scholarly journals What Behaviors Are Important for Successful Weight Maintenance?

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Makiko Nakade ◽  
Naomi Aiba ◽  
Akemi Morita ◽  
Motohiko Miyachi ◽  
Satoshi Sasaki ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Self Efficacy ◽  
Weight Control ◽  
Weight Maintenance ◽  
Initial Weight ◽  
Initial Weight Loss ◽  
Control Practice ◽  
One Year

Purpose. To examine behavioral factors related to successful weight maintenance.Methods. Subjects were 90 middle-aged participants who attended a weight loss program and were followed for one year. The subjects were classified into either successful weight maintainers (maintained a weight loss of 5% or more from their initial weight for one year) (SWM) or unsuccessful weight maintainers (USWM), and weight control practice, stress, obstacles, support, and self-efficacy during the program and follow-up period were compared.Results. SWM had mean loss of 12% from their initial weight during the program. They showed a greater improvement in their regularity of eating, walked more, and felt less stress regarding their increased physical activity than the USWM. During the follow-up period, significantly more SWM participants had self-efficacy (for measuring weight, practicing dietary objective, and assessing the practice and keeping records), actually kept records and measured weight more than the USWM participants. In contrast, more USWM participants felt stress about measuring weight.Conclusion. In addition to a substantial initial weight loss due to an increased amount of physical activity, having a higher self-efficacy and consistently keeping records of one's activities, as well as regularly weighing themselves, may be important for successful weight maintenance.

scholarly journals Initial Weight Loss after Restrictive Bariatric Procedures May Predict Mid-Term Weight Maintenance: Results From a 12-Month Pilot Trial

2015 ◽  
Vol 10 (2) ◽  
pp. 68-73 ◽  
Author(s):  
Marko Nikolić ◽  
Ivan Kruljac ◽  
Lora Kirigin ◽  
Gorana Mirošević ◽  
Neven Ljubičić ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Maintenance ◽  
Pilot Trial ◽  
Initial Weight ◽  
Initial Weight Loss

Weight Changes after Vertical Banded Gastroplication

2005 ◽  
Vol 50 (2) ◽  
pp. 58-60
Author(s):  
J J Lara ◽  
L Murray ◽  
R Carter ◽  
R Stuart ◽  
M E J Lean
Keyword(s):  
Weight Loss ◽  
Surgical Treatment ◽  
Weight Change ◽  
Weight Regain ◽  
Liquid Diet ◽  
Weight Changes ◽  
Initial Weight ◽  
Initial Weight Loss

Aims: This study assessed the patterns of weight change in response to surgical treatment for obesity. Methods: Vertical Banded Gastroplication (VBG) was performed during the period 1994–2000. Patients were required to follow a liquid diet (8oo kcals) for 12 weeks before surgery. The same diet plus a multivitamin capsule (Forceval) was followed for 12 weeks postoperatively, after which normal foods were introduced. Data from 23 patients, 16 women and 7 men, aged 33–63 years (mean, SD; 42±8yrs), with BMI from 38 to 69 kg/m2 (52.5 ± 8.1 kg/m2) at the time of the surgery were available for analysis. Follow up was 3 to 7 years (mean 4 years). Results: An initial weight loss of 44.4 ± 24.3 kg (min 11.5, max 110.5 kg) was reached during the first two years (mean BMI decrease 15.8 kg/m2). However a regain in weight (36% of the initial weight loss = 5.6 kg/m2) up to 3 to 7 years after surgery was usual. Average annual regain was 13.6 kg (n=17), 9.45 kg (n=11) and 0.8 kg (n=8) during the 3rd, 4th and 5th year after surgery). Five participants reached a BMI below 30 but only one, BMI<25, has maintained all the weight loss after 5 years. Conclusions: Weight loss following VBG ceased after two years with a subsequent substantial weight regain. Auxiliary therapies to counteract weight regain are necessary after VBG.

scholarly journals Long-Term Body Weight Maintenance among StrongWomen–Healthy Hearts Program Participants

