Evidence map›Paper›PMID 27013897›Full record

ReviewDiabetes, metabolic syndrome and obesity : targets and therapy2016

Long-term weight loss maintenance for obesity: a multidisciplinary approach.

Luca Montesi, Marwan El Ghoch, Lucia Brodosi, Simona Calugi, Giulio Marchesini, Riccardo Dalle Grave

3 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Diabetes, metabolic syndrome and obesity : targets and therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 178 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
178citing papers in PubMed, 18 pooled it
30.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03528044 nacompletednot on this mapstarted 2017, after this paper: background citation

Evaluation and Follow up of Emotional Regulation, Cognition, Impulsivity and Reward System in Obesity, and Determination of Its Biopsychosocial Risk Factors: A Prospective Study of Obese Patients Before and After Bariatric Surgery

TypeinterventionalSponsorKoç UniversityRan2017 to 2022Enrolled50ConditionsObesity, Cognitive DisorderArmsBariatric surgery
NCT04029532 completednot on this mapstarted 2019, after this paper: background citation

Factors Associated With Obesity in Adult Women: Respiratory Exchange Ratio, Heart Rate Variation and Body Image

TypeobservationalSponsorNational Taiwan University HospitalRan2019 to 2020Enrolled121ConditionsObesityArmsRespiratory exchange ratio, Heart rate variability, Body composition, Eating behavior, Physical activity recall
NCT05275608 narecruitingnot on this mapstarted 2022, after this paper: background citation

Effects of Very Low Calorie Ketogenic Diet on Microbiota, Adipose Tissue and Immunitary Regulation: Pilot Study on Patients with Metabolic Syndrome

TypeinterventionalSponsorAzienda Ospedaliero Universitaria Maggiore della CaritaRan2022 to 2025Enrolled40ConditionsDiabetes Mellitus, Type 2, Non-alcoholic Fatty Liver Disease, Obesity, Metabolic SyndromeArmsVLCKD diet with replacing meals, Hypocaloric mediterranean Diet
3 · Its place in the literature

Who cites it

178 citing papers in PubMed, 18 syntheses or guidelines pooled it, 323 citations in OpenAlex.

  1. Obesity in South and Southeast Asia-A new consensus on care and management.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023
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  8. Perspectives into the experience of successful, substantial long-term weight-loss maintenance: a systematic review.International journal of qualitative studies on health and well-being · 2021
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  14. Management of overweight and obesity in primary care-A systematic overview of international evidence-based guidelines.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2019
    Pooled it
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  16. Determinants of weight loss maintenance: a systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2019
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118 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Luca MontesiUnit of Metabolic Diseases, S Orsola-Malpighi Hospital, "Alma Mater Studiorum" University, Bologna, Italy.
Marwan El GhochDepartment of Eating and Weight Disorders, Villa Garda Hospital, Verona, Italy.
Lucia BrodosiUnit of Metabolic Diseases, S Orsola-Malpighi Hospital, "Alma Mater Studiorum" University, Bologna, Italy.
Simona CalugiDepartment of Eating and Weight Disorders, Villa Garda Hospital, Verona, Italy.
Giulio MarchesiniUnit of Metabolic Diseases, S Orsola-Malpighi Hospital, "Alma Mater Studiorum" University, Bologna, Italy.
Riccardo Dalle GraveDepartment of Eating and Weight Disorders, Villa Garda Hospital, Verona, Italy.
Casa di Cura Villa Garda · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The long-term weight management of obesity remains a very difficult task, associated with a high risk of failure and weight regain. However, many people report that they have successfully managed weight loss maintenance in the long term. Several factors have been associated with better weight loss maintenance in long-term observational and randomized studies. A few pertain to the behavioral area (eg, high levels of physical activity, eating a low-calorie, low-fat diet; frequent self-monitoring of weight), a few to the cognitive component (eg, reduced disinhibition, satisfaction with results achieved, confidence in being able to lose weight without professional help), and a few to personality traits (eg, low novelty seeking) and patient-therapist interaction. Trials based on the most recent protocols of lifestyle modification, with a prolonged extended treatment after the weight loss phase, have also shown promising long-term weight loss results. These data should stimulate the adoption of a lifestyle modification-based approach for the management of obesity, featuring a nonphysician lifestyle counselor (also called "lifestyle trainer" or "healthy lifestyle practitioner") as a pivotal component of the multidisciplinary team. The obesity physicians maintain a primary role in engaging patients, in team coordination and supervision, in managing the complications associated with obesity and, in selected cases, in the decision for drug treatment or bariatric surgery, as possible more intensive, add-on interventions to lifestyle treatment.

Indexed as

cognitive behavior therapylifestyle modificationmultidisciplinary treatmentobesity

Identifiers

PMID27013897
PMCPMC4777230
OpenAlexW2280828404

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.