Maintenance programmes after weight reduction — how useful are they?

Mustajoki, Pertti; Pekkarinen, Tuula

doi:10.1038/sj.ijo.0800906

Cited by 18 publications

(10 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Analysing individual moderators of weight control is especially important when we consider the large and increasing number of treatment modalities available, which vary in caloric restriction, structure, type and level of support, philosophy and conceptual model and in several other ways (33). Low‐carbohydrate diets (19), meal replacement plans (164), exercise‐only (20) and non‐dieting approaches (165) are available, as are self‐help (166), Internet‐ (167) and doctor‐delivered modalities (168,169), individual, psychologically intense programmes (170), short‐term interventions (171), long‐term care (172) and various combinations of the above [e.g. (173)].…”

Section: Resultsmentioning

confidence: 99%

A review of psychosocial pre‐treatment predictors of weight control

Teixeira¹,

Going²,

Sardinha³

et al. 2005

Obesity Reviews

379

366

View full text Add to dashboard Cite

Prompted by the large heterogeneity of individual results in obesity treatment, many studies have attempted to predict weight outcomes from information collected from participants before they start the programme. Identifying significant predictors of weight loss outcomes is central to improving treatments for obesity, as it could help professionals focus efforts on those most likely to benefit, suggest supplementary or alternative treatments for those less likely to succeed, and help in matching individuals to different treatments. To date, however, research efforts have resulted in weak predictive models with limited practical usefulness. The two primary goals of this article are to review the best individual-level psychosocial pre-treatment predictors of short- and long-term (1 year or more) weight loss and to identify research needs and propose directions for further work in this area. Results from original studies published since 1995 show that few previous weight loss attempts and an autonomous, self-motivated cognitive style are the best prospective predictors of successful weight management. In the more obese samples, higher initial body mass index (BMI) may also be correlated with larger absolute weight losses. Several variables, including binge eating, eating disinhibition and restraint, and depression/mood clearly do not predict treatment outcomes, when assessed before treatment. Importantly, for a considerable number of psychosocial constructs (e.g. eating self-efficacy, body image, self-esteem, outcome expectancies, weight-specific quality of life and several variables related to exercise), evidence is suggestive but inconsistent or too scant for an informed conclusion to be drawn. Results are discussed in the context of past and present conceptual and methodological limitations, and several future research directions are described.

show abstract

Section: Resultsmentioning

confidence: 99%

A review of psychosocial pre‐treatment predictors of weight control

Teixeira¹,

Going²,

Sardinha³

et al. 2005

Obesity Reviews

379

366

View full text Add to dashboard Cite

show abstract

“…Allowing the patient to choose the preferred method to make lifestyle changes may be one approach to long-term dietary maintenance. 28 In this study, participants who perceived that they were maintaining the diet possessed the confidence and skills necessary to adapt to new routines and not slip back to old habits completely. Maintenance may actually be a state of constant change, where adaptability and flexibility with physical, social, and environmental conditions are critical to prolonging the desired change.…”

Section: Relationships With Family Friends and Health Care Providersmentioning

confidence: 91%

Patients' Perspectives About Dietary Maintenance in Type 2 Diabetes

Gutschall

Onega

Wright

2011

Topics in Clinical Nutrition

View full text Add to dashboard Cite

This investigation used a qualitative, open-ended semistructured interview guide to understand the perspectives of individuals with type 2 diabetes (n = 23) concerning factors necessary to maintain dietary changes. Five categories related to maintenance of diagnosis-related dietary changes emerged: self-discipline; understanding emotions; supportive relationships with family, friends, and health care providers; need for education; and strategies to maintain a healthy diet. While the small sample limits applicability of findings to all people with diabetes, dietitians can develop a repertoire of strategies within each category to facilitate mastery over daily challenges and maintenance of healthy dietary behaviors.This investigation used a qualitative, open-ended semistructured interview guide to understand the perspectives of individuals with type 2 diabetes (n = 23) concerning factors necessary to maintain dietary changes. Five categories related to maintenance of diagnosis-related dietary changes emerged: self-discipline; understanding emotions; supportive relationships with family, friends, and health care providers; need for education; and strategies to maintain a healthy diet. While the small sample limits applicability of findings to all people with diabetes, dietitians can develop a repertoire of strategies within each category to facilitate mastery over daily challenges and maintenance of healthy dietary behaviors.

show abstract

“…In studies longer than a year, some weight regain is observed even with continued intervention [121,122]. More importantly, when the beneficial drug or lifestyle intervention is discontinued, patients regain their lost weight quickly [60,123] and often return to their pre-intervention weight over the next 1 --5 years [124][125][126][127]. Clinicians, however, should base their decisions regarding long-term continuation of pharmacotherapy for obesity not just on weight-loss efficacy, but also on improvements in comorbidities, quality of life and, more importantly, on tolerability and safety of the treatment.…”

Section: Issues In Using Antiobesity Drugs In Clinical Practicementioning

confidence: 99%

Current pharmacotherapy for obesity: extrapolation of clinical trials data to practice

Gadde¹

2014

Expert Opinion on Pharmacotherapy

View full text Add to dashboard Cite

Drugs currently approved for long-term therapy of obesity offer modest benefits for most patients, substantial benefits for some and no benefits for others. Numerous methodological problems including exclusion of the type of patients who are most often seen in clinical practices, inadequate enrollment of men and minorities, exclusion of patients taking antidepressants, high dropout rates, lack of follow-up after treatment discontinuation, and less than ideal imputation methods in data analysis limit the interpretation of clinical trials data and generalizability. Single-drug therapies offer small to moderate weight-loss benefits, but are generally better tolerated. Efficacy is enhanced with combination drug therapies, but so are the hazards. Clinicians should base their decisions on the expected and observed benefit-to-risk balance.

show abstract

Maintenance programmes after weight reduction — how useful are they?

Cited by 18 publications

References 11 publications

A review of psychosocial pre‐treatment predictors of weight control

A review of psychosocial pre‐treatment predictors of weight control

Patients' Perspectives About Dietary Maintenance in Type 2 Diabetes

Current pharmacotherapy for obesity: extrapolation of clinical trials data to practice

Contact Info

Product

Resources

About