Lifestyle medicine consulting walking meetings for sustained weight loss

BMJ Case Rep. 2016 Feb 1;2016:bcr2015213218. doi: 10.1136/bcr-2015-213218.


With rates of obesity and diabetes rising worldwide, effective ways of managing weight are becoming more important. We present the case study of a middle-aged Caucasian-American woman (body mass index (BMI) 27.8, overweight category) who wanted to lose weight. The patient participated in a behaviour modification programme with a physician trained in lifestyle medicine as well as health and wellness coaching. After the 14-week programme, which included 9, 1 h long walking sessions with the clinician, the patient lost 11 Ibs (BMI 24.7, normal category). The programme included a combination of increasing physical activity, eating appropriate quantities of healthy foods, goal setting and a positive attitude. The patient has kept her BMI at or below 24.1 for over 2 years. This case demonstrates a novel approach to weight loss management--walking therapeutic sessions--and also outlines critical components of lifestyle medicine counselling that facilitate the process of sustainable weight loss and lasting change.

Publication types

  • Case Reports

MeSH terms

  • Behavior Therapy*
  • Body Mass Index
  • Female
  • Humans
  • Life Style*
  • Middle Aged
  • Overweight / prevention & control
  • Overweight / psychology
  • Overweight / therapy*
  • Treatment Outcome
  • Walking* / psychology
  • Weight Loss*
  • Weight Reduction Programs*