Correlates of Weight Loss in Treatment and at Follow-Up

Hoiberg, Anne; Berard, Steven; Watten, Raymond H.; Caine, Chipman

doi:10.1037/e459452006-001

Cited by 11 publications

(16 citation statements)

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“…The rate of clinical success observed in the current investigation is particularly high (75%) compared to previous research on medium-term follow-up (Hoiberg et al, 1984;McGuire et al, 1999). The fact that success rate was higher in female (82%) than in male subjects (58%) is difficult to explain based on the present findings, but it is nevertheless interesting to speculate that the consistent fatfree mass reductions observed in the latter subjects both after the BWR program and at follow-up would have contributed to this occurrence.…”

Section: Discussioncontrasting

confidence: 58%

Changes in body composition, physical performance and cardiovascular risk factors after a 3-week integrated body weight reduction program and after 1-y follow-up in severely obese men and women

et al. 2005

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Objective: To investigate the short-and medium-term (ie, at 1-y follow-up) effects of a hospital-based body weight reduction (BWR) program lasting 3 weeks in severely obese individuals. Design: Longitudinal, clinical intervention study entailing energy-restricted diet, tailored aerobic-strength exercise, psychological counselling and nutritional education during a 3-week period followed by 49 weeks of indirect supervision at home. Subjects: In all, 45 women and 19 men aged 30.277.2 y (mean7s.d.) with severe obesity (BMI: 41.374.3 kg/m 2 ), classified as weight losers (finaloinitial weight) and regainers (finalZinitial weight). Interventions: Body composition, physical performance and cardiovascular risk factors before and after the BWR program and at follow-up. Results: The large majority of the experimental subjects obtained a clinical success after the 1-y period, and the rate was higher in females (n ¼ 37/45, ie, 82.2%) than in males (n ¼ 11/19, ie, 57.9%). At follow-up, weight losers had higher percent fat-free mass, muscle strength, HDL-cholesterol and self-reported physical activity level and lower total cholesterol and glucose levels than weight regainers (Po0.05-0.01). Males displayed significantly larger fat-free mass losses than females at post-BWR and at follow-up. Conclusions: A 3-week hospital-based integrated BWR program resulted in a high rate of clinical success in severely obese individuals at 1-y follow-up (particularly in females), that was associated with increased levels of self-reported physical activity and improved muscle strength and lipid profile. Further research is needed to establish the long-term effects (ie, at 2-5 y) associated to this treatment.

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Section: Discussioncontrasting

confidence: 58%

Changes in body composition, physical performance and cardiovascular risk factors after a 3-week integrated body weight reduction program and after 1-y follow-up in severely obese men and women

et al. 2005

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“…A total of 19 studies (27–45) were accepted as non‐randomized weight reduction interventions with an observational follow‐up ( Table 2). In seven studies (29,38,40,41,43–45), the subjects were first contacted after the weight loss.…”

Section: Resultsmentioning

confidence: 99%

Does physical activity prevent weight gain – a systematic review

2000

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This paper is a systematic review of research data on associations between physical activity and weight gain, with or without prior weight reduction. The selected studies were restricted to Caucasian (white) adults. Most studies with data on physical activity collected at follow-up, found an inverse association between physical activity and long-term weight gain. This finding was present in studies both with and without prior weight reduction. Prospective studies with physical activity measured at baseline, and randomized weight reduction interventions, gave inconsistent results regarding the effects of increased physical activity on weight change. The weighted mean weight regain in randomized studies with or without exercise training was 0.28 and 0.33 kg/month, respectively. Based on observational studies, it seemed that an actual increase in energy expenditure of physical activity of approximately 6300-8400 kJ/week (1500-2000 kcal/week) is associated with improved weight maintenance. This is more than was prescribed in most randomized trials, and certainly more than the participants actually achieved. Adherence to a prescribed exercise programme remains a big challenge. Before new methods to improve exercise adherence are found, the role of prescribed physical activity in prevention of weight gain remains modest.

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“…These results ®nd re¯ection in some previous research which has highlighted the importance of dietary changes. 8,9,11,15 However, they suggest that successful weight loss maintenance may be related to a much narrower range of behaviours than often believed. Therefore, although research has argued that the greater the intensity of the intervention the more likely the chance of longer-term success, the results from the present study suggest that the actual type of method used is also important, with healthy eating being bene®cial and calorie controlled diets being detrimental.…”

Section: Discussionmentioning

confidence: 99%

“…Secondly, research highlights a role for historical factors including an individual's previous dieting attempts and their weight history. 11,12 In addition, it is possible that changes in their smoking behaviour 18 and their reproductive history may be contributory factors. 19 In terms of help-seeking behaviours, there appear to be several variables which are predictive of success.…”

Section: Introductionmentioning

confidence: 99%

“…For example, many studies emphasize the importance of dietary changes such as calorie controlled diets, low-fat diets, high ®bre diets and healthy eating. 8,9,11,13,15,20,21 In addition, several studies highlight the role of exercise and general increases in physical activity. 8,9,20,21 Furthermore, research has highlighted the relative effectiveness of different interventions involving contact with a range of health professionals.…”

Section: Introductionmentioning

confidence: 99%

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The correlates of long-term weight loss: a group comparison study of obesity

Ogden

2000

Int J Obes

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OBJECTIVE: Although the majority of weight loss attempts are unsuccessful, a small minority succeed in both weight loss and maintenance. The present study aimed to explore the correlates of this success. METHOD: A group comparison design was used to examine differences between women who were classi®ed as either weight loss maintainers (had been obese (body mass index, BMI 30 kgam 2 ) and had lost weight to be considered non-obese (BMI`30 kgam 2 ) and maintained this weight loss for a minimum of 3 y; n 44), stable obese (maintained an obese weight (BMI 30 kgam 2 ) for longer than 3 y; n 58), and weight loss regainers (been obese (BMI 30 kgam 2 ), lost suf®cient weight to be considered non-obese (BMI`30 kgam 2 ) and regained it (BMI 30 kgam 2 ), n 40). In particular, the study examined differences in pro®le characteristics, historical factors, help-seeking behaviours and psychological factors. RESULTS: The results showed that in terms of pro®le and historical factors, the weight loss maintainers had been lighter, were currently older and had dieted for longer than the other groups but were matched in terms of age, class and ethnic group. In terms of help-seeking behaviours, the weight loss maintainers reported having tried healthy eating more frequently but were comparable to the other subjects in terms of professionals contacted. Finally, for psychological factors the weight loss maintainers reported less endorsement for medical causes of obesity, greater endorsement for psychological consequences and indicated that they had been motivated to lose weight for psychological reasons. CONCLUSIONS: Weight loss and maintenance is particularly correlated with a psychological model of obesity. This has implications for improving the effectiveness of interventions and the potential impact of current interest in medical approaches to obesity.

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Correlates of Weight Loss in Treatment and at Follow-Up

Cited by 11 publications

References 0 publications

Changes in body composition, physical performance and cardiovascular risk factors after a 3-week integrated body weight reduction program and after 1-y follow-up in severely obese men and women

Changes in body composition, physical performance and cardiovascular risk factors after a 3-week integrated body weight reduction program and after 1-y follow-up in severely obese men and women

Does physical activity prevent weight gain – a systematic review

The correlates of long-term weight loss: a group comparison study of obesity

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