Treatment satisfaction with different weight loss methods among respondents with obesity

Gupta, Shaloo; Z, Wang

doi:10.1111/cob.12140

Cited by 11 publications

(8 citation statements)

References 42 publications

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“…These Portion‐Control Strategies Trial findings also parallel more general findings for the effects of satisfaction on weight loss. Previous studies have found that initial satisfaction with the type of intervention predicted subsequent weight loss and that overall satisfaction with initial weight loss predicted long‐term weight loss and maintenance . Satisfaction with a prescribed diet may affect the likelihood of adopting and maintaining dietary changes and thus could have a substantial impact on weight loss.…”

Section: Discussionmentioning

confidence: 99%

Early predictors of weight loss in a 1‐year behavioural weight‐loss programme

James

Roe

Loken

et al. 2018

Obesity Science & Practice

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SummaryObjectiveIdentifying early predictors of weight loss is key for developing personalized treatment. However, few individual factors have been identified that predict weight loss during intervention, other than early weight loss itself.MethodsWomen with overweight or obesity (n = 186, mean ± SD age 50.0 ± 10.6 years, body mass index 34.0 ± 4.2 kg m−2) participated in the Portion‐Control Strategies Trial, a 1‐year randomized controlled weight‐loss trial with three intervention groups. Early changes in eating behaviours and psychological factors were evaluated by questionnaires at baseline and Month 1. The influence of these early changes on the trajectory of weight loss from baseline to Months 3 and 12 was assessed by random coefficients models.ResultsAlthough there were no differences in weight loss between intervention groups at the end of the trial, certain individual factors were shown to predict both early weight loss at Month 3 and longer‐term weight loss at Month 12. Across all participants, increases in dietary restraint and healthy lifestyle ratings in the first month predicted more rapid weight loss from baseline to Month 3 (P < 0.05) and also predicted more rapid weight loss and slower regain from baseline to Month 12 (both P < 0.01). Early attendance and changes in disinhibition were not associated with subsequent weight loss.ConclusionsChanges in psychological and behavioural measures, such as restraint, in the first month of weight loss intervention predicted longer‐term weight loss in women. Early additional support or tailored treatment could promote long‐term success by reinforcing these behaviours.

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Section: Discussionmentioning

confidence: 99%

Early predictors of weight loss in a 1‐year behavioural weight‐loss programme

James

Roe

Loken

et al. 2018

Obesity Science & Practice

View full text Add to dashboard Cite

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“…This strategy was also advocated in recent guidelines from both the American Diabetes Association and the American Association of Clinical Endocrinologists guideline on the management of type 2 diabetes mellitus . Research has also suggested that satisfaction with weight loss may be higher when weight‐loss medications are used compared with lifestyle approaches, including dietary modification, exercise, and use of weight‐loss supplements, and that use of a weight‐loss medication is associated with greater weight loss .…”

Section: Introductionmentioning

confidence: 99%

Antiobesity Medication Use in 2.2 Million Adults Across Eight Large Health Care Organizations: 2009‐2015

Saxon

Iwamoto

Mettenbrink

et al. 2019

Obesity

100

102

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Objective The aim of this study was to examine the prescribing patterns and use of antiobesity medications in a large cohort of patients using data from electronic health records. Methods Pharmacy‐ and patient‐level electronic health record data were obtained on 2,248,407 adults eligible for weight‐loss medications from eight geographically dispersed health care organizations. Results A total of 29,964 patients (1.3% of total cohort) filled at least one weight‐loss medication prescription. This cohort was 82.3% female, with median age 44.9 years and median BMI 37.2 kg/m2. Phentermine accounted for 76.6% of all prescriptions, with 51.7% of prescriptions being filled for ≥ 120 days and 33.8% filled for ≥ 360 days. There was an increase of 32.9% in medication days for all medications in 2015 compared with 2009. Higher prescription rates were observed in women, black patients, and patients in higher BMI classes. Of 3,919 providers who wrote at least one filled prescription, 23.8% (n = 863) were “frequent prescribers” who wrote 89.6% of all filled prescriptions. Conclusions Weight‐loss medications are rarely prescribed to eligible patients. Phentermine accounted for > 75% of all medication days, with a majority of patients filling it for more than 4 months. Less than one‐quarter of prescribing providers accounted for approximately 90% of all prescriptions.

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“…For example, validated questionnaires have shown the impact of obesity on quality of life as well as the improvements that result from weight loss . Additionally, satisfaction with the type of intervention and with the initial amount of weight loss have been shown to predict long‐term weight loss. These broad measures would be supported by administering a more specific questionnaire related to diet satisfaction, such as the DSat‐45.…”

Section: Introductionmentioning

confidence: 99%

Validation of the Diet Satisfaction Questionnaire: a new measure of satisfaction with diets for weight management

James

Loken

Roe

et al. 2018

Obesity Science & Practice

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SummaryObjectiveThe Diet Satisfaction Questionnaire was developed to fill the need for a validated measure to evaluate satisfaction with weight‐management diets. This paper further develops the questionnaire, examining the factor structure of the original questionnaire, cross‐validating a revised version in a second sample and relating diet satisfaction to weight loss during a 1‐year trial.MethodsThe 45‐item Diet Satisfaction Questionnaire (DSat‐45) uses seven scales to assess characteristics that influence diet satisfaction: Healthy Lifestyle, Convenience, Cost, Family Dynamics, Preoccupation with Food, Negative Aspects, and Planning and Preparation. It was administered five times during a 1‐year weight‐loss trial (n = 186 women) and once as an online survey in a separate sample (n = 510 adults). Confirmatory factor analysis was used to assess and refine the DSat‐45 structure, and reliability and validity data were examined in both samples for the revised questionnaire, the DSat‐28. Associations were examined between both DSat questionnaires and weight loss in the trial.ResultsInternal consistency (reliability) was moderate for the DSat‐45. Confirmatory factor analysis showed improved fit for a five‐factor structure, resulting in the DSat‐28 that retained four of the original scales and a shortened fifth scale. This revised questionnaire was reliable in both samples. Weight loss across the year‐long trial was positively related to satisfaction with Healthy Lifestyle, Preoccupation with Food, and Planning and Preparation in both versions of the questionnaire.ConclusionsMeasures of reliability and validity were improved in the more concise DSat‐28 compared to the DSat‐45. This shorter measure should be used in future work to evaluate satisfaction with weight‐management diets.

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Treatment satisfaction with different weight loss methods among respondents with obesity

Cited by 11 publications

References 42 publications

Early predictors of weight loss in a 1‐year behavioural weight‐loss programme

Early predictors of weight loss in a 1‐year behavioural weight‐loss programme

Antiobesity Medication Use in 2.2 Million Adults Across Eight Large Health Care Organizations: 2009‐2015

Validation of the Diet Satisfaction Questionnaire: a new measure of satisfaction with diets for weight management

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