{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:22:05Z","timestamp":1791526925835,"version":"4.3.4"},"reference-count":70,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T00:00:00Z","timestamp":1715212800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:p>Obesity is a chronic, complex, and multifactorial disease resulting from the interaction of genetic, environmental, and behavioral factors. It is characterized by excessive fat accumulation in adipose tissue, which damages health and deteriorates the quality of life. Although dietary treatment can significantly improve health, high attrition is a common problem in weight loss interventions with serious consequences for weight loss management and frustration. The strategy used to improve compliance has been combining dietary prescriptions and recommendations for physical activity with cognitive behavioral treatment (CBT) for weight management. This systematic review determined the dropout rate and predictive factors associated with dropout from CBT for adults with overweight and obesity. The data from the 37 articles selected shows an overall dropout rate between 5 and 62%. The predictive factors associated with attrition can be distinguished by demographics (younger age, educational status, unemployed status, and ethnicity) and psychological variables (greater expected 1-year Body Mass Index loss, previous weight loss attempts, perceiving more stress with dieting, weight and shape concerns, body image dissatisfaction, higher stress, anxiety, and depression). Common reasons for dropping out were objective (i.e., long-term sickness, acute illness, and pregnancy), logistical, poor job conditions or job difficulties, low level of organization, dissatisfaction with the initial results, lack of motivation, and lack of adherence. According to the Mixed Methods Appraisal quality analysis, 13.5% of articles were classified as five stars, and none received the lowest quality grade (1 star). The majority of articles were classified as 4 stars (46%). At least 50% of the selected articles exhibited a high risk of bias. The domain characterized by a higher level of bias was that of randomization, with more than 60% of the articles having a high risk of bias. The high risk of bias in these articles can probably depend on the type of study design, which, in most cases, was observational and non-randomized. These findings demonstrate that CBT could be a promising approach for obesity treatment, achieving, in most cases, lower dropout rates than other non-behavioral interventions. However, more studies should be conducted to compare obesity treatment strategies, as there is heterogeneity in the dropout assessment and the population studied. Ultimately, gaining a deeper understanding of the comparative effectiveness of these treatment strategies is of great value to patients, clinicians, and healthcare policymakers.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Systematic review registration<\/jats:bold>\n                    : PROSPERO 2022 CRD42022369995 Available from:\n                    <jats:ext-link>https:\/\/www.crd.york.ac.uk\/prospero\/display_record.php?ID=CRD42022369995<\/jats:ext-link>\n                    .\n                  <\/jats:p>","DOI":"10.3389\/fnut.2024.1250683","type":"journal-article","created":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T00:48:29Z","timestamp":1715215709000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":13,"title":["Dropout in cognitive behavioral treatment in adults living with overweight and obesity: a systematic review"],"prefix":"10.3389","volume":"11","author":[{"given":"Lenycia de Cassya Lopes","family":"Neri","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Mariotti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Guglielmetti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simona","family":"Fiorini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Tagliabue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cinzia","family":"Ferraris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,5,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1056\/NEJMoa1614362","article-title":"Health effects of overweight and obesity in 195 countries over 25 years","volume":"377","author":"Afshin","year":"2017","journal-title":"N Engl J Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"2985","DOI":"10.1016\/j.jacc.2013.11.004","article-title":"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","volume":"63","author":"Jensen","year":"2014","journal-title":"J Am Coll Cardiol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"520","DOI":"10.1016\/j.jand.2022.11.014","article-title":"Medical nutrition therapy interventions provided by dietitians for adult overweight and obesity management: an academy of nutrition and dietetics evidence-based practice guideline","volume":"123","author":"Morgan-Bathke","year":"2023","journal-title":"J Acad Nutr