Weight Loss Expectations in Obese Patients and Treatment Attrition: An Observational Multicenter Study

Grave, Riccardo Dalle; Calugi, Simona; Molinari, Enrico; Petroni, Maria Letizia; Bondi, Mario; Compare, Angelao; Marchesini, Giulio

doi:10.1038/oby.2005.241

Cited by 257 publications

(274 citation statements)

References 39 publications

Supporting

Mentioning

231

Contrasting

Unclassified

Order By: Relevance

“…Overall, the associations found in the present study contrast with the findings of Dalle Grave and colleagues, 3,9 who reported smaller reductions and greater attrition among persons with greater expectations for weight loss. The difference in findings may be attributable, in part, to methodological differences.…”

Section: Discussioncontrasting

confidence: 99%

“…Such goals were either unrelated to weight loss 5,[10][11][12] or were associated with slightly greater losses. 4 In contrast to Dalle Grave et al, 9 Foster et al 1 found no relationship between weight loss goals and attrition from treatment.…”

Section: Introductionmentioning

confidence: 94%

“…Some believe that weight regain is, in large part, attributable to patients' disappointment with failure to reach their goals, which leads patients to abandon efforts to maintain the modest weight losses that they did achieve. [7][8] In support of this hypothesis, Dalle Grave and colleagues 3,9 found that greater weight loss goals and expectations were associated with earlier attrition from therapy and smaller reductions in body mass index (BMI) after 1 year of treatment. Other investigators, however, have failed to observe adverse effects of large weight loss goals.…”

Section: Introductionmentioning

confidence: 99%

“…3,9 It is possible that the importance of goals and expectations differs across treatment approaches. In addition, most studies have focused only on how much weight patients ultimately wanted to lose (that is, weight loss goals) rather than on how much weight they realistically expected to lose during a given time with a specific treatment (that is, weight loss expectations).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The role of patients' expectations and goals in the behavioral and pharmacological treatment of obesity

et al. 2007

View full text Add to dashboard Cite

Objective: To investigate weight loss expectations and goals among obese treatment seekers and to examine the relationships of these expectations and goals to treatment outcomes. Method: Participants were 180 obese men and women (age 43.8710.1 years; body mass index 37.674.2 kg/m 2 ) who received one of four-year-long treatments that combined behavioral and pharmacological methods. Before treatment, they reported the amount of weight they realistically expected to lose after 4, 12, 26 and 52 weeks of treatment, as well as their ultimate weight loss goals. Expectations and goals were compared across treatment groups and examined in relation to previous weight loss efforts, weight loss and regain in treatment, attrition, satisfaction with treatment and mood. Results: Participants in all treatment groups expected reductions at week 52 that were significantly greater than the 5-15% of initial weight they were told was realistic and significantly more than they had ever lost before. Weight loss expectations were unrelated to achieved weight loss in all groups but one, in which greater expectations were associated with greater losses. Failure to meet weight loss expectations for the first 26 weeks of treatment was related to lower satisfaction ratings, but was not related to weight regain or attrition over the next 26 weeks. Symptoms of depression were reduced from baseline, regardless of whether participants achieved or failed to achieve their expected weight losses. Conclusion: Across groups, we observed no negative consequences of having (and failing to meet) unrealistic expectations for weight loss.

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The role of patients' expectations and goals in the behavioral and pharmacological treatment of obesity

et al. 2007

View full text Add to dashboard Cite

show abstract

“…Also the expected weight loss at admission was similar, an original observation of a variable that has been reported to influence the drop-out rate in clinical settings. 31 Future longitudinal studies should investigate the exact role of depression in NES, and if depression is a risk factor, a consequence, a maintaining factor of night eating or if the abnormal pattern of eating is only a marker of clinical depression.…”

Section: Discussionmentioning

confidence: 99%

Night eating syndrome in class II–III obesity: metabolic and psychopathological features

2009

View full text Add to dashboard Cite

Objective: To investigate the relationship of metabolic disorders and psychological features with the night eating syndrome (NES) in individuals with moderate-to-severe obesity. Design: Cross-sectional observation. Subjects: A total of 266 consecutive participants with class II-III obesity, entering an inpatient weight loss program. Measurements: Participants who reported consuming either a large amount of their caloric intake after the evening meal (roughly self-assessed as X25% of daily calories) or the presence of nocturnal feeding at the Night Eating Questionnaire (NEQ) (N ¼ 49) were interviewed by the Night Eating Syndrome History and Inventory (NESHI). Assessment also included the clinical/ biochemical parameters of the metabolic syndrome and several questionnaires of psychopathology. NES was diagnosed by NESHI criteria (evening hyperphagia (X25% of daily food intake after the evening meal) and/or waking at night to eat at least three times a week) in the last 3 months. Results: Twenty-seven participants (10.1%) met NESHI criteria. Differences were not observed between participants with and without NES as to age, body mass index (BMI), prevalence of metabolic syndrome, Binge Eating Scale and Body Shape Questionnaire. NES participants had significantly higher scores of Beck Depression Inventory (BDI) and Impact of Weight on Quality of Life (IWQOL). Among NES cases, the BDI score was indicative of moderate depression in 18.5% of cases and of severe depression in 44.4%. Logistic regression analysis, adjusted for confounders, identified the BDI score as the only variable significantly associated with the diagnosis of NES. Conclusion: Diagnosing NES does not help identify obese individuals with specific medical complications, but indicates more severe psychological distress and depression.

show abstract

Trial of Prevention and Reduction of Obesity Through Active Living in Clinical Settings

Ross

Lam²,

Blair³

et al. 2012

Arch Intern Med

View full text Add to dashboard Cite

show abstract

Weight Loss Expectations in Obese Patients and Treatment Attrition: An Observational Multicenter Study

Abstract: Baseline weight loss expectations are independent cognitive predictors of attrition in obese patients entering a weight-losing program; the higher the expectations, the higher attrition at 12 months. Unrealistic weight goals should be tackled at the very beginning of treatment.

Cited by 257 publications

References 39 publications

The role of patients' expectations and goals in the behavioral and pharmacological treatment of obesity

The role of patients' expectations and goals in the behavioral and pharmacological treatment of obesity

Night eating syndrome in class II–III obesity: metabolic and psychopathological features

Trial of Prevention and Reduction of Obesity Through Active Living in Clinical Settings

Contact Info

Product

Resources

About