Weight loss goals of patients in a health maintenance organization

Dutton, Gareth R.; Perri, Michael G.; Dancer-Brown, Melissa; Goble, Mary; Vessem, Nancy Van

doi:10.1016/j.eatbeh.2009.09.007

Cited by 26 publications

(22 citation statements)

References 28 publications

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“…240 In the UK, men appear to be more likely to raise weight problems with primary care nurses than with their GPs. 241 Research by Dutton and colleagues 242,243 in the USA found that physicians had target BMIs that were significantly lower for obese women than for obese men. Obese women themselves were significantly more likely to endorse unrealistic weight-loss goals than obese men, but female physicians recommended more reasonable goals than male physicians for both male and female patients.…”

Section: Innovationsmentioning

confidence: 99%

Systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men

Robertson

Archibald

Avenell

et al. 2014

Health Technology Assessment

173

237

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Section: Innovationsmentioning

confidence: 99%

Systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men

Robertson

Archibald

Avenell

et al. 2014

Health Technology Assessment

173

237

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“…In one study, physicians rated a weight loss of 10.6% as ‘disappointing' and a weight loss of 21.5% with a lifestyle-based intervention as ‘acceptable' [7]. Patients suffering from excess weight have been shown to report weight loss goals that deviate tremendously from what has been suggested by guidelines [8,9,10,11]. For instance, in one study that included a large sample of (nonbariatric) participants seeking dietary advice or treatment, about 49% of all participants reported unrealistic weight loss goals [12].…”

Section: Introductionmentioning

confidence: 99%

Impact of Weight-Related Discrimination, Body Dissatisfaction and Self-Stigma on the Desire to Weigh Less

et al. 2017

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Aim: Currently, health care professionals plead for stabilization of weight and improving health conditions rather than focusing on weight loss only. Individuals with obesity have been shown to report weight loss goals that are much higher than what has been suggested by guidelines. The aim was to determine whether weight discrimination and body dissatisfaction have an impact on how much weight an individual with obesity wants to lose. Methods: In this representative telephone survey, 878 participants with obesity were asked about their experiences with weight stigma, their body image concerns, and about the amount of weight they would like to weigh using random digital dialing and Kish selection grid to ensure random selection of participants. Results: Regression analysis reveals that being female, having a higher BMI, being younger, and trying to lose weight was related to a greater discrepancy between current weight and desired weight. The discrepancy between current weight and desired weight was greater when participants reported discrimination due to their weight as well as internalized stigma and body image concerns. Conclusion: Independent on the weight loss method, treating obesity should include realistic weight loss goals without being affected by social pressure or weight stigma, especially since stigma can result in further weight gain and decline health issues related to obesity and overweight.

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“…Women (mean age of 38·2 years) who enrolled in a weight management intervention were more likely to report appearance rather than improving health as the key motivation for enrolment, when compared with males (17) . Findings from the US National Weight Control Registry suggest that young adults (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35) years) who maintained a weight loss for at least 1 year were more likely to report improved appearance or social factors as their primary motivators for weight loss and less likely to report health concerns as their motivation, when compared with older adults (36-50 years) (39) . These findings suggest that young women have different motivations for wanting to control their weight; however, these studies were restricted to individuals already enrolled in a weight-loss intervention or who had achieved successful weight-loss maintenance and therefore may not be representative of young women generally.…”

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confidence: 99%

“…Despite initial weight-loss recommendations of 5-10 % (15,16) , research suggests that adults expect to lose 21-28 % of their starting weight within the first year of treatment (17)(18)(19)(20) , with desired weight losses as high as 34 % (18,20) . Most of these studies examined weight-loss expectations among middle-aged cohorts (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28) or the general population (17,(29)(30)(31)(32)(33)(34) . A small (n 44) Italian study of 18-35-year-old women reported that non-obese women would need to lose 18 % and obese women 23 % of their current weight to reach their ideal weight (35) .…”

mentioning

confidence: 99%

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

Holley

Collins²,

Morgan³

et al. 2015

Public Health Nutr.

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Objective: To examine young Australian women's weight expectations, motivations for weight change and perceived factors influencing weight management, and to determine if these factors differ by age, BMI, marital status, education or income. Design: Cross-sectional study. An online survey captured respondents' weight, height, ideal weight, main reasons for wanting to change their weight and challenges to managing their weight. Setting: Online survey in Australia. Subjects: Six hundred and twenty women aged 18-30 years currently living in Australia who completed the survey between 31 July and 30 September 2012.Results: Approximately half of participants (53·1 %) were a healthy weight, 25·2 % overweight and 19·0 % obese. Women unhappy at their current weight (78·1 %) reported a median ideal weight −12·3 % less than their current weight. The key motivators for weight change were to improve health (24·4 %, ranked 1), feel better in oneself (22·3 %) and improve self-confidence (21·5 %). Lack of motivation, time constraints because of job commitments and cost were the most commonly reported factors influencing weight management. Age, BMI, marital status, education and income were found to influence weight expectations, motivations for weight change and/or factors perceived to influence weight management. Conclusions: The findings suggest potential implications for weight management interventions and public health messaging targeting young women, to improve long-term health outcomes. Strategies that promote the health benefits of physical activity and healthy eating, feeling better about oneself and improved selfconfidence, and address the main factors influencing weight management including lack of motivation, time constraints and cost, may be used to engage this target group. Keywords Young women Weight goals Motivations Weight managementWeight gain among young women is a major public health concern (1) . A longitudinal study in Australian adults (AUSDIAB) reported that women aged 25-34 years gained an average of 6·6 kg over a 12-year period and this life stage had the highest rate of weight gain among the women studied (2) . Similarly, in a US 10-year prospective study of young adults (18-30 years), Caucasian women experienced a mean weight gain of 6·9 kg (3) . Weight gain during young adulthood and the development of obesity among young women are associated with an increased risk of depression (4,5) , infertility (5,6) , pregnancy complications (5,6) and chronic conditions in adulthood, including type 2 diabetes (5-7) , CVD (5,6,8) and certain cancers (5,6,9) . Interventions to prevent weight gain and obesity among young women have the potential to significantly impact health outcomes and reduce health-care costs at the population level. However, traditional behavioural approaches to weight control may be ineffective for young women, with research suggesting lower rates of recruitment and attendance, higher attrition and less successful weight-loss outcomes (10) Furthermore, recent systematic reviews of wei...

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Weight loss goals of patients in a health maintenance organization

Cited by 26 publications

References 28 publications

Systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men

Systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men

Impact of Weight-Related Discrimination, Body Dissatisfaction and Self-Stigma on the Desire to Weigh Less

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

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