Student
Tutor
Course
Date
 
Importantly, behavioral change is an inter-discipline that uses knowledge in medicine and psychology to formulate sustainable and efficient treatment methods. In brief, this method appreciates that most diseases are avoidable and treatable if patients minimize their exposure to the risk factors. Consequently, modern researchers and doctors look into ways of preventing the diseases rather than waiting to treat the ailment.
Wadden, T., Berkowitz, R., Womble, L., Sarwer, D., Phelan, S., Cato, R., Hesson, L., Osei, S., Kaplan, R., and Stankard, A. “Randomized Trial of Lifestyle Modification and Pharmacotherapy for Obesity.” The New England Journal of Medicine  353, (2005): 2111-2102. Print
Notably, this journal article was written by Wadden et al. to evaluate the most effective method of treating patients with obesity. In essence, a randomized trial compared the efficacy of sibutramine, group sessions on lifestyle modification, a combination of the two, and use of sibutramine with a brief counseling done by the primary care officer. Basically, sibutramine is a serotonin-morepinephrine reuptake inhibitor which modifies an individual’s appetite. By contrast, lifestyle modification is a method that trains patients on how to control their diet by checking the meals they eat and engaging in physical activities.
Generally, the method involved 180 women and 44 men who were between 18 and 65 years and had a body mass index of 30 to 45. Basically, the eligible candidates were free from other lifestyle disease. Additionally, the female candidates were not pregnant or breastfeeding. Importantly, the subjects were randomly selected to each of the four groups and the experiment was carried for 52 weeks. In week 0 (baseline), the subjects were required to maintain their ordinary lifestyle. Thereafter, they were prescribed to a balance diet of 1200 to 1500 kcal per day.
Notably, the results of the experiment showed that subjects who received a combined therapy lost a mean standard deviation of 12.1 to 9.8kgs in one year, whereas  those who received sibutramine alone lost 5.0 to 7.4kgs. Further, those who were treated with lifestyle therapy alone lost 7.5 to 8.0 kg, while the candidates who received sibutramine and counseling lost 7.7 to 8.0 kg. Conclusively, it was found out that the best weight loss plan occurs when medication is used as an adjunct to a proper health program.
Importantly, the journal demonstrates the need of using a  combined approach in the treatment of obesity. In brief, a physician should use both medication and lifestyle therapy in order to get maximum results when treating obesity. Additionally, the use of medication alone is not as effective as use of lifestyle therapy. Consequently, this knowledge is important to me since I will be able to use the lifestyle approach to treat obesity without the need of buying expensive medication.
Christakis, N., and Fowler, J. “The Spread of Obesity in a Large Social Network over 32 Years.” The New England Journal of Medicine  357, (2007): 370-379. Print.
Evidently, there has been a sharp increase in obesity in the world. Generally, explanations for the increase in obesity attribute to societal changes that promote inactivity and excessive food consumption. Owing to the fact that obesity has spread among all socioeconomic groups  and cannot be explained using genetics, the study was conducted to find out whether social associations influence its occurrence. Generally, this research was based on the fact that social associations impact the manner in which people view themselves. Consequently, a close and regular association was presumed to yield to a high tolerance to obesity and, hence, to an increase in behaviors that may lead to it.
In brief, offspring cohorts of 5209 people from the Framingham Heart Study program were used for the study. In total, 12067 off springs of the Framingham Heart Study were identified. Importantly, the individual’s relationships were programmed into a computer from the comprehensive data that had been compiled since 1971. The statistical information showed that if one of the adult siblings became obese, the chances of the other to experience the same increased by 40%. Worse still, if these siblings were of the same gender, the probable increase was 50%. By contrast, among siblings of the opposite sex, the index reduced to 27%. Similarly, among married couples, if a spouse became obese, there was a 37% increase. Nonetheless, there was no risk if an immediate neighbor became obese.
To conclude, the study showed that there was a connection between a social network and a spread in obesity. Nonetheless, the research also suggested that social network can play an important role in stopping this disease. Notably, social networks can be harnessed to spread positive health behaviors since individual’s behavior is influenced by his/her social ties. Consequently, a combination of medical and public health intervention is necessary in eliminating the spread of obesity.
Notably, the knowledge of the impact of social environment on the spread of obesity is important it showed me how environmental factors influence a person’s behavior. Importantly, a person’s exposure to obese people increase his/her tolerance to a nutrition behavior that may lead to obesity. In light of this, I have been able to see the need of exposing my family to people who consume healthy food and engage in physical activities. Accordingly, this exposure will make them avoid diets that may lead to obesity.
Epstein, L., Paluch, R., Gordy, C., and Dorn, G. “Decreasing Sedentary Behaviors in Treating Pediatric Obesity.” Journal of American Medical Association 154 (3), (2000): 220-226. Print.
Sedentary activities such as watching television and playing video games have been associated with an  increase in child obesity. Accordingly, a research was conducted by Epstein et al. to find out if replacing the time spent on sedentary activities by children would reduce chances of obesity. Notably, it has been observed that a reduction in sedentary activities is associated with an increase in physical activities.
In brief, ninety obese children who were between eight and twelve years were recruited in two cohorts, which begun one year apart. Moreover, the inclusion criteria required the children to be 20% and 100% overweight. Additionally, none of their parents were to be 100% overweight, and they had to be willing to report for counseling. Further still, the child was supposed to have no diet or psychiatric problem. In particular, the children were randomly placed into four groups for the study. Generally, these groups were categorized as low or high treatment for sedentary behavior and low or high treatment for physical activity. Moreover, the families received the parent and children workbook to facilitate consistent implementation of the program. Notably, the dependent measures were done at the baseline, sixth, twelfth, and twenty fourth months.
Generally, the study showed that there were no differences in the assessment results. Essentially, all methods proved that there was a reduction in overweight to 12.9% from a baseline of 20.8%. Additionally, physical work capacity also increased significantly by 33% from 341.1 kpm *min-1 to 454.2 kpm *min-1 at the baseline levels. Further still, there was a significant decrease in the percentage of body fat, which reduced from 6.4% to 2.0%.
Conclusively, it was found out that reducing access to sedentary behavior had an effect on increasing physical activities. Consequently, this was an effective method in in weight control and improving the family fitness. As a result, most families should implement this strategy to ensure a healthy growth of their children.
Essentially, this knowledge has shown me the need of ensuring there are no materials that attract sedentary behavior in my family. Generally, the presence of video games, and television encourage children to engage in sedentary activities. On the contrast, lack of such facilities makes them engage in physical activities which lead to a healthy lifestyle and a reduction in cases of obesity. Consequently, by removing these facilities in my home, I would make my family engage in physical activities, and as a result, avoid being obese. In addition, as a therapist, I would encourage families with obese children do the same.
 
 
 
 
 
 
 
Works Cited
Christakis, N., and Fowler, J. “The Spread of Obesity in a Large Social Network over 32 Years.” The New England Journal of Medicine  357, (2007): 370-379. Print.
Epstein, L., Paluch, R., Gordy, C., and Dorn, G. “Decreasing Sedentary Behaviors in Treating Pediatric Obesity.” Journal of American Medical Association 154 (3), (2000): 220-226. Print.
Wadden, T., Berkowitz, R., Womble, L., Sarwer, D., Phelan, S., Cato, R., Hesson, L., Osei, S., Kaplan, R., and Stankard, A. “Randomized Trial of Lifestyle Modification and Pharmacotherapy for Obesity.” The New England Journal of Medicine  353, (2005): 2111-2102. Print.