Practices associated with weight loss versus weight-loss maintenance: Results of a national survey

Christopher Sciamanna, Michaela Kiernan, Barbara Jean Rolls, Jarol Boan, Heather Stuckey, Donna Kephart, Carla K. Miller, Gordon Lee Jensen, Terry J. Hartmann, Eric Loken, Kevin O. Hwang, Ronald Williams, Melissa A. Clark, Jane R. Schubart, Arthur M. Nezu, Erik Lehman, Cheryl Dellasega

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Background: Few studies have examined the weight-control practices that promote weight loss and weight-loss maintenance in the same sample. Purpose: To examine whether the weight control practices associated with weight loss differ from those associated with weight-loss maintenance. Methods: Cross-sectional survey of a random sample of 1165 U.S. adults. The adjusted associations of the use of 36 weight-control practices in the past week with success in weight loss (<10% lost in the past year) and success in weight-loss maintenance (<10% lost and maintained for <1 year) were examined. Results: Of the 36 practices, only 8 (22%) were associated with both weight loss and weight-loss maintenance. Overall, there was poor agreement (kappa=0.22) between the practices associated with weight loss and/or weight-loss maintenance. For example, those who reported more often following a consistent exercise routine or eating plenty of low-fat sources of protein were 1.97 (95% CI=1.33, 2.94) and 1.76 (95% CI=1.25, 2.50) times more likely, respectively, to report weight-loss maintenance but not weight loss. Alternatively, those who reported more often doing different kinds of exercises or planning meals ahead of time were 2.56 (95% CI=1.44, 4.55) and 1.68 (95% CI=1.03, 2.74) times more likely, respectively, to report weight loss but not weight-loss maintenance. Conclusions: Successful weight loss and weight-loss maintenance may require two different sets of practices. Designing interventions with this premise may inform the design of more effective weight-loss maintenance interventions.

Original languageEnglish (US)
Pages (from-to)159-166
Number of pages8
JournalAmerican Journal of Preventive Medicine
Volume41
Issue number2
DOIs
StatePublished - Aug 1 2011

Fingerprint

Weight Loss
Maintenance
Surveys and Questionnaires
Weights and Measures
Meals
Cross-Sectional Studies
Eating
Fats

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Sciamanna, Christopher ; Kiernan, Michaela ; Rolls, Barbara Jean ; Boan, Jarol ; Stuckey, Heather ; Kephart, Donna ; Miller, Carla K. ; Jensen, Gordon Lee ; Hartmann, Terry J. ; Loken, Eric ; Hwang, Kevin O. ; Williams, Ronald ; Clark, Melissa A. ; Schubart, Jane R. ; Nezu, Arthur M. ; Lehman, Erik ; Dellasega, Cheryl. / Practices associated with weight loss versus weight-loss maintenance : Results of a national survey. In: American Journal of Preventive Medicine. 2011 ; Vol. 41, No. 2. pp. 159-166.
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abstract = "Background: Few studies have examined the weight-control practices that promote weight loss and weight-loss maintenance in the same sample. Purpose: To examine whether the weight control practices associated with weight loss differ from those associated with weight-loss maintenance. Methods: Cross-sectional survey of a random sample of 1165 U.S. adults. The adjusted associations of the use of 36 weight-control practices in the past week with success in weight loss (<10{\%} lost in the past year) and success in weight-loss maintenance (<10{\%} lost and maintained for <1 year) were examined. Results: Of the 36 practices, only 8 (22{\%}) were associated with both weight loss and weight-loss maintenance. Overall, there was poor agreement (kappa=0.22) between the practices associated with weight loss and/or weight-loss maintenance. For example, those who reported more often following a consistent exercise routine or eating plenty of low-fat sources of protein were 1.97 (95{\%} CI=1.33, 2.94) and 1.76 (95{\%} CI=1.25, 2.50) times more likely, respectively, to report weight-loss maintenance but not weight loss. Alternatively, those who reported more often doing different kinds of exercises or planning meals ahead of time were 2.56 (95{\%} CI=1.44, 4.55) and 1.68 (95{\%} CI=1.03, 2.74) times more likely, respectively, to report weight loss but not weight-loss maintenance. Conclusions: Successful weight loss and weight-loss maintenance may require two different sets of practices. Designing interventions with this premise may inform the design of more effective weight-loss maintenance interventions.",
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Practices associated with weight loss versus weight-loss maintenance : Results of a national survey. / Sciamanna, Christopher; Kiernan, Michaela; Rolls, Barbara Jean; Boan, Jarol; Stuckey, Heather; Kephart, Donna; Miller, Carla K.; Jensen, Gordon Lee; Hartmann, Terry J.; Loken, Eric; Hwang, Kevin O.; Williams, Ronald; Clark, Melissa A.; Schubart, Jane R.; Nezu, Arthur M.; Lehman, Erik; Dellasega, Cheryl.

In: American Journal of Preventive Medicine, Vol. 41, No. 2, 01.08.2011, p. 159-166.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Practices associated with weight loss versus weight-loss maintenance

T2 - Results of a national survey

AU - Sciamanna, Christopher

AU - Kiernan, Michaela

AU - Rolls, Barbara Jean

AU - Boan, Jarol

AU - Stuckey, Heather

AU - Kephart, Donna

AU - Miller, Carla K.

AU - Jensen, Gordon Lee

AU - Hartmann, Terry J.

AU - Loken, Eric

AU - Hwang, Kevin O.

AU - Williams, Ronald

AU - Clark, Melissa A.

AU - Schubart, Jane R.

AU - Nezu, Arthur M.

AU - Lehman, Erik

AU - Dellasega, Cheryl

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N2 - Background: Few studies have examined the weight-control practices that promote weight loss and weight-loss maintenance in the same sample. Purpose: To examine whether the weight control practices associated with weight loss differ from those associated with weight-loss maintenance. Methods: Cross-sectional survey of a random sample of 1165 U.S. adults. The adjusted associations of the use of 36 weight-control practices in the past week with success in weight loss (<10% lost in the past year) and success in weight-loss maintenance (<10% lost and maintained for <1 year) were examined. Results: Of the 36 practices, only 8 (22%) were associated with both weight loss and weight-loss maintenance. Overall, there was poor agreement (kappa=0.22) between the practices associated with weight loss and/or weight-loss maintenance. For example, those who reported more often following a consistent exercise routine or eating plenty of low-fat sources of protein were 1.97 (95% CI=1.33, 2.94) and 1.76 (95% CI=1.25, 2.50) times more likely, respectively, to report weight-loss maintenance but not weight loss. Alternatively, those who reported more often doing different kinds of exercises or planning meals ahead of time were 2.56 (95% CI=1.44, 4.55) and 1.68 (95% CI=1.03, 2.74) times more likely, respectively, to report weight loss but not weight-loss maintenance. Conclusions: Successful weight loss and weight-loss maintenance may require two different sets of practices. Designing interventions with this premise may inform the design of more effective weight-loss maintenance interventions.

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