Center for Healthy Eating and Activity Research
Behavioral Weight Loss (BWL)

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Treatment Overview

Family ShoppingBehavioral Weight Loss (BWL) is a structured approach that focuses on changing eating and physical activity behaviors to improve health. It is grounded in the principles of behavioral psychology and is often used as a treatment for overweight and obesity. BWL programs typically involve a combination of diet and exercise changes, along with strategies to modify behaviors and habits related to food and physical activity.

Here’s a more detailed explanation:

Setting Realistic Goals: BWL starts with setting achievable weight loss goals. These goals are often modest but significant enough to improve health. The focus is on gradual, sustainable weight loss rather than rapid and potentially unhealthy weight loss.

Self-Monitoring: A critical component of BWL is self-monitoring, where individuals track their food intake, physical activity, and weight. This can involve keeping food diaries, exercise logs, and regular weigh-ins. The aim is to increase awareness of eating and activity patterns and how they affect weight.

Dietary Changes: BWL programs usually include guidance on adopting a healthier diet. This might involve reducing calorie intake, eating more fruits and vegetables, controlling portion sizes, and learning to make healthier food choices.

Increasing Physical Activity: Regular physical activity is another cornerstone of BWL. Participants are encouraged to find ways to incorporate more activity into their daily lives, whether it’s through structured exercise programs or by increasing everyday activities like walking or cycling.

Behavioral Strategies: BWL uses various behavioral strategies to help change eating and activity habits. These can include goal setting, problem-solving to address barriers to change, contingency management (using rewards for meeting goals), and cognitive restructuring to challenge unhelpful thoughts about food and weight.

Support and Accountability: Many BWL programs include regular meetings with a counselor or group sessions for support and accountability. These meetings can provide motivation, social support, and additional strategies for managing weight.

Maintenance Strategies: An essential part of BWL is learning strategies to maintain the new healthy behaviors and weight loss over the long term. This often involves planning for and managing relapses in eating and activity habits.

BWL is often considered a first-line treatment for overweight and obesity because it combines practical strategies for changing eating and activity habits with a focus on the psychological aspects of weight management. It is an evidence-based approach that has been shown to be effective in achieving and maintaining weight loss.