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Successfully achieving target weight loss influences subsequent maintenance of lower weight and dropout from treatment

Yamada, Tomohide; Hara, Kazuo; Svensson, Akiko Kishi LU ; Shojima, Nobuhiro; Hosoe, Jun; Iwasaki, Minaka; Yamauchi, Toshimasa and Kadowaki, Takashi (2015) In Obesity Research 23(1). p.91-183
Abstract

OBJECTIVES: The influence of the amount and rate of weight loss on subsequently regaining weight and dropout from treatment in severely obese patients targeting 5% weight loss was investigated.

METHODS: A total of 120 consecutive hospital patients with severe obesity (BMI: 42 ± 9 kg/m(2) ) participated in an inpatient program targeting 5% weight loss that involved goal setting, charting weight four times daily, and diet and exercise. They were followed after discharge to assess subsequent regaining of weight and dropout.

RESULTS: Mean weight loss was 4.9 ± 2.4% after a mean of 19 days in the hospital, and 43% of the patients achieved the target weight loss (>5%). Over the median 2-year follow-up period, greater than 5%... (More)

OBJECTIVES: The influence of the amount and rate of weight loss on subsequently regaining weight and dropout from treatment in severely obese patients targeting 5% weight loss was investigated.

METHODS: A total of 120 consecutive hospital patients with severe obesity (BMI: 42 ± 9 kg/m(2) ) participated in an inpatient program targeting 5% weight loss that involved goal setting, charting weight four times daily, and diet and exercise. They were followed after discharge to assess subsequent regaining of weight and dropout.

RESULTS: Mean weight loss was 4.9 ± 2.4% after a mean of 19 days in the hospital, and 43% of the patients achieved the target weight loss (>5%). Over the median 2-year follow-up period, greater than 5% in-hospital weight loss was associated with a significantly lower risk of regaining weight after adjustment for various factors (>5% to ≤7% loss: hazard ratio 0.30 [0.11-0.85] for regaining all of the lost weight and 0.32 [0.13-0.78] for regaining half of the lost weight). No significant relation between the amount or rate of weight loss and dropout from subsequent outpatient treatment was seen.

CONCLUSIONS: Successfully achieving the target weight loss in a comprehensive program predicts subsequent maintenance of lower weight without increasing the risk of dropout. Successful in-hospital weight loss might increase the motivation of obese patients.

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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adult, Aged, Behavior Therapy, Body Mass Index, Body Weight, Diet, Exercise Therapy, Female, Goals, Hospitalization, Humans, Male, Middle Aged, Motivation, Obesity, Morbid/complications, Patient Dropouts/psychology, Treatment Outcome, Weight Loss/physiology, Weight Reduction Programs
in
Obesity Research
volume
23
issue
1
pages
9 pages
publisher
Nature Publishing Group
external identifiers
  • scopus:84928253380
ISSN
1930-739X
DOI
10.1002/oby.20874
language
English
LU publication?
no
id
26079b96-4dfa-4a86-9b0b-aad4622654ac
date added to LUP
2019-06-05 10:00:16
date last changed
2019-06-10 10:33:30
@article{26079b96-4dfa-4a86-9b0b-aad4622654ac,
  abstract     = {<p>OBJECTIVES: The influence of the amount and rate of weight loss on subsequently regaining weight and dropout from treatment in severely obese patients targeting 5% weight loss was investigated.</p><p>METHODS: A total of 120 consecutive hospital patients with severe obesity (BMI: 42 ± 9 kg/m(2) ) participated in an inpatient program targeting 5% weight loss that involved goal setting, charting weight four times daily, and diet and exercise. They were followed after discharge to assess subsequent regaining of weight and dropout.</p><p>RESULTS: Mean weight loss was 4.9 ± 2.4% after a mean of 19 days in the hospital, and 43% of the patients achieved the target weight loss (&gt;5%). Over the median 2-year follow-up period, greater than 5% in-hospital weight loss was associated with a significantly lower risk of regaining weight after adjustment for various factors (&gt;5% to ≤7% loss: hazard ratio 0.30 [0.11-0.85] for regaining all of the lost weight and 0.32 [0.13-0.78] for regaining half of the lost weight). No significant relation between the amount or rate of weight loss and dropout from subsequent outpatient treatment was seen.</p><p>CONCLUSIONS: Successfully achieving the target weight loss in a comprehensive program predicts subsequent maintenance of lower weight without increasing the risk of dropout. Successful in-hospital weight loss might increase the motivation of obese patients.</p>},
  author       = {Yamada, Tomohide and Hara, Kazuo and Svensson, Akiko Kishi and Shojima, Nobuhiro and Hosoe, Jun and Iwasaki, Minaka and Yamauchi, Toshimasa and Kadowaki, Takashi},
  issn         = {1930-739X},
  keyword      = {Adult,Aged,Behavior Therapy,Body Mass Index,Body Weight,Diet,Exercise Therapy,Female,Goals,Hospitalization,Humans,Male,Middle Aged,Motivation,Obesity, Morbid/complications,Patient Dropouts/psychology,Treatment Outcome,Weight Loss/physiology,Weight Reduction Programs},
  language     = {eng},
  number       = {1},
  pages        = {91--183},
  publisher    = {Nature Publishing Group},
  series       = {Obesity Research},
  title        = {Successfully achieving target weight loss influences subsequent maintenance of lower weight and dropout from treatment},
  url          = {http://dx.doi.org/10.1002/oby.20874},
  volume       = {23},
  year         = {2015},
}