Yoshimatsu Hironobu
Department of Internal Medicine I, Faculty of Medicine, Oita University.
Nihon Rinsho. 2009 Feb;67(2):373-83.
Diet therapy and exercise are used as main therapeutic methods for weight reduction to correct disrupted energy balance in obese patients. However, introduction as well as maintenance of these therapies is not so easy. Behavioral therapy to reinforce changes in diet and physical activity is useful for weight reduction. Especially, changes in life style including acquisition of new habit of eating and physical activity may be important for long-term maintenance of reduced body weight. As specific behavioral strategies, self monitoring, stress management, stimulus control, problem solving, contingency management, cognitive reconstruction and social support are recommended. Charting of daily weight pattern reinforces maintenance of weight reduction in moderately obese patients because it can include many factors of these strategies. Finally, it can be expected that combination of diet therapy, exercise, behavioral therapy and drug therapy may further improve effectiveness of interventions.
饮食疗法和运动被用作减轻体重的主要治疗方法，以纠正肥胖患者紊乱的能量平衡。然而，引入并维持这些疗法并非易事。强化饮食和体育活动改变的行为疗法对减轻体重很有用。特别是，生活方式的改变，包括养成新的饮食和体育活动习惯，对于长期维持减轻后的体重可能很重要。作为具体的行为策略，建议采用自我监测、压力管理、刺激控制、问题解决、权变管理、认知重建和社会支持。记录每日体重模式有助于中度肥胖患者维持体重减轻，因为它可以包含这些策略的许多因素。最后，可以预期饮食疗法、运动、行为疗法和药物疗法的结合可能会进一步提高干预措施的有效性。
