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Open AccessCase Report

Long-Term Weight-Loss Lifestyle Modification Programme in a Patient with Severe Lumbar Intervertebral Disc Degeneration and Obesity: A Case Report

1
Department of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, P.O. Box 11-5020 Riad El Solh, Beirut 11072809, Lebanon
2
Nutrition and Dietetics Program—CTR Centre, 42124 Reggio Emilia, Italy
*
Author to whom correspondence should be addressed.
Reports 2018, 1(3), 21; https://doi.org/10.3390/reports1030021
Received: 17 October 2018 / Revised: 1 November 2018 / Accepted: 2 November 2018 / Published: 5 November 2018
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PDF [366 KB, uploaded 5 November 2018]
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Abstract

Obesity is a growing health problem worldwide, associated with serious medical and psychosocial comorbidities that increase the risk of mortality. Strong evidence confirms lifestyle modification programmes as the cornerstone of its treatment. However, the available long-term lifestyle modification programmes for weight management delivered in Arabic-speaking countries seem to be lacking in effectiveness in terms of weight-loss maintenance and do not conform to the standard for clinical significance. Factors such as methodological weaknesses in programme transcultural adaptation and the lack of expert clinical supervision before and during implementation seem to underlie this discrepancy. In this case report, we describe for the first time an Arabic-speaking patient with obesity and severe lumbar intervertebral disc degeneration, who successfully underwent weight management by means of a new, well-adapted and well-implemented personalized cognitive behavioural programme for obesity (CBT-OB). After eighteen months, the patient displayed significant weight-loss maintenance (~16% weight-loss), improvement in total and central body fat distribution, reduced pain from disc degeneration, and an increase in high-density lipoprotein (HDL). The CBT-OB programme may be a feasible approach to managing Arab patients with obesity, producing long-lasting weight-loss maintenance improvements in the obesity-related profile. View Full-Text
Keywords: obesity; CBT-OB; lifestyle modification; cognitive behavioural therapy; weight loss treatment; Arab countries obesity; CBT-OB; lifestyle modification; cognitive behavioural therapy; weight loss treatment; Arab countries
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MDPI and ACS Style

El Masri, D.; Kreidieh, D.; Tannir, H.; Itani, L.; El Ghoch, M. Long-Term Weight-Loss Lifestyle Modification Programme in a Patient with Severe Lumbar Intervertebral Disc Degeneration and Obesity: A Case Report. Reports 2018, 1, 21.

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