Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Short Communication
  • Published:

Post-treatment phone contact: a weight maintenance strategy in obese youngsters

Abstract

This study investigated the effect of post-treatment phone contact on weight-loss maintenance and activity behaviour in obese youngsters. In all, 20 patients who completed a weight reduction program were randomly assigned to a 5-month maintenance programme (experimental) or control condition. Following the maintenance programme, patients sent a weekly activity diary to the therapist, who in turn phoned them biweekly to discuss their activities. Body weight, stature and physical activity were measured before and after the maintenance programme. The control group showed a continuous increase in overweight after initial treatment, while the experimental group showed a steep increase during the summer holidays (no intervention), but this increase slowed down during the maintenance programme (P<0.05). Moderate-to-high intensity activities increased during the maintenance programme in the experimental group, but decreased in the control group (P<0.001). In conclusion, post-treatment phone contact appears to have the potential to be an effective maintenance strategy in obese youngsters.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2

Similar content being viewed by others

References

  1. Deforche B, De Bourdeaudhuij I, Tanghe A, Hills, AP, De Bode P . Changes in physical activity and psychosocial determinants of physical activity in children and adolescents treated for obesity. Patient Educ Couns 2004; 55: 407–415.

    Article  Google Scholar 

  2. Anderson JW, Konz EC, Frederich RC, Wood CL . Long-term weight-loss maintenance: a meta-analysis of US studies. Am J Clin Nutr 2001; 74: 579–584.

    Article  CAS  Google Scholar 

  3. Perri MG, Shapiro RM, Ludwig WW, Twentyman CT, McAdoo WG . Maintenance strategies for the treatment of obesity: an evaluation of relapse prevention training and posttreatment contact by mail and telephone. J Consult Clin Psychol 1984; 52: 404–413.

    Article  CAS  Google Scholar 

  4. Perri MG, McAdoo WG, McAllister DA, Lauer JB, Yancey DZ . Enhancing the efficacy of behavior therapy for obesity: effects of aerobic exercise and multicomponent maintenance program. J Consult Clin Psychol 1986; 54: 670–675.

    Article  CAS  Google Scholar 

  5. Baum JG, Clark HB, Sandler J . Preventing relapse in obesity through posttreatment maintenance systems: comparing the relative efficacy of two levels of therapist support. J Behav Med 1991; 3: 287–302.

    Article  Google Scholar 

  6. Perri MG, Sears SF, Clark JE . Strategies for improving maintenance of weight loss. Toward a continuous care model of obesity management. Diabetes Care 1993; 16: 200–209.

    Article  CAS  Google Scholar 

  7. Braet C, Van Winckel M, Tanghe A, De Bode P, Franckx H . Inpatient treatment of obese children: a multicomponent program without stingent calorie restriction. Eur J Pediatr 2003; 162: 391–396.

    PubMed  Google Scholar 

  8. Deforche B, De Bourdeaudhuij I, Debode P, Vinaimmont F, Hills AP, Verstraete S, Bouckaert J . Changes in fat mass, fat free mass and aerobic fitness in severely obese children and adolescents following a residential treatment programme. Eur J Pediatr 2003; 162: 616–622.

    Article  Google Scholar 

  9. Mustajoki P, Pekkarinen T . Maintenance programmes after weight reduction – how useful are they? Int J Obes Rel Metab Disord 1999; 23: 553–555.

    Article  CAS  Google Scholar 

  10. Aelvoet W, Foruin M, Hooft P, Vanoverloop J . May we use height and weight measured in school children and adolescents aged 3–19 years as reference data? Registration data from the Centre for School Health Care, 1996–1997. (Kunnen de lengte en het gewicht gemeten bij schoolgaande kinderen en adolescenten van 3 tot 19 jaar, gebruikt worden voor het aanmaken van referentiewaarden? Registratiegegevens van het Medisch Schooltoezicht (MST), 1996–1997.). In: Ministerie van de Vlaamse Gemeenschap, Adm. Gezondheidszorg, Entiteit beleidsondersteuning 2000 Gezondheidsindicatoren 1998. Ministerie Van de Vlaamse Gemeenschap: Brussel; 2000. pp 64–81.

    Google Scholar 

  11. Poskitt EME . Defining childhood obesity: the relative body mass index (BMI). Acta Paediatr 1995; 84: 961–963.

    Article  CAS  Google Scholar 

  12. Montoye HJ, Kemper HCG, Saris WHM, Washburn RA (eds) Measuring Physical Activity and Energy Expenditure. Human Kinetics: Champaign, IL; 1996.

    Google Scholar 

  13. Taylor HL, Jacobs DR, Schucker B, Knudsen J, Leon ASL, Debacker G . A questionnaire for the assessment of leisure time physical activities. J Chronic Dis 1978; 31: 741–755.

    Article  CAS  Google Scholar 

  14. Aaron DJ, Kriska AM, Dearwater SR, Cauley JA, Metz KF, LaPorte RE . Reproducibility and validity of an epidemiologic questionnaire to assess last year physical activity in adolescents. Am J Epidemiol 1995; 142: 191–201.

    Article  CAS  Google Scholar 

  15. LaPorte RE, Cauley JA, Kinsey CM, Corbett W, Robertson R, black-Sandler R, Kuller LH, Falkel J . The epidemiology of physical activity in children, college students, middle-aged men, menopausal females and monkeys. J Chronic Dis 1982; 35: 787–795.

    Article  CAS  Google Scholar 

  16. Albanes D, Conway JM, Taylor PR, Moe PW, Judd J . Validation and comparison of eight physical activity questionnqires. Epidemiology 1990; 1: 65–71.

    Article  CAS  Google Scholar 

  17. Richardson MT, Leon AS, Jacobs DR, Ainsworth BE, Serfass R . Comprehensive evaluation of the Minnesota Leisure Time Physical Activity Questionnaire. J Clin Epidemiol 1994; 47: 271–281.

    Article  CAS  Google Scholar 

  18. Hunter GR, Weinsier RL, Bamman MM, Larson DE . A role for high intensity exercise on energy balance and weight control. Int J Obes Relat Metab Disord 1998; 22: 489–493.

    Article  CAS  Google Scholar 

  19. Jakicic JM . The role of physical activity in prevention and treatment of body weight gain in adults. J Nutr 2002; 132: 3826S–3829S.

    Article  Google Scholar 

  20. Perri MG, Nezu AM, Viegener BJ . Improving the Long-Term Management of Obesity: Theory, Research and Clinical Guidelines. John Wiley & Sons: New York; 1992.

    Google Scholar 

Download references

Acknowledgements

We are grateful to Dr Franckx for supporting this study and to Mieke De Roo and Anneleen Vindevogel for their assistance in collecting the data.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to B Deforche.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Deforche, B., De Bourdeaudhuij, I., Tanghe, A. et al. Post-treatment phone contact: a weight maintenance strategy in obese youngsters. Int J Obes 29, 543–546 (2005). https://doi.org/10.1038/sj.ijo.0802924

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ijo.0802924

Keywords

Search

Quick links