AJCN Tufts Nutrition Symposium, Boston Sept 24-26
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Anderson, J. W
Right arrow Articles by Wood, C. L
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Anderson, J. W
Right arrow Articles by Wood, C. L
Agricola
Right arrow Articles by Anderson, J. W
Right arrow Articles by Wood, C. L
American Journal of Clinical Nutrition, Vol. 74, No. 5, 579-584, November 2001
© 2001 American Society for Clinical Nutrition

Original Research Communication

Long-term weight-loss maintenance: a meta-analysis of US studies1,2,3

James W Anderson, Elizabeth C Konz, Robert C Frederich and Constance L Wood

1 From the VA Medical Center, Graduate Center for Nutritional Sciences, University of Kentucky Health Management Resources Weight Management Program, Lexington, and the Departments of Internal Medicine and Biostatistics, University of Kentucky, Lexington.

Background: Current perception is that participants of a structured weight-loss program regain all of their weight loss within 5 y.

Objective: The objective was to examine the long-term weight-loss maintenance of individuals completing a structured weight-loss program.

Design: Studies were required to 1) have been conducted in the United States, 2) have included participants in a structured weight-loss program, 3) have provided follow-up data with variance estimates for >=2 y. Primary outcome variables were weight-loss maintenance in kilograms, weight-loss maintenance as a percentage of initial weight loss, and weight loss as a percentage of initial body weight (reduced weight).

Results: Twenty-nine studies met the inclusion criteria. Successful very-low-energy diets (VLEDs) were associated with significantly greater weight-loss maintenance than were successful hypoenergetic balanced diets (HBDs) at all years of follow-up. The percentage of individuals at 4 or 5 y of follow-up for VLEDs and HBDs were 55.4% and 79.7%, respectively. The results for VLEDs and HBDs, respectively, were as follows: weight-loss maintenance, 7.1 kg (95% CI: 6.1, 8.1 kg) and 2.0 (1.5, 2.5) kg; percentage weight-loss maintenance, 29% (25%, 33%) and 17% (13%, 22%); and reduced weight, 6.6% (5.7%, 7.5%) and 2.1% (1.6%, 2.7%). Weight-loss maintenance did not differ significantly between women and men. Six studies reported that groups who exercised more had significantly greater weight-loss maintenance than did those who exercised less.

Conclusions: Five years after completing structured weight-loss programs, the average individual maintained a weight loss of >3 kg and a reduced weight of >3% of initial body weight. After VLEDs or weight loss of >=20 kg, individuals maintained significantly more weight loss than after HBDs or weight losses of <10 kg.

Key Words: Weight maintenance • weight loss • meta-analysis • very-low-energy diet • hypoenergetic balanced diet




This article has been cited by other articles:


Home page
 NEJMHome page
R. H. Eckel
Nonsurgical Management of Obesity in Adults
N. Engl. J. Med., May 1, 2008; 358(18): 1941 - 1950.
[Full Text] [PDF]

Home page
 Hum ReprodHome page
S. Palomba, F. Giallauria, A. Falbo, T. Russo, R. Oppedisano, A. Tolino, A. Colao, C. Vigorito, F. Zullo, and F. Orio
Structured exercise training programme versus hypocaloric hyperproteic diet in obese polycystic ovary syndrome patients with anovulatory infertility: a 24-week pilot study
Hum. Reprod., March 1, 2008; 23(3): 642 - 650.
[Abstract] [Full Text] [PDF]

Home page
 Diabetes CareHome page
V. Hainer, H. Toplak, and A. Mitrakou
Treatment Modalities of Obesity: What fits whom?
Diabetes Care, February 1, 2008; 31(Supplement_2): S269 - S277.
[Abstract] [Full Text] [PDF]

Home page
 J Health PsycholHome page
L. R. Vartanian and J. G. Shaprow
Effects of Weight Stigma on Exercise Motivation and Behavior: A Preliminary Investigation among College-aged Females
J Health Psychol, January 1, 2008; 13(1): 131 - 138.
[Abstract] [PDF]

