A comparison of maintenance-tailored therapy (MTT) and standard behavior therapy (SBT) for the treatment of obesity.
OBJECTIVE
To evaluate a maintenance-tailored therapy (MTT) compared to standard behavior therapy (SBT) for treatment of obesity.


METHODS
change in body weight.


METHODS
A non-blinded, randomized trial comparing effectiveness of MTT and SBT in facilitating sustained weight loss over 18 months; 213 adult volunteers> or =18 years participated. SBT had fixed behavioral goals, MTT goals varied over time. Study conducted at the University of Minnesota, School of Public Health, January 2005 through September 2007.


RESULTS
Mean (SD) weight losses at 6, 12, and 18 months were 5.7 (5.0) kg, 8.2 (8.6) kg and 8.3 (8.9) kg for MTT and 7.4 (3.9) kg, 10.7 (8.2) kg and 9.3 (8.8) kg for SBT. Total weight loss did not differ by group at 18 months, but the time pattern differed significantly (p<0.001). The SBT group lost more weight in the first 6 months. Both groups lost similar amounts between 6 and 12 months; MTT had stable weight between 12 and 18 months, while SBT experienced significant weight gain.


CONCLUSIONS
The MTT approach produced sustained weight loss for an unusually long period of time and not achieved in previous trials of behavioral treatment for weight loss. The MTT approach, therefore, deserves further study.
Jeffery
Robert W
RW
University of Minnesota, School of Public Health, Division of Epidemiology and Community Health, Twin Cities Campus, 1300 South Second Street, Suite 300, Minneapolis, MN 55454-1015, USA. jefferyrw@gmail.com
Levy
Rona L
RL
Langer
Shelby L
SL
Welsh
Ericka M
EM
Flood
Andrew P
AP
Jaeb
Melanie A
MA
Laqua
Patricia S
PS
Hotop
Annie M
AM
Finch
Emily A
EA
D000328:Adult; D000367:Age Factors; D001521:Behavior Therapy / Q000379:methods*; D015992:Body Mass Index; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000523:psychology* / Q000628:therapy*; D010349:Patient Compliance / Q000706:statistics & numerical data; D011336:Probability; D012016:Reference Values; D012307:Risk Factors; D012737:Sex Factors; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss
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