title: Lifestyle medicine consulting walking meetings for sustained weight loss.
abstract: With rates of obesity and diabetes rising worldwide, effective ways of managing weight are becoming more important. We present the case study of a middle-aged Caucasian-American woman (body mass index (BMI) 27.8, overweight category) who wanted to lose weight. The patient participated in a behaviour modification programme with a physician trained in lifestyle medicine as well as health and wellness coaching. After the 14-week programme, which included 9, 1 h long walking sessions with the clinician, the patient lost 11 Ibs (BMI 24.7, normal category). The programme included a combination of increasing physical activity, eating appropriate quantities of healthy foods, goal setting and a positive attitude. The patient has kept her BMI at or below 24.1 for over 2 years. This case demonstrates a novel approach to weight loss management--walking therapeutic sessions--and also outlines critical components of lifestyle medicine counselling that facilitate the process of sustainable weight loss and lasting change.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Harvard Medical School, Needham, Massachusetts, USA.
authors.forename: Elizabeth Pegg
authors.initials: EP
authors.lastname: Frates
authors.affiliation: School of Psychology, The University of Queensland, St Lucia, Queensland, Australia.
authors.forename: Margaret E
authors.initials: ME
authors.lastname: Crane
mesh_terms: D001521:Behavior Therapy; D015992:Body Mass Index; D005260:Female; D006801:Humans; D008019:Life Style; D008875:Middle Aged; D050177:Overweight / Q000517:prevention & control / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome; D016138:Walking / Q000523:psychology; D015431:Weight Loss; D061217:Weight Reduction Programs
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