Behavioral transitions and weight change patterns within the PREMIER trial.
Jessica K. Bartfield,Victor J. Stevens,Gerald J. Jerome,Gerald J. Jerome,Bryan C. Batch,Betty M. Kennedy,William M. Vollmer,David W. Harsha,Lawrence J. Appel,Renee A. Desmond,Jamy D. Ard +10 more
TLDR
Higher levels of attendance, food record completion, and recorded days/week of physical activity were associated with increasing odds of achieving 5% weight loss, and minimizing the decline in these behaviors may be important in achieving long‐term weight loss.Abstract:
Little is known about the transition in behaviors from short-term weight loss to maintenance of weight loss. We wanted to determine how short-term and long-term weight loss and patterns of weight change were associated with intervention behavioral targets. This analysis includes overweight/obese participants in active treatment (n = 507) from the previously published PREMIER trial, an 18-month, multicomponent lifestyle intervention for blood pressure reduction, including 33 intervention sessions and recommendations to self-monitor food intake and physical activity daily. Associations between behaviors (attendance, recorded days/week of physical activity, food records/week) and weight loss of ≥5% at 6 and 18 months were examined using logistic regression. We characterized the sample using 5 weight change categories (weight gained, weight stable, weight loss then relapse, late weight loss, and weight loss then maintenance) and analyzed adherence to the behaviors for each category, comparing means with ANOVA. Participants lost an average of 5.3 ± 5.6 kg at 6 months and 4.0 ± 6.7 kg (4.96% of body weight) by 18 months. Higher levels of attendance, food record completion, and recorded days/week of physical activity were associated with increasing odds of achieving 5% weight loss. All weight change groups had declines in the behaviors over time; however, compared to the other four groups, the weight loss/maintenance group (n = 154) had statistically less significant decline in number of food records/week (48%), recorded days/week of physical activity (41.7%), and intervention sessions attended (12.8%) through 18 months. Behaviors associated with short-term weight loss continue to be associated with long-term weight loss, albeit at lower frequencies. Minimizing the decline in these behaviors may be important in achieving long-term weight loss.read more
Citations
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Weight loss intervention adherence and factors promoting adherence: a meta-analysis.
TL;DR: Overall adherence rates for various weight loss interventions are quantified to provide pooled estimates for factors associated with improved adherence and programs supervising attendance, offering social support, and focusing on dietary modification have better adherence than interventions not supervising Attendance, not offering socialSupport, andocusing exclusively on exercise.
Journal ArticleDOI
Determinants of weight loss maintenance : a systematic review
R. D. M. Varkevisser,M M van Stralen,Willemieke Kroeze,Johannes C.F. Ket,Ingrid H M Steenhuis +4 more
TL;DR: This work systematically synthesized recent literature on determinants of weight loss maintenance for individuals with overweight and obesity to arrive at a consensus on the importance of diet and exercise in maintaining weight loss.
Journal ArticleDOI
An Overview of Factors Associated with Adherence to Lifestyle Modification Programs for Weight Management in Adults.
TL;DR: The most commonly used indicator of adherence was attrition, followed by attendance, self-monitoring and dietary adherence, which suggested older age, higher education, healthier eating and physical activity behaviours, higher stage of change at baseline and higher initial weight loss may predict better adherence.
Journal ArticleDOI
The long-term effects of lifestyle change on blood pressure: One-year follow-up of the ENCORE study.
Alan L. Hinderliter,Andrew Sherwood,Linda W. Craighead,Pwa Hwa Lin,Lana L. Watkins,Michael A. Babyak,James A. Blumenthal +6 more
TL;DR: Changes in dietary habits, weight, and BP persisted for 8 months after completion of the 16-week ENCORE program, with some attenuation of the benefits.
Journal ArticleDOI
Long-term adherence to the New Nordic Diet and the effects on body weight, anthropometry and blood pressure: a 12-month follow-up study
TL;DR: NND provides higher satisfaction, and body weight regain is reduced with higher compliance with NND and increased physical activity.
References
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The Department of Health and Human Services.
TL;DR: This letter is in response to your two Citizen Petitions, requesting that the Food and Drug Administration (FDA or the Agency) require a cancer warning on cosmetic talc products.
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Gary D. Foster,Holly R. Wyatt,James O. Hill,Brian G. McGuckin,Carrie Brill,B. Selma Mohammed,Philippe Szapary,Daniel J. Rader,Joel S. Edman,Samuel Klein +9 more
TL;DR: The low-carbohydrate diet produced a greater weight loss than did the conventional diet for the first six months, but the differences were not significant at one year and the low- carbohydrate diet was associated with a greater improvement in some risk factors for coronary heart disease.
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