Abstract
OBJECTIVE: The present study examined whether long-term weight loss maintenance is enhanced by maintaining the same diet regimen across the week and year or by dieting more strictly on weekdays and nonholiday periods than at other times.
METHOD: National Weight Control Registry participants (N=1429) indicated on an eight-point scale whether they dieted more strictly on weekends than weekdays, adhered to the same diet regimen throughout the week, or dieted more strictly on weekdays. Participants responded to a similar question about holiday and vacation eating. Participants were then followed prospectively to determine whether scores on these questions were related to self-reported weight regain over the subsequent 12 months.
RESULTS: There was a linear relationship between scores on the dieting consistency questions and weight change over the 1-y period (P's <0.01), with smaller weight gains in those who reported more consistency. Participants who reported a consistent diet across the week were 1.5 times more likely to maintain their weight within 5 pounds over the subsequent year (OR=1.58, 95% CI: 1.2–2.2) than participants who dieted more strictly on weekdays. A similar relationship emerged between dieting consistency across the year and subsequent weight regain.
CONCLUSION: Dieting consistency appears to be a behavioral strategy that predicts subsequent long-term weight loss maintenance.
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References
Garner DM, Wooley SC . Confronting the failure of behavioral and dietary treatments for obesity. Clin Psychol Rev 1991; 11: 729–780.
Wing RR . Behavioral approaches to the treatment of obesity. In: Bray G, Bouchard C, James PT (Eds). Handbook of Obesity. Marcel Dekker: New York; 1997. 855–873.
Perri MG . The maintenance of treatment effects in the long-term management of obesity. Clin Psychol Sci Pract 1998; 5: 526–543.
Perri MG . Relapse prevention training and problem-solving therapy in the long-term management of obesity. J Consult Clin Psychol 2001; 69: 722–726.
Jeffery RW, Wing RR . The effects of an enhanced exercise program on long-term weight loss. Obes Res 2001; 9 (Suppl 3): 100S.
Jeffery RW, Wing RR, Thorson C, Burton LR, Raether C, Harvey J, Mullen M . Strengthening behavioral interventions for weight loss: a randomized trial of food provision and monetary incentives. J Consult Clin Psychol 1993; 61: 1038–1045.
Kramer FM, Jeffery RW, Snell MK, Forster JL . Maintenance of successful weight loss over 1 year: effects of financial contracts for weight maintenance or participation in skills training. Behav Ther 1986; 17: 295–301.
Wing RR, Hill JO . Successful weight loss maintenance. Annu Rev Nutr 2001; 21: 323–341.
McGuire MT, Wing RR, Klem ML, Hill JO . Behavioral strategies of individuals who have maintained long-term weight losses. Obes Res 1999; 7: 334–341.
Wyatt HR, Grunwald GK, Mosca CL, Klem M, Wing RR, Hill JO . Long-term weight loss and breakfast in subjects in the National Weight Control Registry. Obes Res 2002; 10: 78–82.
Nowalk MP, Wing RR, Koeske R . The effect of tasting food samples on the use of recipes distributed in nutrition counseling. J Am Diet Assoc 1986; 86: 1715–1716.
Smith C, Wing R, Burke L . Vegetarian and weight loss diets among young adults. Obes Res 2000; 8: 123–129.
McGuire MT, Wing RR, Klem ML, Lang W, Hill JO . What predicts weight regain in a group of successful weight losers? J Consult Clin Psychol 1999; 67: 177–185.
Acknowledgements
This research was supported by a grant from the Community Foundation for Southeastern Michigan (RR Wing).
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Gorin, A., Phelan, S., Wing, R. et al. Promoting long-term weight control: does dieting consistency matter?. Int J Obes 28, 278–281 (2004). https://doi.org/10.1038/sj.ijo.0802550
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DOI: https://doi.org/10.1038/sj.ijo.0802550
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