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Weight-loss maintenance in overweight individuals one to five years following successful completion of a commercial weight loss program

Abstract

OBJECTIVE: To determine weight loss maintenance among participants in a commercial weight loss program (Weight Watchers) who had reached their goal weights 1–5 y previously.

DESIGN: A national sample (n=1002) was surveyed by phone to obtain demographic and weight-related information. An oversample (n=258) was recruited and weighed in person to develop a correction factor for self-reported weights in the national sample.

RESULTS: Based on corrected weights, weight regain from 1 to 5 y following weight loss ranged between 31.5 and 76.5%. At 5 y, 19.4% were within 5 lb of goal weight, 42.6% maintained a loss of 5% or more, 18.8% maintained a loss of 10% or more, and 70.3% were below initial weight.

CONCLUSIONS: These results are not directly comparable to those obtained in clinical settings because of differences in the populations studied. Nonetheless, they suggest that the long-term prognosis for weight maintenance among individuals who reach goal weight in at least one commercial program is better than that suggested by existing research.

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References

  1. National Task Force on the Prevention and Treatment of Obesity . Long-term pharmacotherapy in the management of obesity JAMA 1996 276: 1907–1915.

    Article  Google Scholar 

  2. Wadden TA, Sarwer DB . Behavioral treatment of obesity: new approaches to an old disorder. In: Goldstein D (ed) The management of eating disorders Humana Press: Totowa, NJ; 1999

  3. NIH Technology Assessment Conference Panel . Methods for voluntary weight loss and control Ann Intern Med. 1993 119: 764–770.

    Article  Google Scholar 

  4. Garner DM, Wooley SC . Confronting the failure of behavioral and dietary treatments for obesity Clin Psychol Rev 1991 11: 729–780.

    Article  Google Scholar 

  5. Brownell KD . Whether obesity should be treated Health Psychol 1993 12: 339–341.

    Article  CAS  Google Scholar 

  6. Fitzgibbon ML, Stolley MR, Kirschenbaum DS . Differential characteristics of obese individuals who do or do not seek treatment Health Psychol. 1993 12: 342–345.

    Article  CAS  Google Scholar 

  7. Committee to Develop Criteria for Evaluating the Outcomes of Approaches to Prevent and Treat Obesity . Weighing the options: criteria for evaluating weight-management programs Obes Res 1995 3: 591–604 Reprinted from Weighing the options: criteria for evaluating weight-management programs, by the National Academy of Sciences, National Academy Press: Washington, DC; 1994)

    Article  Google Scholar 

  8. Hensrud DD, Weinsier RL, Darnell BE, Hunter GR . Relationship of co-morbidities of obesity to weight loss and four-year weight maintenance/rebound Obes Res 1995 3: 217s–222s.

    Article  Google Scholar 

  9. Blackburn GL . Effect of degree of weight loss on health benefits Obes Res 1995 3: 211s–216s.

    Article  Google Scholar 

  10. NIH/NHLBI clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: the evidence report Obes Res 1998 6: 51S–210S.

  11. Christakis G, Miller-Kovach K . Maintenance of weight goal among Weight Watchers Lifetime Members Nutr Today 1996 31: 29–31.

    Article  Google Scholar 

  12. Rimm EB, Stampfer MJ, Colditz GA, Chute CG, Litin LB, Willett WC . Validity of self-reported waist and hip circumferences in men and women Epidemiology 1990 1: 466–473.

    Article  CAS  Google Scholar 

  13. Palta M, Prineas RJ, Berman R, Hannan P . Comparison of self-reported height and weight with controlled height and weight in women and men Am J Epidemiol 1982 115: 223–230.

    Article  CAS  Google Scholar 

  14. Schlichting P, Hoilund-Carlsen PF, Quaade F . Comparison of self-reported height and weight with controlled height and weight in men and women Int J Obes 1981 5: 67–76.

    CAS  PubMed  Google Scholar 

  15. Rowland ML . Self-reported weight and height Am J Clin Nutr. 1990 52: 1125–1133.

    Article  CAS  Google Scholar 

  16. Delprete LR, Caldwell M, English C, Banspach SW, Lefebvre C . Self-reported and measured weights and heights in community-based weight loss programs J Am Diet Assoc 1992 92: 1483–1486.

    CAS  PubMed  Google Scholar 

  17. Tell GS, Jeffrey RW, Kramer FM, Snell MK . Can self-reported body weight be used to evaluate long-term follow-up of a weight-loss program? Am J Dietet Assoc 1987 87: 1198–2101.

    CAS  Google Scholar 

  18. Brownell KD, Kramer M . Behavioral management of obesity Med Clin N A 1989 73: 185–201.

    Article  CAS  Google Scholar 

  19. Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL . Increasing prevalence of overweight among US adults JAMA 1994 272: 205–211.

    Article  CAS  Google Scholar 

  20. Calle EC, Thun M, Petrelli JM, Rodriguez C, Heath CW . Body-mass index and mortality in a prospective cohort New Engl J Med 1999 341: 1097–2002.

    Article  CAS  Google Scholar 

  21. Hill JO, Hauptman J, Anderson JW, Fujioka K, O'Neil PM, Smith DK, Zavoral JH, Aronne LJ . Orlistat, a lipase inhibitor, for weight maintenance after conventional dieting: a 1-y study Am J Clin Nutr 1999 69: 1108–1116.

    Article  CAS  Google Scholar 

  22. National Task Force on the Prevention and Treatment of Obesity. Towards Prevention of obesity: research directions Obes Res 1994 2: 571–583.

  23. Lowe MR, Miller-Kovach K, Frye N, Phelan S . An initial evaluation of a commercial weight loss program: short-term effects on weight, eating behavior, and mood Obes Res. 1999 7: 51–59.

    Article  CAS  Google Scholar 

  24. Heshka S, Greenway F, Miller-Kovach K, Pi-Sunyer FX . Structured commercial weight loss program improves homocysteine levels compared to self-help weight loss FASEB J 1999 13: A269.

    Google Scholar 

Download references

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Lowe, M., Miller-Kovach, K. & Phelan, S. Weight-loss maintenance in overweight individuals one to five years following successful completion of a commercial weight loss program. Int J Obes 25, 325–331 (2001). https://doi.org/10.1038/sj.ijo.0801521

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