Purpose: To describe the performance of a dietary procedure based on a cognitive behavioral approach among overweight or obese patients. Methods: Standardized 45 minutes consultations were conducted by a dietician to obese (n=139) and overweight (n=56) patients followed between 1998 and 2003 at the dietetic consultation of the Outpatient clinic of the University Hospitals of Geneva. Outcome measures were the proportion of eating behavior changes and weight change over time. Results: Patients attended a mean of 7 consultations and reached on average 57% of their dietary behavioral goals. At the end of follow-up, 36 (19%) patients had lost at least 5% of initial weight (mean weight change 8 kg SD 3.9) and 8 (4%) had gained at least 5% of initial weight. Major life events, night eating syndrome, and a lower proportion of reached goals were associated with weight gain. Conclusions: Dietetic treatment based on behavioral goal setting shows encouraging results in terms of weight evolution and is compatible with standard care reimbursement in many countries. Dieticians and other health professionals could focus on behavioral goals to be achieved in the short term.




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