scholarly journals Two‐year weight trajectories following completion of a behavioral weight loss maintenance intervention

2021 ◽  
Author(s):  
Kara L. Gavin ◽  
Corrine I. Voils ◽  
William S. Yancy ◽  
Maren K. Olsen
Obesity ◽  
2020 ◽  
Vol 28 (3) ◽  
pp. 510-520 ◽  
Author(s):  
Karen H. Kim Yeary ◽  
Carol E. Cornell ◽  
Page C. Moore ◽  
C. Heath Gauss ◽  
T. Elaine Prewitt ◽  
...  

PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0232152 ◽  
Author(s):  
Jake Turicchi ◽  
Ruairi O’Driscoll ◽  
Graham Horgan ◽  
Cristiana Duarte ◽  
Antonio L. Palmeira ◽  
...  

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Suzanne Phelan ◽  
Sapna Peruvemba ◽  
David Levinson ◽  
Noah Stulberg ◽  
Aidan Lacy ◽  
...  

Abstract Background Behavioral weight loss interventions promote clinically significant weight loss over 12 months, but weight regain remains problematic and a substantial proportion of participants do not achieve long-term weight loss maintenance. Novel methods are needed that instill habit strength for sustaining weight control behaviors long term. Virtual reality (VR) has the potential to provide opportunities within behavioral treatment for patients to practice desired weight control behaviors in the frequency and magnitude necessary to build durable habits. A pilot randomized trial was done to test the feasibility integrating virtual reality (VR) into standard behavioral weight loss treatment. Methods Participants were 15 adults (43 years; 46.7% Hispanic), with overweight or obesity who were randomly assigned to a 4-week Standard Behavioral Weight Loss plus Non-Weight-Related VR app (i.e., Control Group) or Standard Behavioral Weight Loss plus Weight-Related VR app (i.e., Intervention Group). The Intervention’s VR tool was designed to enable practice of behavioral skills taught in weekly group meetings, including managing social and home environmental cues for eating and activity. Results Participants were recruited over 3 months, and retention at the final assessment visit was high (86.6%). The VR footage and resulting app were rated as highly realistic (6.7 on a 10-point scale), and the VR program overall was rated as highly satisfactory (3.6 on a 4-point scale). Adverse effects of eye strain and motion sickness were minimal (~ 2 on a 7-point scale). As expected, the intervention and control groups both lost weight and unadjusted means (SD) averaged 3.4% (2.7) and 2.3% (3.6), respectively, over the 4 weeks. Overall, participants reported preferring a VR approach above traditional weight loss programs (rating of 5 on a 7-point scale). Conclusions Future research is needed to develop and test the feasibility of using VR for other weight control skills with a larger sample size and longer evaluation period to determine if VR can improve standard behavioral weight loss outcomes by intensifying practice opportunities and building habit strength for weight loss maintenance. Trial registration NCT04534088; date of registration: 09/01/2020, retrospectively registered.


Obesity ◽  
2015 ◽  
Vol 23 (10) ◽  
pp. 2015-2021 ◽  
Author(s):  
Adam G. Tsai ◽  
Sue Felton ◽  
Thomas A. Wadden ◽  
Patrick W. Hosokawa ◽  
James O. Hill

2013 ◽  
Vol 2013 ◽  
pp. 1-31 ◽  
Author(s):  
Lisa M. Tussing-Humphreys ◽  
Marian L. Fitzgibbon ◽  
Angela Kong ◽  
Angela Odoms-Young

We performed a systematic review of the behavioral lifestyle intervention trials conducted in the United States published between 1990 and 2011 that included a maintenance phase of at least six months, to identify intervention features that promote weight loss maintenance in African American women. Seventeen studies met the inclusion criteria. Generally, African American women lost less weight during the intensive weight loss phase and maintained a lower % of their weight loss compared to Caucasian women. The majority of studies failed to describe the specific strategies used in the delivery of the maintenance intervention, adherence to those strategies, and did not incorporate a maintenance phase process evaluation making it difficult to identify intervention characteristics associated with better weight loss maintenance. However, the inclusion of cultural adaptations, particularly in studies with a mixed ethnicity/race sample, resulted in less % weight regain for African American women. Studies with a formal maintenance intervention and weight management as the primary intervention focus reported more positive weight maintenance outcomes for African American women. Nonetheless, our results present both the difficulty in weight loss and maintenance experienced by African American women in behavioral lifestyle interventions.


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