A Multicenter Evaluation of a Proprietary Weight Reduction Program for the Treatment of Marked Obesity

Wadden, Thomas A.; Foster, Gary D.; Letizia, Kathleen A.; Stunkard, Albert J.

doi:10.1001/archinte.1992.00400170051010

Cited by 96 publications

(16 citation statements)

References 31 publications

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“…The profile of respondents, their weight loss and maintenance at follow-up, from this survey appears to be similar to other groups reported in the literature, which would encourage confidence in generalizability for these observations to others who enter VLCD programs, particularly the multicenter trial of proprietary programs reported by Wadden and colleagues (28). which is similar to this program in its program components and duration.…”

Section: Discussionsupporting

confidence: 75%

Maintenance of Weight Loss: A Needs Assessment

et al. 1995

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This study identified facilitators and obstacles to maintenance of weight loss following a very-lowcalorie-diet and behavior modification program. A survey was mailed to a random sample of 178 program completers and received a 61% response rate; the most frequent follow-up period was more than 2 years. Twenty-nine percent reported weighing the same (within 10 lbs) or less than the end of their participation in the treatment program (maintainers), while 71% reported their present weight was a mean of 65% higher than their initial weight loss (regainers). Maintainers were significantly more likely to report engaging in regular aerobic exercise, attending a maintenance support group, and confidence in their ability to manage their weight in the future, while regainers were more likely to report stress and motivation as frequent weight management obstacles. Respondents consistently identified the need for lowlno cost ongoing support. Maintainers and relapsers reported similar challenges in managing their weight, yet with different results, suggesting the need to identify subgroups for which different posttreatment support options could be applied.

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Section: Discussionsupporting

confidence: 75%

Maintenance of Weight Loss: A Needs Assessment

et al. 1995

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“…45,46 Intensive behavioral treatments provided in academic medical centers, such as in the Diabetes Prevention Program, 4 can help patients achieve a weight loss of 7-10%. 47 Medically supervised programs (OPTIFAST, Health Management Resources) may induce losses of 15-25% of initial weight using meal replacements, [48][49][50][51][52] although patients have difficulty sustaining losses of this size, even when provided weight maintenance therapy. 48,51,53 Pharmacotherapy (e.g., orlistat, sibutramine), when prescribed alone, produces modest losses of 4 to 5% of initial weight.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Obesity in Primary Care Practice in the United States: A Systematic Review

2009

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OBJECTIVES: This review examines the results of randomized controlled trials in which behavioral weight loss interventions, used alone or with pharmacotherapy, were provided in primary care settings.DATA SOURCES: Literature search of MEDLINE, PubMed, Cochrane Systematic Reviews, CINAHL, and EMBASE (1950-present). Inclusion criteria for studies were: (1) randomized trial, (2) obesity intervention in US adults, and (3) conducted in primary care or explicitly intended to model a primary care setting. REVIEW METHODS:Both authors reviewed each study to extract treatment modality, provider, setting, weight change, and attrition. The CONSORT criteria were used to assess study quality. Due to the small number and heterogeneity of studies, results were summarized but not pooled quantitatively.

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“…This lack of relationship between belief and behavior is further supported by the absence of any notable correlations between reasons for weight gain and responses to relapse in our study. Given the high rates of attrition and noncompliance in weight loss programs (18)(19)(20)(21), clearer knowledge of such disparities between beliefs and behaviors seems necessary. An important avenue for future research is to examine whether there is a relationship between personal weight loss history and beliefs about weight gain.…”

Section: Discussionmentioning

confidence: 99%

Beliefs About Weight Gain and Attitudes Toward Relapse in a Sample of Women and Men with Obesity

1998

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CACHELIN, FARY M., RUTH H. STRIEGEL-MOORE, KELLY D. BROWNELL. Beliefs about weight gain and attitudes toward relapse in a sample of men and women with obesity. Obes Res. 1998;6:231-237. Objective: The purpose of this study was to examine beliefs regarding reasons for weight gain, likely responses to weight loss relapse, notions of reasonable weight loss, and correlations between beliefs and attitudes in a large nonclinical sample of men and women with obesity. Research Methods and Procedures: Participants were 3,394 white women (n= 1,674) and men (n= 1,720) with obesity who had responded to a survey about body image and eating behaviors conducted by Consumer Reports magazine. Results: Women and men indicated that the most important reasons for their weight gain were lack of exercise and enjoying eating; the least important reason was a need to avoid social or sexual situations. Both groups reported that their most likely response to relapse is to start watching food intake, whereas their least likely response is to ask a friend, spo~se, or family member for help. Women rated depression, stress, low self-esteem, and need to avoid situations as more important reasons for their weight gain than did men, and women were more likely to feel terrible and regain as a response to relapse. There was no relationship between an individual's beliefs about weight gain, responses to relapse, or notions of reasonable weight loss. Discussion: Implications of these findings for the treatment of obesity are discussed.

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A Multicenter Evaluation of a Proprietary Weight Reduction Program for the Treatment of Marked Obesity

Abstract: We hope that this report will lead to the systematic evaluation of other proprietary weight loss programs and to the publication of findings that will permit consumers to make informed treatment decisions.

Cited by 96 publications

References 31 publications

Maintenance of Weight Loss: A Needs Assessment

Maintenance of Weight Loss: A Needs Assessment

Treatment of Obesity in Primary Care Practice in the United States: A Systematic Review

Beliefs About Weight Gain and Attitudes Toward Relapse in a Sample of Women and Men with Obesity

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