Diet"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"E875","DOI":"10.1503\/cmaj.191707","article-title":"Obesity in adults: a clinical practice guideline","volume":"192","author":"Wharton","year":"2020","journal-title":"CMAJ"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1016\/j.orcp.2014.08.007","article-title":"Measuring and reporting attrition from obesity treatment programs: a call to action!","volume":"9","author":"Miller","year":"2015","journal-title":"Obes Res Clin Pract"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"888","DOI":"10.1038\/oby.2003.122","article-title":"Predictors of attrition in a large clinic-based weight-loss program","volume":"11","author":"Honas","year":"2003","journal-title":"Obes Res"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1186\/s40608-016-0098-0","article-title":"Predictors of early attrition and successful weight loss in patients attending an obesity management program","volume":"3","author":"Jiandani","year":"2016","journal-title":"BMC Obes"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"685","DOI":"10.1016\/j.brat.2009.05.004","article-title":"Predictors of attrition and weight loss success: results from a randomized controlled trial","volume":"47","author":"Fabricatore","year":"2009","journal-title":"Behav Res Ther"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1037\/h0100788","article-title":"Factors associated with attrition in weight loss programs","volume":"2","author":"Dalle Grave","year":"2006","journal-title":"Int J Behav Consult Ther"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1111\/cob.12136","article-title":"Attrition and weight loss outcomes for patients with complex obesity, anxiety and depression attending a weight management programme with targeted psychological treatment","volume":"6","author":"McLean","year":"2016","journal-title":"Clin Obes"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1016\/0306-4603(95)00081-x","article-title":"Depression, smoking, activity level, and health status: pretreatment predictors of attrition in obesity treatment","volume":"21","author":"Clark","year":"1996","journal-title":"Addict Behav"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1729","DOI":"10.1007\/s40519-020-00990-9","article-title":"Predictors of attrition from a weight loss program. A study of adult patients with obesity in a community setting","volume":"26","author":"Ponzo","year":"2021","journal-title":"Eat Weight Disord"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1186\/1475-2891-13-13","article-title":"Is drop-out from obesity treatment a predictable and preventable event?","volume":"13","author":"Colombo","year":"2014","journal-title":"Nutr J"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1016\/0306-4603(85)90044-9","article-title":"Participant characteristics as predictors of attrition in worksite weight loss","volume":"10","author":"Fowler","year":"1985","journal-title":"Addict Behav"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/j.orcp.2015.05.005","article-title":"Predicting dropout in dietary weight loss trials using demographic and early weight change characteristics: implications for trial design","volume":"10","author":"Batterham","year":"2016","journal-title":"Obes Res Clin Pract"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1111\/jhn.12270","article-title":"Factors predictive of drop-out and weight loss success in weight management of obese patients","volume":"28","author":"Had\u017eiabdi\u0107","year":"2015","journal-title":"J Hum Nutr Diet"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1007\/s12020-018-1563-y","article-title":"A path model analysis on predictors of dropout (at 6 and 12 months) during the weight loss interventions in endocrinology outpatient division","volume":"61","author":"Perna","year":"2018","journal-title":"Endocrine"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1159\/000442721","article-title":"Obesity management task force of the European Association for the Study of obesity. European guidelines for obesity management in adults","volume":"8","author":"Yumuk","year":"2015","journal-title":"Obes Facts"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1186\/s13098-023-01037-6","article-title":"Position statement on nutrition therapy for overweight and obesity: nutrition department of the Brazilian association for the study of obesity and metabolic syndrome (ABESO-2022)","volume":"15","author":"Pepe","year":"2023","journal-title":"Diabetol Metab Syndr"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"2003","DOI":"10.1016\/j.jand.2017.07.015","article-title":"Nutrition care process and model update: toward realizing people-centered care and outcomes management","volume":"117","author":"Swan","year":"2017","journal-title":"J Acad Nutr Diet"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1016\/j.jada.2010.03.021","article-title":"State of the evidence regarding behavior change theories and strategies in nutrition counseling