Successfully achieving target weight loss influences subsequent maintenance of lower weight and dropout from treatment
(2015) In Obesity 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.
(Less)
- author
- Yamada, Tomohide ; Hara, Kazuo ; Svensson, Akiko Kishi LU ; Shojima, Nobuhiro ; Hosoe, Jun ; Iwasaki, Minaka ; Yamauchi, Toshimasa and Kadowaki, Takashi
- publishing date
- 2015-01
- 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
- volume
- 23
- issue
- 1
- pages
- 9 pages
- publisher
- Nature Publishing Group
- external identifiers
-
- scopus:84928253380
- pmid:25324210
- ISSN
- 1930-739X
- DOI
- 10.1002/oby.20874
- language
- English
- LU publication?
- no
- additional info
- © 2014 The Obesity Society.
- id
- 26079b96-4dfa-4a86-9b0b-aad4622654ac
- date added to LUP
- 2019-06-05 10:00:16
- date last changed
- 2024-01-01 09:22:16
@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 (>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.</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}},
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}},
language = {{eng}},
number = {{1}},
pages = {{91--183}},
publisher = {{Nature Publishing Group}},
series = {{Obesity}},
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}},
doi = {{10.1002/oby.20874}},
volume = {{23}},
year = {{2015}},
}