Home page
 Am. J. Clin. Nutr.Home page
J. W Anderson, S. B Conley, and A. S Nicholas
One hundred pound weight losses with an intensive behavioral program: changes in risk factors in 118 patients with long-term follow-up
Am. J. Clinical Nutrition, August 1, 2007; 86(2): 301 - 307.
[Abstract] [Full Text] [PDF]

Home page
 ANN INTERN MEDHome page
M. L. Dansinger, A. Tatsioni, J. B. Wong, M. Chung, and E. M. Balk
Meta-analysis: The Effect of Dietary Counseling for Weight Loss
Ann Intern Med, July 3, 2007; 147(1): 41 - 50.
[Abstract] [Full Text] [PDF]

Home page
 J. Nutr.Home page
T. Byers and R. L. Sedjo
Public Health Response to the Obesity Epidemic: Too Soon or Too Late?
J. Nutr., February 1, 2007; 137(2): 488 - 492.
[Abstract] [Full Text] [PDF]

Home page
 Med Care Res RevHome page
A. R. Wilson and D. D. McAlpine
The effectiveness of screening for obesity in primary care: weighing the evidence.
Med Care Res Rev, October 1, 2006; 63(5): 570 - 598.
[Abstract] [PDF]

Home page
 Obstet GynecolHome page
M. L. Power, M. E. Cogswell, and J. Schulkin
Obesity Prevention and Treatment Practices of U.S. Obstetrician-Gynecologists.
Obstet. Gynecol., October 1, 2006; 108(4): 961 - 968.
[Abstract] [Full Text] [PDF]

Home page
 CMAJHome page
I. Strychar
Diet in the management of weight loss
Can. Med. Assoc. J., January 3, 2006; 174(1): 56 - 63.
[Abstract] [Full Text] [PDF]

Home page
 J. Am. Coll. Nutr.Home page
J. W. Anderson and L. H. Hoie
Weight Loss and Lipid Changes with Low-Energy Diets: Comparator Study of Milk-Based versus Soy-Based Liquid Meal Replacement Interventions
J. Am. Coll. Nutr., June 1, 2005; 24(3): 210 - 216.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
P. S. MacLean
A peripheral perspective of weight regain
Am J Physiol Regulatory Integrative Comp Physiol, June 1, 2005; 288(6): R1447 - R1449.
[Full Text] [PDF]

Home page
 J. Clin. Endocrinol. Metab.Home page
A. F. R. Dixon, J. B. Dixon, and P. E. O'Brien
Laparoscopic Adjustable Gastric Banding Induces Prolonged Satiety: A Randomized Blind Crossover Study
J. Clin. Endocrinol. Metab., February 1, 2005; 90(2): 813 - 819.
[Abstract] [Full Text] [PDF]

Home page
 ANN INTERN MEDHome page
A. G. Tsai and T. A. Wadden
Systematic Review: An Evaluation of Major Commercial Weight Loss Programs in the United States
Ann Intern Med, January 4, 2005; 142(1): 56 - 66.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Clin. Nutr.Home page
M.-P. St-Onge
Dietary fats, teas, dairy, and nuts: potential functional foods for weight control?
Am. J. Clinical Nutrition, January 1, 2005; 81(1): 7 - 15.
[Abstract] [Full Text] [PDF]

Home page
 Br. J. Sports. Med.Home page
R C Davey and R Stanton
The obesity epidemic: too much food for thought?
Br. J. Sports Med., June 1, 2004; 38(3): 360 - 363.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Clin. Nutr.Home page
D. A Schoeller
But how much physical activity?
Am. J. Clinical Nutrition, October 1, 2003; 78(4): 669 - 670.
[Full Text] [PDF]

Home page
 J. Am. Coll. Nutr.Home page
J. W. Anderson, C. W.C. Kendall, and D. J.A. Jenkins
Importance of Weight Management in Type 2 Diabetes: Review with Meta-analysis of Clinical Studies
J. Am. Coll. Nutr., October 1, 2003; 22(5): 331 - 339.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2001 by The American Society for Nutrition