Abstract
#Obesity is a global problem, impacting an estimated 300 million
people worldwide [1]. Its prevalence is increasing in both developed and
developing countries throughout the world. In the United States, the
prevalence of obesity is greater than it has ever been, with striking
increases observed during the past 2 decades [2]. The #economic costs of
obesity are astounding. It is estimated that by the year 2030, 48-66
billion dollars/year will be spent on obesity related medical costs [3].
With the increased obesity prevalence and the accompanied disease risk
associated with obesity [3], both #healthcare provider and patient have a
strong desire to lose weight. A 2003-2008 national survey of 16,720
Americans found that 73% of women and 55% of men have a desire to lose
weight while approximately 50% of women and 30% of men actively engaged
in weight loss efforts within the preceding year [4]. Disappointing,
results from weight loss attempts are dismal at best. It was noted
obesity researcher Albert Stunkard who stated, "most persons will not
stay in treatment for obesity. Of those who stay in #treatment, most will
not lose weight, and of those who do lose weight, most will regain it".
Stunkard's opinion has been verified through published studies that
show successful treatment of obesity remains the exception rather than
the rule. One of the more positive studies show that a mere 20% of obese
persons who attempt to lose weight achieve and maintain clinically
meaningful weight loss [5]. Attrition rates in obesity trials range from
10-80% [6]. In strictly #controlled single-center randomized studies the
attrition rate exceeds 40% at 12 months regardless of the type of
dietary program [7].
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The Need to Shift Focus Away from the Scale and Towards Lifestyle in Obesity Management by Zachary S Zeigler in BJSTR
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