Seven men and 93 women, each overweight by at least 20% of their calculated ideal weight, started a reduction program. The general plan of management included education, caloric restriction, anorectics, exercise, and psychotherapy. The results were appraised at the end of one year for the participant's success or failure to attain and then to stay at a normal weight. Twenty-six patients discontinued the program although they had lost some weight. Twelve were discharged because they failed to adhere to the program. Most of these people had regained weight during the year. Of the 62 continuing to the end of the year, 42 had lost 20 or more pounds, and 20 had not. Six succeeded in attaining normal weight levels. Three factors which apparently influenced those who failed were lack of motivation, lack of intelligence, and severe emotional difficulties.
Berkowitz D, Beck N. LONG-TERM MANAGEMENT OF OBESITY IN A UNION HEALTH CENTERANALYSIS OF SUCCESSES AND FAILURES. JAMA. 1960;172(13):1381–1383. doi:10.1001/jama.1960.03020130039010
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