Obesity therapy: What works - What doesn't?

The primary goals of obesity treatment are improved management of concomitant medical conditions and better overall health. The process of behavior modification ideally results in permanent modification of the patient's eating and physical activity habits; this is a long-term process that requires a team effort. A weight loss of between 1/2 and 11/2 lb per week is a realistic goal. Nutrition concepts to emphasize include viewing the diet in qualitative terms and including a greater quantity of healthful foods. The latest physical activity guidelines suggest that 30 minutes a day of accumulated activity which need not be either continuous or vigorous - provides demonstrable health benefits. Deep-seated causes of obesity, such as depression, may require psychological counseling.