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Rebecca A. Seguin ◽  
Sara C. Folta ◽  
Miriam E. Nelson ◽  
Karla L. Hanson ◽  
Andrea Z. LaCroix
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Body Weight ◽  
Eating Behaviors ◽  
Weight Maintenance ◽  
Program Completion ◽  
Weight Cycling ◽  
Obesity Epidemic ◽  
Health Complications

Background. The repeated loss and regain of body weight, referred to as weight cycling, may be associated with negative health complications. Given today’s obesity epidemic and related interventions to address obesity, it is increasingly important to understand contexts and factors associated with weight loss maintenance. This study examined BMI among individuals who had previously participated in a 12-week, evidence-based, nationally disseminated nutrition and physical activity program designed for overweight and obese middle-aged and older women.Methods. Data were collected using follow-up surveys. Complete height and weight data were available for baseline, 12-week program completion (post-program) and follow-up (approximately 3 years later) for 154 women (response rate = 27.5%; BMI characteristics did not differ between responders and nonresponders).Results. Mean BMI decreased significantly from baseline to post-program (−0.5,P<0.001) and post-program to follow-up (−0.7,P<0.001). Seventy-five percent of survey respondents maintained or decreased BMI post-program to follow-up. Self-efficacy and social support for healthy eating behaviors (but not physical activity) were associated with BMI maintenance or additional weight loss.Conclusions. These findings support the durability of weight loss following participation in a relatively short-term intervention.

Training overweight/obese older women at high risk for breast cancer to use web-based weight loss tools: The HELP pilot study.

2011 ◽  
Vol 29 (27_suppl) ◽  
pp. 233-233 ◽  
Author(s):  
L. A. Cadmus Bertram ◽  
J. P. Pierce ◽  
R. E. Patterson ◽  
H. Ojeda-Fournier ◽  
V. A. Newman ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Weight Loss ◽  
Pilot Study ◽  
Comparison Group ◽  
Intervention Group ◽  
Initial Weight ◽  
Web Based ◽  
Internet Users

233 Background: Excess weight is one of the few modifiable risk factors for incident breast cancer. Many programs can achieve a 7% weight loss but few can maintain it over time. Training women to use self-help resources over the internet has potential for reducing intervention costs and ensuring program maintenance. Methods: 50 overweight/obese (BMI≥27.5 kg/m2) women at increased risk of breast cancer (Gail score≥1.7) were identified from a mammography registry and enrolled in the HELP pilot study and randomized with 2:1 probability to a 12-week lifestyle intervention or a comparison group. Twelve telephone-based coaching calls trained participants to use a free, publicly available website to set goals and track performance for dietary intake and physical activity. The comparison group received information but no training. At baseline and 12 weeks, participants were weighed, fitted with an accelerometer for physical activity pattern, and completed questionnaires. Results: At baseline, participants were 60.9±0.79 years of age with a BMI of 33.1±0.60 kg/m2; 39% were daily internet users. Thirty-three were randomized to the intervention group with 91% completing follow-up. Fifty-four percent were able to use the website reliably and found it to be helpful, including 44% of previously nondaily internet users. At 12 weeks, intervention group participants who found the website helpful had lost 5.6±0.7 kg, or 6.7% of initial weight, intervention participants who did not find it helpful lost 0.8±0.9kg or 1.1% of initial weight and the comparison group gained 1.0±0.94 kg (89% follow-up) The between-group difference weight change was 4.2 kg (p<.0001). 74% of intervention group participants lost weight, compared to only 34% of women assigned to the comparison group. Conclusions: A 12-session telephone coaching program to train women to use publicly available web-based weight loss programs effectively achieved a large short-term weight loss among the majority of participants. Further follow-up is needed to identify how well the initial weight loss is maintained without further intervention assistance.

scholarly journals Effect of an mHealth Intervention Using a Pedometer App With Full In-Person Counseling on Body Composition of Overweight Adults: Randomized Controlled Weight Loss Trial

