Diet and Exercise Failures: A Theoretical Extension of Relapse

Abstract

Obesity is a non-communicable disease that is associated with an increased risk of heart disease, stroke, diabetes, musculoskeletal disorders, and cancer (WHO, 2016). While there are many ways to treat obesity, approximately 80% of those who attempt a diet or exercise program fail to achieve and/or maintain their weight loss (Wing & Phelan, 2005). This article assesses the problem of obesity and the failure to maintain treatment outcomes through a conceptual analysis of relapse. This includes analyzing not only the behaviors of individuals who are obese, but their surrounding environments. This article includes a discussion of resurgence, renewal, reinstatement, and behavioral momentum theory, which may provide additional information and guidance when creating treatment plans related to obesity and obesity-related disorders. Assessing obesity through a behavior analytic lens of relapse may lead to better adherence and maintenance of obesity treatment programs, but also decrease the burden that obesity and obesity relapse has on the health-care system.