to facilitate health and food behavior change","volume":"110","author":"Spahn","year":"2010","journal-title":"J Am Diet Assoc"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jclinepi.2009.06.006","article-title":"The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration","volume":"62","author":"Liberati","year":"2009","journal-title":"J Clin Epidemiol"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan-a web and mobile app for systematic reviews","volume":"5","author":"Ouzzani","year":"2016","journal-title":"Syst Rev"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"l4898","DOI":"10.1136\/bmj.l4898","article-title":"RoB 2: a revised tool for assessing risk of bias in randomised trials","volume":"366","author":"Sterne","year":"2019","journal-title":"BMJ"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"285","DOI":"10.3233\/EFI-180221","article-title":"The mixed methods appraisal tool (MMAT) version 2018 for information professionals and researchers","volume":"34","author":"Hong","year":"2018","journal-title":"EFI"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"PRISMA 2020 statement: An updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"1124","DOI":"10.1038\/sj.ijo.0802727","article-title":"Pretreatment predictors of attrition and successful weight management in women","volume":"28","author":"Teixeira","year":"2004","journal-title":"Int J Obes Relat Metab Disord"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1111\/j.1365-2796.2005.01524.x","article-title":"Continuous care in the treatment of obesity: an observational multicentre study","volume":"258","author":"Dalle Grave","year":"2005","journal-title":"J Intern Med"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"1961","DOI":"10.1038\/oby.2005.241","article-title":"Weight loss expectations in obese patients and treatment attrition: an observational multicenter study","volume":"13","author":"Dalle Grave","year":"2005","journal-title":"Obes Res"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1007\/BF03353419","article-title":"A short-term cognitive group treatment program gives substantial weight reduction up to 18 months from the end of treatment. A randomized controlled trial","volume":"10","author":"Stahre","year":"2005","journal-title":"Eat Weight Disord"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1111\/j.1463-1326.2005.00504.x","article-title":"Effect of sibutramine and of cognitive-behavioural weight loss therapy in obesity and subclinical binge eating disorder","volume":"8","author":"Bauer","year":"2006","journal-title":"Diabetes Obes Metab"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1016\/j.cct.2005.08.002","article-title":"PREFER study: a randomized clinical trial testing treatment preference and two dietary options in behavioral weight management--rationale, design and baseline characteristics","volume":"27","author":"Burke","year":"2006","journal-title":"Contemp Clin Trials"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"1132","DOI":"10.1038\/sj.ijo.0803244","article-title":"Complexity of attrition in the treatment of obesity: clues from a structured telephone interview","volume":"30","author":"Grossi","year":"2006","journal-title":"Int J Obes"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1007\/s10549-006-9410-x","article-title":"A cognitive behavioral therapy intervention to promote weight loss improves body composition and blood lipid profiles among overweight breast cancer survivors","volume":"104","author":"Mefferd","year":"2007","journal-title":"Breast Cancer Res Treat"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1007\/BF03327593","article-title":"Individual versus group therapy for obesity: comparison of dropout rate and treatment outcome","volume":"12","author":"Minniti","year":"2007","journal-title":"Eat Weight Disord"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1007\/BF02999227","article-title":"A randomized controlled trial of two weight-reducing short-term group treatment programs for obesity with an 18-month follow-up","volume":"14","author":"Stahre","year":"2007","journal-title":"Int J Behav Med"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1007\/s10865-008-9161-8","article-title":"Motivational interviewing fails to improve outcomes of a behavioral weight loss program for obese African American women: a pilot randomized trial","volume":"31","author":"Befort","year":"2008","journal-title":"J Behav Med"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"2016","DOI":"10.1038\/oby.2008.270","article-title":"The effect of training in reduced energy density eating and food self-monitoring accuracy on weight loss maintenance","volume":"16","author":"Lowe","year":"2008","journal-title":"Obesity (Silver Spring)"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1097\/YIC.0b013e32832ac828","article-title":"Multivariate therapeutic approach to binge-eating disorder: combined nutritional, psychological and pharmacological