Abstract
Objective: To compare the efficacy of diet alone vs interdisciplinary therapy. Method: 256 women were divided into an interdisciplinary therapy group composed of 102 subjects and a control group composed of 154 subjects treated by means of diet alone. Results: 21.56% of the interdisciplinary group did not come for the 2 check-ups compared with 49.35% of the diet group (p>0.001). A weight loss of 5.88 kg and 4.18 kg for the interdisciplinary and the diet group was recorded 8 weeks after the start of the programme (second check-up). Discussion: Interdisciplinary therapy is necessary to personalize treatment and satisfy the patient’s desire and need for appropriate and effective management.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Senekal M., Albertse E.C., Momberg D.J., Groenewald C.J., Visser E.M.: A multidimensional weight-management program for women. J. Am. Diet Assoc., 99, 1257–1264, 1999.
Waysfeld B.: Psychological approaches to the obese. Presse Med., 29, 556–563, 2000.
Institute of Medicine, Committee to Develop Criteria for Evaluating the Outcomes of Approaches to Prevent and Treat Obesity: Weighing the Options: Criteria for evaluating weight management programs. National Academy Press, 1995.
Devlin M.J., Yanovski S.Z., Wilson G.T.: Obesity: what mental health professionals need to know. Am. J. Psychiatry, 157, 854–866, 2000.
Hunter S.M., Larrieu J.A., Ayad F.M., O’Leary J.P., Griffies W.S., Deblanc C.H., Martin L.F: Roles of mental health professionals in multidisciplinary medically supervised treatment programs for obesity. South Med. J., 90, 578–586, 1997.
Position of ADA: Nutrition intervention in the treatment of anorexia nervosa, bulimia nervosa, and binge eating. J. Am. Diet. Assoc., 94, 902–907, 1994.
Bauer B.: Limiti e prospettive del trattamento ambulatoriale dei disturbi del comportamento alimentare. In: I disturbi del comportamento alimentare tra psichiatria e nutrizione clinica: l’integrazione interdisciplinare. Edizioni Ansisa, 1996, pp. 91–92.
Bauer B., Ventura M.: L’integrazione dell’approccio psicoterapeutico e clinico nutrizionale. In: Binge eating. Edizioni Ansisa, 1997, pp. 40–42.
Lohman T.G., Roche A., Martorell R.: Manuale di riferimento per la standardizzazione antropometrica. Milano, EDRA Edizioni, 1994.
LARN: Livelli di assunzione raccomandati di energia e nutrienti per la popolazione italiana. Milano, EDRA Edizioni, 1996.
Crausaz F.M., de Tonnac N., Rolet S.: Multidisciplinary consultation for patients with excess weight: observations following a 6-month pilot experience. Ther. Umsch., 46, 319–324, 1989.
Anderson A., Wadden T.A.: Treating the obese patient. Suggestions for primary care practice. Arch. Fam. Med., 8, 156–167, 1999.
Palmo A., Balzala F.: Come prescrivere una dieta. In: Guarnieri G., Situlin R., Toigo G. (Eds.), Dietetica e nutrizione clinica. Milano, Masson, 1998
Rolls B.J., Bell E.A.: Dietary approaches to the treatment of obesity. Med. Clin. North Am., 84, 401–418, 2000.
Adams S.O., Grady K.E., Lund A.K., Mukaida C., Wolk C.H.: Weight loss: longterm results in an ambulatory setting. J. Am. Diet. Assoc., 83, 306–310, 1983.
Van Staden F., Gerhardt C.: Abandoning weight-loss programmes. S. Afr. Med. J., 79, 554–557, 1991.
Yass-Reed E.M., Barry N.J., Dacey C.M.: Examination of pretreatment predictors of attrition in a VLCD and behavior therapy weight-loss program. Addict. Behav., 18, 431–435, 1993.
Bennett G.A., Jones S.E.: Dropping out of treatment for obesity. J. Psychosom. Res., 30, 567–573, 1986.
Gomez Candela C., de Cos A., Julian Vinals R., Gonzalez Fernandez B., Iglesias C., Castillo R.: Analysis of the results of treatment of obesity in the hospital outpatient department. Nutr. Hosp., 13, 215–220, 1998.
Blackburn G.L., Greenberg I.: Multidisciplinary approach to adult obesity therapy. Int. J. Obes., 2, 133–142, 1978.
NIH Technology Assessment Conference Panel: Methods for voluntary weight loss and control. Ann. Intern. Med., 116, 942–949, 1992.
Task Force Obesity Italia: LIGIO 99, Linee guida italiane obesità — Identificare, valutare trattare. Bologna, Edizioni Pendragon, 1999.
Wadden T.A., Steen S.N., Wingate B.J., Foster G.D.: Psychosocial consequences of weight reduction: how much weight loss is enough? Am. J. Clin. Nutr., 63 (3 Suppl.), 461S–465S, 1996.
Fitzwater S.L., Weinsier R.L., Wooldrige N.H., Birch R., Liu C., Bartolucci A.A.: Evaluation of long-term weight changes after a multidisciplinary weight control panel. J. Am. Diet. Assoc., 91, 421–426, 1991.
Moloney M.: Dietary treatments of obesity. Proc. Nutr. Soc., 59, 601–608, 2000.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Boschi, V., Siervo, M., Nasti, G. et al. Interdisciplinary treatment of a female outpatient population. Organizational model and preliminary results. Eat Weight Disord 7, 268–275 (2002). https://doi.org/10.1007/BF03324972
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF03324972