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Journal of Obesity
Volume 2011, Article ID 348293, 11 pages
Review Article

Cognitive-Behavioral Strategies to Increase the Adherence to Exercise in the Management of Obesity

1Department of Eating & Weight Disorder, Villa Garda Hospital, Via Monte Baldo, 89, 37016 Garda, Verona, Italy
2Unit of Metabolic Diseases & Clinical Dietetics, “Alma Mater” University of Bologna, Policlinico S. Orsola, Via Massarenti, 9, 40138 Bologna, Italy

Received 5 June 2010; Accepted 5 October 2010

Academic Editor: Neil King

Copyright © 2011 Riccardo Dalle Grave et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Physical activity plays a major role in the development and management of obesity. High levels of physical activity provide an advantage in maintaining energy balance at a healthy weight, but the amount of exercise needed to produce weight loss and weight loss maintenance may be difficult to achieve in obese subjects. Barriers to physical activity may hardly be overcome in individual cases, and group support may make the difference. The key role of cognitive processes in the failure/success of weight management suggests that new cognitive procedures and strategies should be included in the traditional behavioral treatment of obesity, in order to help patients build a mindset of long-term weight control. We reviewed the role of physical activity in the management of obesity, and the principal cognitive-behavioral strategies to increase adherence to exercise. Also in this area, we need to move from the traditional prescriptive approach towards a multidisciplinary intervention.