| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Original Research |
Metabolic Research Group, VA Medical Center and University of Kentucky (HMR) Weight Management Program (J.W.A., S.V.),
Department of Statistics (W.Q., R.J.K.), University of Kentucky, Lexington, Kentucky
Address reprint requests to: James W. Anderson, MD, Medical Service, 111C, 2250 Leestown Road, Lexington, KY 40511
Objective: This prospective study assessed long-term weight maintenance of patients completing an intensive very-low-calorie diet (VLCD) weight-loss program.
Subjects: Individuals who had completed the 12-week core education program and lost 
10 kg were recruited.
Results: Of 154 eligible subjects, follow-up weights were obtained at 2 years in 112 subjects (72.7%, 72 women, 40 men). Subjects had an average initial body mass index of 37.3 kg/m2 and an average weight loss of 29.7 kg in five months. Six hundred and forty-five follow-up weights (median, five per subject) were obtained over two to seven years of follow-up from clinic visits (70%) and self-report by telephone or mail (30%). Subjects regained an average of 2.5% per month of their lost weight during the first two to three years of follow-up; however, their weight stabilized over the next four years. Subjects regained an average of 73.4% of their weight loss during the first three years. The average weight loss maintained for 112 subjects was 22.8% of initial weight loss after an average of 5.3 years of follow-up. When successful weight maintenance was defined as maintaining a weight loss of 5% or 10% of initial (pre-treatment) body weight, 40% were maintaining a 5% weight loss at five years and 25% were maintaining a weight loss of 10% at 7 years. Multiple regression analyses suggested that age had a significant (p=0.004) and positive effect on weight maintenance.
Conclusions: This study suggests that weight maintenance after an intensive VLCD program is improving but still needs intensive efforts to enable most individuals to maintain a substantial percentage of their weight loss long-term.
Key words: weight loss, body mass index, very low calorie diet
This article has been cited by other articles:
|
|
 |
|
  K. S. Dale, K. A. McAuley, R. W. Taylor, S. M. Williams, V. L. Farmer, P. Hansen, S. M. Vorgers, A. W. Chisholm, and J. I. Mann Determining optimal approaches for weight maintenance: a randomized controlled trial Can. Med. Assoc. J., May 12, 2009; 180(10): E39 - E46. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 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]
|
|
|
|
 |
|
 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]
|
|
|
|
|
|
N. Vogels, E. C. Mariman, F. G Bouwman, A. D. Kester, K. Diepvens, and M. S Westerterp-Plantenga Relation of weight maintenance and dietary restraint to peroxisome proliferator-activated receptor {gamma}2, glucocorticoid receptor, and ciliary neurotrophic factor polymorphisms Am. J. Clinical Nutrition, October 1, 2005; 82(4): 740 - 746. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 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]
|
|
|
|
|
|
M. A van Baak, E. van Mil, A. V Astrup, N. Finer, L. F Van Gaal, J. Hilsted, P. G Kopelman, S. Rossner, W P. James, and W. H. Saris Leisure-time activity is an important determinant of long-term weight maintenance after weight loss in the Sibutramine Trial on Obesity Reduction and Maintenance (STORM trial) Am. J. Clinical Nutrition, August 1, 2003; 78(2): 209 - 214. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
