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.

Weight expectations, motivations for weight change and perceived factors influencing weight management in young Australian women: a cross-sectional study

“…Surprisingly, in the current study improving appearance was one of the least important motivations reported by young women, with over half of respondents ranking it as the least important reason (ranked fifth or sixth out of six reasons). This finding is in contrast to previous research where young women reported appearance as a key motivation for attempting weight loss ( 17 , 39 ) .…”

“…Our findings are consistent with previous studies that have reported feeling better about oneself and improved health as primary motivators for attempting weight loss ( 17 , 21 , 30 , 36 – 39 ) . Surprisingly, in the current study improving appearance was one of the least important motivations reported by young women, with over half of respondents ranking it as the least important reason (ranked fifth or sixth out of six reasons).…”

Weight expectations, motivations for weight change and perceived factors influencing weight management in young Australian women: a cross-sectional study

“…Surprisingly, in the current study improving appearance was one of the least important motivations reported by young women, with over half of respondents ranking it as the least important reason (ranked fifth or sixth out of six reasons). This finding is in contrast to previous research where young women reported appearance as a key motivation for attempting weight loss ( 17 , 39 ) .…”

“…Our findings are consistent with previous studies that have reported feeling better about oneself and improved health as primary motivators for attempting weight loss ( 17 , 21 , 30 , 36 – 39 ) . Surprisingly, in the current study improving appearance was one of the least important motivations reported by young women, with over half of respondents ranking it as the least important reason (ranked fifth or sixth out of six reasons).…”

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

“…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.…”

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

“…22,23 Whether resistance to weight loss and/or a failure to achieve one's WC or weight loss expectations affects women's adherence to treatment differently than men's is unclear. 24 That our behavioral intervention was not associated with improvement in the cardiometabolic risk factors is consistent with other reports in which modest reductions in WC were observed consequent to prolonged 16,18 or short-term follow-up. 25 It is possible that the reduction in WC or body weight observed is below the threshold required for reduction in cardiometabolic risk.…”

Weight expectations, motivations for weight change and perceived factors influencing weight management in young Australian women: a cross-sectional study

“…Surprisingly, in the current study improving appearance was one of the least important motivations reported by young women, with over half of respondents ranking it as the least important reason (ranked fifth or sixth out of six reasons). This finding is in contrast to previous research where young women reported appearance as a key motivation for attempting weight loss ( 17 , 39 ) .…”

“…Our findings are consistent with previous studies that have reported feeling better about oneself and improved health as primary motivators for attempting weight loss ( 17 , 21 , 30 , 36 – 39 ) . Surprisingly, in the current study improving appearance was one of the least important motivations reported by young women, with over half of respondents ranking it as the least important reason (ranked fifth or sixth out of six reasons).…”

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

“…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.…”

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

“…22,23 Whether resistance to weight loss and/or a failure to achieve one's WC or weight loss expectations affects women's adherence to treatment differently than men's is unclear. 24 That our behavioral intervention was not associated with improvement in the cardiometabolic risk factors is consistent with other reports in which modest reductions in WC were observed consequent to prolonged 16,18 or short-term follow-up. 25 It is possible that the reduction in WC or body weight observed is below the threshold required for reduction in cardiometabolic risk.…”

Weight expectations, motivations for weight change and perceived factors influencing weight management in young Australian women: a cross-sectional study

“…Surprisingly, in the current study improving appearance was one of the least important motivations reported by young women, with over half of respondents ranking it as the least important reason (ranked fifth or sixth out of six reasons). This finding is in contrast to previous research where young women reported appearance as a key motivation for attempting weight loss ( 17 , 39 ) .…”

“…Our findings are consistent with previous studies that have reported feeling better about oneself and improved health as primary motivators for attempting weight loss ( 17 , 21 , 30 , 36 – 39 ) . Surprisingly, in the current study improving appearance was one of the least important motivations reported by young women, with over half of respondents ranking it as the least important reason (ranked fifth or sixth out of six reasons).…”

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

“…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.…”

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

“…22,23 Whether resistance to weight loss and/or a failure to achieve one's WC or weight loss expectations affects women's adherence to treatment differently than men's is unclear. 24 That our behavioral intervention was not associated with improvement in the cardiometabolic risk factors is consistent with other reports in which modest reductions in WC were observed consequent to prolonged 16,18 or short-term follow-up. 25 It is possible that the reduction in WC or body weight observed is below the threshold required for reduction in cardiometabolic risk.…”