10.2196/16999 ◽  
2020 ◽  
Vol 8 (5) ◽  
pp. e16999
Author(s):  
Alberto Hernández-Reyes ◽  
Fernando Cámara-Martos ◽  
Rafael Molina-Luque ◽  
Rafael Moreno-Rojas
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Weight Control ◽  
Intervention Group ◽  
Control Program ◽  
Mhealth Intervention ◽  
Steps Per Day ◽  
Weight Control Program ◽  
Overweight Adults

Background In clinical practice, it is difficult to convey the benefits of sustained physical activity to adult patients with excess weight or obesity. For this purpose, a goal-setting walking prescription may be an effective strategy. Objective This study aimed to determine the efficacy of the intervention of a pedometer app in setting a goal to reach 10,000 steps per day in adults. Methods Overweight adults (n=98; mean body mass index 32.53 [SD 4.92] kg/m2) were randomized to one of two conditions (control or intervention). Both groups downloaded a pedometer app that recorded their daily step counts and were given a daily walking goal of 10,000 steps. Subjects participated in a 24-week in-person behavioral weight control program and were asked to monitor their daily levels using the pedometer app. Baseline data were recorded and followed up weekly. Only the intervention group had structured information delivery, a personalized physical activity prescription, and follow-up on number of steps per day. Results The results show that regardless of sex or age, prescribing walking increased the number of steps per day by 4806 step on average (standardized β coefficient=–0.813, SE=427.586, t=–11.242, P<.001). Conclusions These results could have implications for improving self-monitoring in overweight adults during periods of weight loss. Health professionals should analyze the implementation of tools that permit them to prescribe, follow up, and encourage the achievement of a goal of physical activity in overweight or obese patients. Trial Registration ClinicalTrials.gov NCT03845478; https://clinicaltrials.gov/ct2/show/NCT03845478

scholarly journals Effect of an mHealth Intervention Using a Pedometer App With Full In-Person Counseling on Body Composition of Overweight Adults: Randomized Controlled Weight Loss Trial (Preprint)

2019 ◽  
Author(s):  
Alberto Hernández-Reyes ◽  
Fernando Cámara-Martos ◽  
Rafael Molina-Luque ◽  
Rafael Moreno-Rojas
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Weight Control ◽  
Intervention Group ◽  
Control Program ◽  
Mhealth Intervention ◽  
Steps Per Day ◽  
Weight Control Program ◽  
Overweight Adults

BACKGROUND In clinical practice, it is difficult to convey the benefits of sustained physical activity to adult patients with excess weight or obesity. For this purpose, a goal-setting walking prescription may be an effective strategy. OBJECTIVE This study aimed to determine the efficacy of the intervention of a pedometer app in setting a goal to reach 10,000 steps per day in adults. METHODS Overweight adults (n=98; mean body mass index 32.53 [SD 4.92] kg/m2) were randomized to one of two conditions (control or intervention). Both groups downloaded a pedometer app that recorded their daily step counts and were given a daily walking goal of 10,000 steps. Subjects participated in a 24-week in-person behavioral weight control program and were asked to monitor their daily levels using the pedometer app. Baseline data were recorded and followed up weekly. Only the intervention group had structured information delivery, a personalized physical activity prescription, and follow-up on number of steps per day. RESULTS The results show that regardless of sex or age, prescribing walking increased the number of steps per day by 4806 step on average (standardized β coefficient=–0.813, SE=427.586, <i>t</i>=–11.242, <i>P</i>&lt;.001). CONCLUSIONS These results could have implications for improving self-monitoring in overweight adults during periods of weight loss. Health professionals should analyze the implementation of tools that permit them to prescribe, follow up, and encourage the achievement of a goal of physical activity in overweight or obese patients. CLINICALTRIAL ClinicalTrials.gov NCT03845478; https://clinicaltrials.gov/ct2/show/NCT03845478