treatment","volume":"24","author":"Brambilla","year":"2009","journal-title":"Int Clin Psychopharmacol"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"2010","DOI":"10.1016\/j.jada.2009.09.011","article-title":"Psychological variables associated with weight loss in obese patients seeking treatment at medical centers","volume":"109","author":"Dalle Grave","year":"2009","journal-title":"J Am Diet Assoc"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1007\/BF03327791","article-title":"Multidisciplinary approach to obesity","volume":"14","author":"Donini","year":"2009","journal-title":"Eat Weight Disord"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1016\/j.numecd.2008.06.004","article-title":"Are behavioural approaches feasible and effective in the treatment of type 2 diabetes? A propensity score analysis vs. prescriptive diet","volume":"19","author":"Forlani","year":"2009","journal-title":"Nutr Metab Cardiovasc Dis"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1016\/j.jpsychores.2008.12.011","article-title":"Adding cognitive therapy to dietetic treatment is associated with less relapse in obesity","volume":"67","author":"Werrij","year":"2009","journal-title":"J Psychosom Res"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"917","DOI":"10.1016\/j.jada.2010.03.017","article-title":"PERIOD2 variants are associated with abdominal obesity, psycho-behavioral factors, and attrition in the dietary treatment of obesity","volume":"110","author":"Garaulet","year":"2010","journal-title":"J Am Diet Assoc"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"e9","DOI":"10.1007\/BF03325275","article-title":"A 2-year multifactor approach of weight loss maintenance","volume":"15","author":"Makoundou","year":"2010","journal-title":"Eat Weight Disord"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"1187","DOI":"10.1038\/oby.2010.313","article-title":"Long-term effects of a multidisciplinary treatment of uncomplicated obesity on carotid intima-media thickness","volume":"19","author":"Buscemi","year":"2011","journal-title":"Obesity (Silver Spring)"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1186\/1471-2458-12-625","article-title":"Weight loss among female health care workers--a 1-year workplace based randomized controlled trial in the FINALE-health study","volume":"12","author":"Christensen","year":"2012","journal-title":"BMC Public Health"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1080\/00223980.2011.642023","article-title":"Two-year follow-up of an interdisciplinary cognitive-behavioral intervention program for obese adults","volume":"146","author":"G\u00f6hner","year":"2012","journal-title":"J Psychol"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1007\/s40519-013-0059-2","article-title":"Psychological and behavioural factors associated with long-term weight maintenance after a multidisciplinary treatment of uncomplicated obesity","volume":"18","author":"Buscemi","year":"2013","journal-title":"Eat Weight Disord"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"1774","DOI":"10.1002\/oby.20320","article-title":"A randomized trial of energy-restricted high-protein versus high-carbohydrate, low-fat diet in morbid obesity","volume":"21","author":"Dalle Grave","year":"2013","journal-title":"Obesity (Silver Spring)"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"94","DOI":"10.4162\/nrp.2014.8.1.94","article-title":"Early dropout predictive factors in obesity treatment","volume":"8","author":"Michelini","year":"2014","journal-title":"Nutr Res Pract"},{"key":"ref52","first-page":"368","article-title":"Cognitive-behavioral treatment reduces attrition in treatment-resistant obese women: results from a 6-month nested case-control study","volume":"36","author":"Tagliabue","year":"2015","journal-title":"Neuro Endocrinol Lett"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1159\/000441366","article-title":"Weight loss expectations and attrition in treatment-seeking obese women","volume":"8","author":"Dalle Grave","year":"2015","journal-title":"Obes Facts"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"723","DOI":"10.1002\/eat.22549","article-title":"Residential cognitive-behavioral weight-loss intervention for obesity with and without binge-eating disorder: a prospective case-control study with five-year follow-up","volume":"49","author":"Calugi","year":"2016","journal-title":"Int J Eat Disord"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1159\/000442761","article-title":"Predictors of dropout by female obese patients treated with a group cognitive behavioral therapy to promote weight loss","volume":"9","author":"Sawamoto","year":"2016","journal-title":"Obes Facts"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1016\/j.jand.2016.09.001","article-title":"The influence of weight-loss expectations on weight loss and of weight-loss satisfaction on weight maintenance in severe obesity","volume":"117","author":"Calugi","year":"2017","journal-title":"J