Increasing Motivation for Lifestyle Change Is Not Enough to Treat Obesity
Authors: Sandra Wittleder, Melanie Jay
Journal: Annals of Internal Medicine (2022)

EditorialsJune 2022Increasing Motivation for Lifestyle Change Is Not Enough to Treat ObesitySandra Wittleder, PhD and Melanie Jay, MD, MSSandra Wittleder, PhDNYU Grossman School of Medicine, New York, New York and Melanie Jay, MD, MSNYU Grossman School of Medicine, New York, New YorkAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M22-0715 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail According to the World Health Organization, obesity affected 600 million people worldwide as of 2016 and increases risk for morbidity and mortality. Comprehensive lifestyle interventions, alone or in combination with pharmacologic treatment or bariatric surgery, are considered key for weight loss (1). Given the large amount of effort and motivation needed to restrict caloric intake and increase physical activity, motivational interviewing (MI) is a popular component of many lifestyle interventions. Motivational interviewing is an evidence-based, collaborative communication style that aims to strengthen a person's motivation for and commitment to change (2). Although MI is most commonly used for addictions (alcohol ...References1. Jensen MD, Ryan DH, Apovian CM, et al; American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation. 2014;129:S102-38. [PMID: 24222017] doi:10.1161/01.cir.0000437739.71477.ee CrossrefMedlineGoogle Scholar2. Miller WR, Rollnick S. Motivational Interviewing: Helping People Change. Guilford Pr; 2013. Google Scholar3. Frost H, Campbell P, Maxwell M, et al. Effectiveness of motivational interviewing on adult behaviour change in health and social care settings: a systematic review of reviews. PLoS One. 2018;13:e0204890. [PMID: 30335780] doi:10.1371/journal.pone.0204890 CrossrefMedlineGoogle Scholar4. Michalopoulou M, Ferrey AE, Harmer G, et al. Effectiveness of motivational interviewing in managing overweight and obesity. A systematic review and meta-analysis. Ann Intern Med. 2022;175:838-50. doi:10.7326/M21-3128 LinkGoogle Scholar5. Aronne LJ, Hall KD, M Jakicic, et al. Describing the weight-reduced state: physiology, behavior, and interventions. Obesity (Silver Spring). 2021;29 Suppl 1:S9-S24. [PMID: 33759395] doi:10.1002/oby.23086 CrossrefMedlineGoogle Scholar6. Look AHEAD Research Group. Eight-year weight losses with an intensive lifestyle intervention: the Look AHEAD study. Obesity (Silver Spring). 2014;22:5-13. [PMID: 24307184] doi:10.1002/oby.20662 CrossrefMedlineGoogle Scholar7. Jay MR, Gillespie CC, Schlair SL, et al. The impact of primary care resident physician training on patient weight loss at 12 months. Obesity (Silver Spring). 2013;21:45-50. [PMID: 23505167] doi:10.1002/oby.20237 CrossrefMedlineGoogle Scholar8. Wilding JPH, Batterham RL, Calanna S, et al; STEP 1 Study Group. Once-weekly semaglutide in adults with overweight or obesity. N Engl J Med. 2021;384:989. [PMID: 33567185] doi:10.1056/NEJMoa2032183 CrossrefMedlineGoogle Scholar9. Puhl RM, Himmelstein MS, Pearl RL. Weight stigma as a psychosocial contributor to obesity. Am Psychol. 2020;75:274-89. [PMID: 32053000] doi:10.1037/amp0000538 CrossrefMedlineGoogle Scholar10. Fang V, Gillespie C, Crowe R, et al. Associations between medical students' beliefs about obesity and clinical counseling proficiency. BMC Obes. 2019;6:5. [PMID: 30766687] doi:10.1186/s40608-018-0222-4 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: NYU Grossman School of Medicine, New York, New YorkDisclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M22-0715.Corresponding Author: Melanie Jay, MD, MS, NYU Grossman School of Medicine, 423 East 23rd Street, New York, NY 10010; e-mail, melanie.[email protected]org.This article was published at Annals.org on 29 March 2022. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEffectiveness of Motivational Interviewing in Managing Overweight and Obesity Moscho Michalopoulou , Anne E. Ferrey , Georgina Harmer , Lucy Goddard , Maryam Kebbe , Annika Theodoulou , Susan A. Jebb , and Paul Aveyard Metrics June 2022Volume 175, Issue 6Page: 901-902KeywordsBehaviorMotivationObesitySystematic reviewsWeight loss ePublished: 29 March 2022 Issue Published: June 2022 Copyright & PermissionsCopyright © 2022 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...