Maintenance and relapse after weight loss in women: behavioral aspects

Kayman, Susan; Bruvold, William H.; Stern, Judith S.

doi:10.1093/ajcn/52.5.800

Cited by 387 publications

(259 citation statements)

References 23 publications

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“…The main factors according to Byrne et al (3) were: failure to achieve weight goals and dissatisfaction with the weight achieved, a tendency to evaluate self-worthiness in terms of weight and shape, lack of vigilance in weight control and a dichotomous (black-and-white) thinking style. Regainers also did not permit themselves to any of the food they really enjoyed and therefore felt deprived (12) .…”

Section: Potential Determinants Of Continued Low Weight Status After mentioning

confidence: 99%

Long-term weight status in regainers after weight loss by lifestyle intervention: status and challenges

et al. 2014

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After having participated in a weight loss trial, most participants do not stabilise the obtained weight loss but return to their initial weight. The aim of this review is to describe the main determinants of continued low weight status after weight loss, and the effectiveness of physical activity (PA), energy restriction and macronutrient composition of the diet for low long-term weight regain. Studies with intervention periods of at least 3 months duration of weight reduction measures and a follow-up at least 2 years after the intervention period were considered as eligible for the review. Owing to limited data, the studies describing the role of PA in weight management were eligible with a follow-up of 1 year only. It appears that a diet with self-regulation of dietary intake seems to be given a prominent role in the strategy of successful long-term weight loss among the obese. This measure could be combined with behaviour therapy and PA and tailored to the individual situation. However, considering available evidence it is difficult to conclude regarding unambiguous measures and to recommend a specific dietary intervention. Nevertheless, interventions should be effective in promoting intrinsic motivation and self-efficacy. The harmonisation and standardisation of data collection in the follow-up period of long-term weight loss studies is a major challenge.

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Section: Potential Determinants Of Continued Low Weight Status After mentioning

confidence: 99%

Long-term weight status in regainers after weight loss by lifestyle intervention: status and challenges

et al. 2014

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“…[58][59][60] For example, data from the National Weight Control Registry (NWCR) support the idea that high levels of physical activity are critical to weight-loss success. The NWCR is a registry of over 6,000 individuals who have maintained a minimum 13.6 kg weight loss for at least 1 year; the average weight loss is 30.4 kg maintained for a mean duration of 5.5 years.…”

Section: The Role Of Physical Activity In Maintaining Weight Lossmentioning

confidence: 99%

The role of physical activity in producing and maintaining weight loss

2007

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SummaryThe majority of randomized, controlled trials (RCTs) show only modest weight loss with exercise intervention alone, and slight increases in weight loss when exercise intervention is added to dietary restriction. In most RCTs, the energy deficit produced by the prescribed exercise is far smaller than that usually produced by dietary restriction. In prospective studies that prescribed high levels of exercise, enrolled individuals achieved substantially greater weight losscomparable to that obtained after similar energy deficits were produced by caloric restriction. High levels of exercise might, however, be difficult for overweight or obese adults to achieve and sustain. RCTs examining exercise and its effect on weight-loss maintenance demonstrated mixed results; however, weight maintenance interventions were usually of limited duration and long-term adherence to exercise was problematic. Epidemiologic, cross-sectional, and prospective correlation studies suggest an essential role for physical activity in weight-loss maintenance, and post hoc analysis of prospective trials shows a clear dose-response relationship between physical activity and weight maintenance. This article reviews the role of physical activity in producing and maintaining weight loss. We focus on prospective, RCTs lasting at least 4 months; however, other prospective trials, meta-analyses and large systematic reviews are included. Limitations in the current body of literature are discussed.

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“…It has been suggested that such physiological differences may predispose reduced obese subjects to gain weight and thus, make it harder for these individuals to achieve weight maintenance than individuals who have similar current weights but no history of weight loss. However, the only study that has compared behavioral characteristics of weight-loss maintainers and weight-stable controls failed to find differences between the two groups in levels of physical activity, strategies to control dietary intake, and frequency of self-weighing (9). The major limitation with all of the studies mentioned above is that the subjects were not randomly chosen from the general population.…”

Section: Introductionmentioning

confidence: 99%

Behavioral Strategies of Individuals Who Have Maintained Long‐Term Weight Losses

et al. 1999

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MCGUIRE, MAUREEN T., RENA R. WING, MARY L. KLEM, AND JAMES 0. HILL. Behavioral strategies of individuals who have maintained long-term weight losses. Obes Res. 1999;7:334-341. Objective: The purpose of the present study was to compare the behaviors of individuals who have achieved long-term weight loss maintenance with those of regainers and weightstable controls. Research Methods and Procedures: Subjects for the present study were participants in a random-digit dial telephone survey that used a representative sample of the U.S. adult population. Eating, exercise, self-weighing, and dietary restraint characteristics were compared among weight-loss maintainers: individuals who had intentionally lost 2 10% of their weight and maintained it for 2 1 year (n=69), weight-loss regainers: individuals who intentionally lost 210% of their weight but had not maintained it (n=56), and weight-stable controls: individuals who had never lost 210% of their maximum weight and had maintained their current weight (210 pounds) within the past 5 years (n = 113). Results: Weight-loss maintainers had lost an average of 37 pounds and maintained it for over 7 years. These individuals reported that they currently used more behavioral strategies to control dietary fat intake, have higher levels of physical activity (especially strenuous activity), and greater frequency of self-weighing than either the weight-loss regainers or weight-stable controls. Maintainers and regainers did not differ in reported levels of dietary restraint, but both had higher levels of restraint than the weight-stable controls. Discussion: These results suggest that weight-loss maintainers use more behavioral strategies to control their weight than either regainers or weight-stable controls. It would thus appear that long-term weight maintenance requires ongoing adherence to a low-fat diet and an exercise regimen in addition to continued attention to body weight.

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Maintenance and relapse after weight loss in women: behavioral aspects

Cited by 387 publications

References 23 publications

Long-term weight status in regainers after weight loss by lifestyle intervention: status and challenges

Long-term weight status in regainers after weight loss by lifestyle intervention: status and challenges

The role of physical activity in producing and maintaining weight loss

Behavioral Strategies of Individuals Who Have Maintained Long‐Term Weight Losses

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