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. 2017 Jun 6:11:14.
doi: 10.1186/s13030-017-0099-3. eCollection 2017.

Predictors of successful long-term weight loss maintenance: a two-year follow-up

Ryoko Sawamoto  1 , Takehiro Nozaki  1 , Tomoe Nishihara  1 , Tomokazu Furukawa  1 , Tomokazu Hata  1 , Gen Komaki  2 , Nobuyuki Sudo  1
Affiliations

Predictors of successful long-term weight loss maintenance: a two-year follow-up

Ryoko Sawamoto et al. Biopsychosoc Med. .

Abstract

Background: Weight regain is a common problem following weight loss intervention, with most people who seek treatment for obesity able to lose weight, but few able to sustain the changes in behavior required to prevent subsequent weight regain. The identification of factors that predict which patients will successfully maintain weight loss or who are at risk of weight regain after weight loss intervention is necessary to improve the current weight maintenance strategies. The aim of the present study is identify factors associated with successful weight loss maintenance by women with overweight or obesity who completed group cognitive behavioral treatment (CBT) for weight loss.

Methods: Ninety women with overweight or obesity completed a 7-month weight loss intervention. The data of 86 who completed follow-up surveys 12 and 24 months after the end of the treatment was analyzed. Depression, anxiety, binge eating, food addiction, and eating behaviors were assessed before and after the weight loss intervention. Participants who lost at least 10% of their initial weight during the weight loss intervention and had maintained the loss at the month 24 follow-up were defined as successful.

Results: The intervention was successful for 27 participants (31.3%) and unsuccessful for 59 (68.6%). Multiple logistic regression analysis extracted larger weight reduction during the weight loss intervention, a lower disinhibition score, and a low food addiction score at the end of the weight loss intervention as associated with successful weight loss maintenance.

Conclusion: The results suggest that larger weight reduction during the weight loss intervention and lower levels of disinhibition and food addiction at the end of the weight loss intervention predicted successful weight loss maintenance.

Trial registration: Trial registry name: Development and validation of effective treatments of weight loss and weight-loss maintenance using cognitive behavioral therapy for obese patients. Registration ID: UMIN000006803 Registered 1 January 2012. URL: https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000008052.

Keywords: Binge eating; Cognitive behavioral therapy; Disinhibition; Food addiction; Obesity; Weight maintenance.

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References

    1. Wadden TA, Butryn ML, Byrne KJ. Efficacy of lifestyle modification for long-term weight control. Obes Res. 2004;12(Suppl):151S–162S. doi: 10.1038/oby.2004.282. - DOI - PubMed
    1. Cooper Z, Doll HA, Hawker DM, Byrne S, Bonner G, Eeley E, O’Connor ME, Firburn CG. Testing a new cognitive behavioural treatment for obesity: A randomized controlled trial with three-year follow-up. Behav Res Ther. 2010;48:706–713. doi: 10.1016/j.brat.2010.03.008. - DOI - PMC - PubMed
    1. Teixeira PJ, Going SB, Sardinha LB, Lohman TG. A review of psychosocial pre-treatment predictors of weight control. Obes Rev. 2005;6:43–65. doi: 10.1111/j.1467-789X.2005.00166.x. - DOI - PubMed
    1. Elfhag K, Rossner S. Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain. Obes Rev. 2005;6:67–85. doi: 10.1111/j.1467-789X.2005.00170.x. - DOI - PubMed
    1. Nieto MM, Wilson J, Cupo A, Roques BP, Noble F. Chronic morphine treatment modulates the extracellular levels of endogenous enkephalins in rat brain structures involved in opiate dependence: a microdialysis study. J Neurosci. 2002;22:1034–1041. - PMC - PubMed

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