The long-term effectiveness of a lifestyle intervention in severely obese individuals
Objective: Severe obesity is a serious public health concern. Although bariatric surgery is an efficacious treatment approach, it is limited in reach; thus, nonsurgical treatment alternatives are needed. We examined the 4-year effects of an intensive lifestyle intervention on body weight and cardiovascular disease risk factors among severely obese, compared with overweight (BMI 25-30), class I (BMI 30-35), and class II obese (BMI 35-40) participants.
Conclusion: Lifestyle interventions can result in important long-term weight losses and improvements in cardiovascular disease risk factors among a significant proportion of severely obese individuals.