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Weight Changes in Obese Men
Behavioral Treatment Program for Obesity Reduction
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Weight Changes in Obese Men

Weight Loss Study Aim
To describe a combined behavioural treatment program for obese men, the 'Gustaf' study, and to evaluate treatment success by the means of weight loss, drop-out analysis and changes in metabolic risk factors. Subjects included 86
men, aged 43±9 y and BMI 37.7±4.4 kg/m2, from the waiting list of the outpatient clinic and men directly approaching the Obesity Unit.

Weight Loss Study Method
Combined, behavioural modification treatment, by the means of group sessions, for one hour every week over a two-year period.

Weight Loss Study Measurements
Weight loss and changes in risk factors after completion of one and two year study and description of treatment success in the form of changes in metabolic risk factors.

Weight Loss Study Results
The one-year dropout rate was 22 percent and the cumulative rate after two years was 34 percent. Mean weight decreased significantly from start (121 kg) to one year (114 kg) and to two years (115 kg) in completers. Several metabolic risk factors (waist and hip circumferences, systolic blood pressure, serum cholesterol and plasma insulin) remained significantly decreased after two years of treatment. The complete metabolic syndrome was diagnosed in five men at onset, but in no one after two years. There was no difference in change of metabolic risk factors after one year between the men who lost 8-12 percent of initial body weight and those who lost more.

Weight Loss Study Conclusion
Sixty-six percent (57/86) of the obese men who started in the 'Gustaf' program were still in the program after two years. In spite of the relatively modest weight loss, the men maintained a large proportion of this weight loss and also maintained their improved metabolic risk factor pattern.

Source: International Journal of Obesity

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