Response to Leaflets About Eating and Shape by Women Concerned About Their Weight

1992 ◽  
Vol 20 (3) ◽  
pp. 279-286 ◽  
Author(s):  
Alan J. Blair ◽  
Vivien J. Lewis ◽  
David A. Booth
Keyword(s):  
Body Size ◽  
Self Efficacy ◽  
Emotional Eating ◽  
Weight Control ◽  
Eating Behaviour ◽  
Size Control ◽  
Self Esteem ◽  
Significant Degree ◽  
One Year

Concern about body weight and shape is commonly allied with dysfunctional self-concepts and eating behaviour. When provided with group therapy structured around written handouts addressing these problems, women referred for weight control have improved in their self-esteem, assertiveness, attitudes to body size, control of emotional eating, self-efficacy about weight and susceptibility to cyclic dieting, improvements which were maintained to follow-up. The present study examined the effects of the handouts alone on 27 women who actively attempted to control their weight. Relative to a sample matched for initial scores on the target variables, reported incidences of emotional eating and vigour of dieting were significantly reduced over a period of one year in the sample who received the bibliotherapy. Also, perceived body size, weight assertiveness, self-efficacy about weight control and body mass index all moved in the predicted direction, relative to controls, but not to a statistically significant degree. Such bibliotherapy on eating and shape is recommended as an adjunct to group or individual psychotherapy or to initiate change in clients waiting for professional counsel.

scholarly journals Exploring Gender Differences in a Randomized Trial of Weight Loss Maintenance

2016 ◽  
Vol 11 (2) ◽  
pp. 369-375 ◽  
Author(s):  
Melissa M. Crane ◽  
Robert W. Jeffery ◽  
Nancy E. Sherwood
Keyword(s):  
Physical Activity ◽  
Gender Differences ◽  
Weight Loss ◽  
Controlled Trial ◽  
Secondary Analysis ◽  
Weight Loss Maintenance ◽  
Initial Weight ◽  
Initial Weight Loss ◽  
Randomized Controlled ◽  
Weight Loss Programs

The purpose of this study is to explore gender differences in reasons for losing weight, weight loss methods, and weight loss behaviors prior to and during a weight loss maintenance trial. This is a secondary analysis of data from a 24-month randomized controlled trial comparing Self-Directed or Guided phone-based weight loss maintenance interventions among adults who had intentionally lost ≥10% of their body weight in the year prior to enrollment. Participants reported their weight loss methods and reasons for recently losing weight at baseline. Dietary intake, physical activity, and dietary patterns were assessed at baseline, 12, and 24 months. Participants included 419 adults (18.4% men, age 47.0 ± 10.8, BMI 28.4 ± 5.0). Women were more likely than men to report having used an organized weight loss program during their weight loss (55.9% vs. 24.7%, p < .001) and to report improving personal esteem as a motivator (51.2% vs. 35.1%, p = .01). Men were more likely than women to report eating food from convenience stores at baseline (22.1% vs. 13.2%, p = .05) and throughout the study but otherwise reported similar meal patterns ( ps > .05). Men reported higher energy intake than women while physical activity was similar. Although more men self-directed their initial weight loss and more women utilized organized weight loss programs, behaviors reported during weight loss maintenance were similar. Futures studies are needed to understand if these results generalize to other men who have successfully lost weight and are participants in other weight loss maintenance interventions.

scholarly journals Patient-Centered Goal-Setting in the National Diabetes Prevention Program: A Pilot Study

2021 ◽  
Author(s):  
Natalie D. Ritchie ◽  
Katherine A. Sauder ◽  
Peter G. Kaufmann ◽  
Leigh Perreault
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
Patient Centered ◽  
Weekly Physical Activity ◽  
One Year ◽  
Design And Methods

