1210 Vienna

1210 Vienna

Diabetes & Stoffwechsel

Healthy weight loss – what works in the long term

Healthy weight loss – what works in the long term

Weight loss needs to be neither fast nor perfect. The decisive factors are realistic goals, a diet that fits into daily life, exercise, and a plan that works in the long term.

4 min.

Infographic on four components for healthy weight loss: nutrition, exercise, daily routine and behavior, as well as medical support.

✨ Key Information at a Glance

  • Even a moderate weight loss can be clinically relevant.

  • It is not only about the kilograms: waist circumference, blood pressure, and metabolic parameters are also part of it.

  • Nutrition and physical activity should be sustainable in the long term.

  • In the case of obesity, additional medical treatment may be beneficial.

Infographic showing key monitoring parameters for healthy weight loss: weight, waist circumference, blood pressure, HbA1c and blood sugar, blood lipids, and liver values.

Weight loss does not have to be rapid. The decisive factor is to improve health and to find changes that fit into one's own daily routine in the long term.

What really helps?

Nutrition

  • more vegetables and foods rich in dietary fibre

  • fewer highly processed foods

  • water instead of sugary drinks

  • conscious awareness of portion sizes

  • choosing a nutritional approach that is sustainable in the long run

Do not search for a perfect diet – rather look for a strategy that still works after several months.

Physical Activity

Regular walking, cycling, or another suitable activity is a good start. Strength training additionally helps to maintain musculature and function.

Those who have been minimally active so far can start small. Regularity is more important than perfection.

Do not only monitor the scales

For health development, the following can be important: weight, waist circumference, blood pressure, HbA1c/blood sugar, blood lipids, and liver values.

This makes it visible whether health is improving – even if the weight temporarily plateaus.

Medications?

For certain patients, medications can be part of a medical treatment plan. They do not replace nutrition, physical activity, and long-term care.

More on medical weight management →

Frequently asked questions

Which diet is the best?
A balanced nutritional approach that fits into daily life in the long term.

Do I have to exercise every day?
No. Regularity is more important. Even walking counts.

What to do if the weight increases again?
Do not start from scratch again. Assess the causes and adjust the previous plan.

When should I seek medical support?
Particularly in the case of concomitant diseases, severe abdominal fat, or repeatedly unsuccessful attempts to lose weight. Book an appointment →

🧭 What are the next steps?

1

Understand medical report

2

assess personal risk

3

establish individual goals

4

Monitor progress

5

if necessary, plan therapy together

👵 In advanced age

Treatment goals and therapies are individually tailored to your personal situation.

Concomitant diseases

Medications

Mobility

Memory / Cognition

Self-employment (Selbstständigkeit)

Therapeutic safety

Therefore, in older age, different treatment goals may be appropriate than for younger individuals.

Source: Austrian Diabetes Society — Geriatric Aspects of Diabetes Mellitus (2026 Update)

Children & Adolescents

For the diagnosis of diabetes, the same threshold values generally apply as for adults.

However, clarification, care, and therapy must be carried out in an age-appropriate and family-friendly manner.

In the case of abnormal values, a pediatric or pediatric-diabetological evaluation is recommended.

Source: Austrian Diabetes Association (Österreichische Diabetes Gesellschaft) — Diabetes Mellitus in Childhood and Adolescence (Update 2026)

bluthochdruck-verstehen

⚠️ When should I consult a General Practitioner?

To be discussed in detail in case of:

  • pronounced obesity or abdominal fat

  • high blood pressure

  • prediabetes or diabetes

  • elevated blood lipids or liver values

  • severe snoring or breathing pauses

  • repeated unsuccessful weight loss attempts

💡 Take-home Message

Start small – do not change everything at the same time. Focus on health rather than an ideal weight: blood pressure, waist circumference, and metabolism also count. Think long-term – the best strategy is the one that works permanently.

Medically reviewed by

Dr. med. Shahzada Amir, M.Sc., Ph.D.

Sources

Austrian Obesity Association (Österreichische Adipositas Gesellschaft)
Consensus Paper on Overweight and Obesity in Adults – Update 2025

European Association for the Study of Obesity (EASO)
Framework for the diagnosis, staging and management of obesity in adults

World Health Organization (WHO)
Recommendations on physical activity

Deximed
Patient Information: Overweight

Austrian Health Portal (Österreichisches Gesundheitsportal)
Overweight and Obesity

Medical Advice

The information on this website is intended for general guidance only and does not replace an individual medical consultation, examination, or diagnosis. In the event of symptoms or health-related questions, please consult your physician.