifestyle modification methods have been evaluated for weight management, none is widely accepted and has been tested in clinical trials. Some of these methods include reduced food intake or physical activity as a form of weight loss, self-monitoring calorie intake and physical activity, weight loss surgery. However, no method of weight management has been shown to be completely efficacious with regard to achieving long-term weight reductions. Many clinicians are hesitant to prescribe lifestyle modification interventions, because there is widespread disagreement about what types of exercise are most effective for increasing physical activity and weight loss.4-6 A few randomized controlled trials have compared different types of exercise with calorie restriction, but none has compared different types of activities with or without weight loss. Although these studies examined weight loss as a result of exercise programs, the types studied Farmaco generico levitra were often different depending on the type of intervention, and they were not designed to examine whether exercise programs result in greater weight loss than diets that do not prescribe.

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