<b>Introduction: </b>Difficulty achieving preset goals (e.g., ≥5% weight loss, ≥150 minutes of weekly physical activity) in the yearlong National Diabetes Prevention Program (NDPP) can prompt dropout and diminish benefits. We piloted a more patient-centered NDPP adaptation (NDPP-Flex) that promotes a variety of attainable and individually-tailored goals to reduce diabetes risks, along with flexibility to adjust goals each week as needed. <p><b>Research Design and Methods: </b>Retention, physical activity, weight, and HbA1c were evaluated among diverse participants with diabetes risks who received our pilot of NDPP-Flex beginning in January and July 2018 (<i>n</i>=95), with a planned comparison to standard NDPP delivery in preceding cohorts that launched between September 2016 and October 2017 (<i>n</i>=245). Both the standard NDPP and NDPP-Flex interventions were one year in duration and implemented in phases (i.e., non-randomized). </p> <p><b>Results: </b>Average adjusted retention (e.g., 158.90 ± 15.20 vs. 166.71 ± 9.38 days; <i>P</i>=.674), physical activity (157.97 ± 11.91 vs. 175.64 ± 7.54 weekly minutes; <i>P</i>=.231), and weight loss (1.46 ± 0.38% vs. 1.90 ± 0.24%; <i>P</i>=.396) were similar between NDPP-Flex versus standard NDPP. However, NDPP-Flex participants had greater HbA1c reduction on average (0.22 ± 0.05% vs. 0.06 ± 0.03%, <i>P</i>=.018) and were more likely to have normoglycemia at follow-up (OR 4.62; <i>P</i>=.013; 95% CI 1.38-15.50) than participants in the standard NDPP. </p> <p><b>Conclusions: </b>An adapted, more patient-centered NDPP that focuses on flexible, self-selected goals may be a promising strategy to improve glycemia even in the absence of substantial weight loss.<b></b></p>

scholarly journals Patient-Centered Goal-Setting in the National Diabetes Prevention Program: A Pilot Study

2021 ◽  
Author(s):  
Natalie D. Ritchie ◽  
Katherine A. Sauder ◽  
Peter G. Kaufmann ◽  
Leigh Perreault
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
Patient Centered ◽  
Weekly Physical Activity ◽  
One Year ◽  
Design And Methods

<b>Introduction: </b>Difficulty achieving preset goals (e.g., ≥5% weight loss, ≥150 minutes of weekly physical activity) in the yearlong National Diabetes Prevention Program (NDPP) can prompt dropout and diminish benefits. We piloted a more patient-centered NDPP adaptation (NDPP-Flex) that promotes a variety of attainable and individually-tailored goals to reduce diabetes risks, along with flexibility to adjust goals each week as needed. <p><b>Research Design and Methods: </b>Retention, physical activity, weight, and HbA1c were evaluated among diverse participants with diabetes risks who received our pilot of NDPP-Flex beginning in January and July 2018 (<i>n</i>=95), with a planned comparison to standard NDPP delivery in preceding cohorts that launched between September 2016 and October 2017 (<i>n</i>=245). Both the standard NDPP and NDPP-Flex interventions were one year in duration and implemented in phases (i.e., non-randomized). </p> <p><b>Results: </b>Average adjusted retention (e.g., 158.90 ± 15.20 vs. 166.71 ± 9.38 days; <i>P</i>=.674), physical activity (157.97 ± 11.91 vs. 175.64 ± 7.54 weekly minutes; <i>P</i>=.231), and weight loss (1.46 ± 0.38% vs. 1.90 ± 0.24%; <i>P</i>=.396) were similar between NDPP-Flex versus standard NDPP. However, NDPP-Flex participants had greater HbA1c reduction on average (0.22 ± 0.05% vs. 0.06 ± 0.03%, <i>P</i>=.018) and were more likely to have normoglycemia at follow-up (OR 4.62; <i>P</i>=.013; 95% CI 1.38-15.50) than participants in the standard NDPP. </p> <p><b>Conclusions: </b>An adapted, more patient-centered NDPP that focuses on flexible, self-selected goals may be a promising strategy to improve glycemia even in the absence of substantial weight loss.<b></b></p>

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