Acad Nutr Diet"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1016\/j.soard.2016.08.003","article-title":"Changes in self-reported eating patterns after laparoscopic sleeve gastrectomy: a pre-post analysis and comparison with conservatively treated patients with obesity","volume":"13","author":"Figura","year":"2017","journal-title":"Surg Obes Relat Dis"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1007\/s40519-017-0475-9","article-title":"Expected benefits and motivation to weight loss in relation to treatment outcomes in group-based cognitive-behavior therapy of obesity","volume":"23","author":"Sasdelli","year":"2018","journal-title":"Eat Weight Disord"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"925","DOI":"10.3390\/nu11040925","article-title":"Cognitive training therapy improves the effect of hypocaloric treatment on subjects with overweight\/obesity: a randomised clinical trial","volume":"11","author":"Galindo Mu\u00f1oz","year":"2019","journal-title":"Nutrients"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1007\/s40519-018-0593-z","article-title":"Personalized group cognitive behavioural therapy for obesity: a longitudinal study in a real-world clinical setting","volume":"25","author":"Dalle Grave","year":"2020","journal-title":"Eat Weight Disord"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"2021","DOI":"10.3390\/nu13062021","article-title":"The impact of COVID-19 lockdown on patients with obesity after intensive cognitive behavioral therapy-a case-control study","volume":"13","author":"Calugi","year":"2021","journal-title":"Nutrients"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"2701","DOI":"10.1007\/s40519-022-01412-8","article-title":"Multidisciplinary residential program for the treatment of obesity: how body composition assessed by DXA and blood chemistry parameters change during hospitalization and which variations in body composition occur from discharge up to 1-year follow-up","volume":"27","author":"Gasparri","year":"2022","journal-title":"Eat Weight Disord"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"e2621","DOI":"10.1002\/brb3.2621","article-title":"Lifestyle treatment in women with polycystic ovary syndrome: predictors of weight loss and dropout","volume":"12","author":"Jiskoot","year":"2022","journal-title":"Brain Behav"},{"key":"ref64","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1007\/s10865-017-9824-4","article-title":"Impact of food craving and calorie intake on body mass index (BMI) changes during an 18-month behavioral weight loss trial","volume":"40","author":"Buscemi","year":"2017","journal-title":"J Behav Med"},{"key":"ref65","doi-asserted-by":"crossref","first-page":"l4898","DOI":"10.1136\/bmj.l4898","article-title":"RoB 2: A revised tool for assessing the risk of bias in randomised trials","volume":"28","author":"Sterne","year":"2019","journal-title":"BMJ"},{"key":"ref66","doi-asserted-by":"publisher","first-page":"2320","DOI":"10.1038\/oby.2007.275","article-title":"The effect of obesity management on body image in patients seeking treatment at medical centers","volume":"15","author":"Dalle Grave","year":"2007","journal-title":"Obesity (Silver Spring)"},{"key":"ref67","doi-asserted-by":"publisher","first-page":"709","DOI":"10.1111\/j.1467-789X.2011.00892.x","article-title":"Motivational interviewing to improve weight loss in overweight and\/or obese patients: a systematic review and meta-analysis of randomized controlled trials","volume":"12","author":"Armstrong","year":"2011","journal-title":"Obes Rev"},{"key":"ref68","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1016\/j.cpr.2004.03.003","article-title":"The transtheoretical model and motivational interviewing in the treatment of eating and weight disorders","volume":"24","author":"Wilson","year":"2004","journal-title":"Clin Psychol Rev"},{"key":"ref69","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/s13030-020-00177-9","article-title":"Personalized cognitive-behavioural therapy for obesity (CBT-OB): theory, strategies and procedures","volume":"14","author":"Dalle Grave","year":"2020","journal-title":"Biopsychosoc Med"},{"key":"ref70","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-91497-8","volume-title":"Treating obesity with personalized cognitive behavioral therapy","author":"Dalle Grave","year":"2018"}],"container-title":["Frontiers in Nutrition"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnut.2024.1250683\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T00:48:33Z","timestamp":1715215713000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnut.2024.1250683\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,9]]},"references-count":70,"alternative-id":["10.3389\/fnut.2024.1250683"],"URL":"https:\/\/doi.org\/10.3389\/fnut.2024.1250683","relation":{},"ISSN":["2296-861X"],"issn-type":[{"value":"2296-861X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,9]]},"article-number":"1250683"}}