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. 2019 Oct 30;19(1):1422.
doi: 10.1186/s12889-019-7669-1.

Predictors of weight loss outcomes in obesity care: results of the national ACTION study

Nikhil V Dhurandhar  1 , Theodore Kyle  2 , Boris Stevenin  3 , Kenneth Tomaszewski  4 ; ACTION Steering Group
Collaborators, Affiliations

Predictors of weight loss outcomes in obesity care: results of the national ACTION study

Nikhil V Dhurandhar et al. BMC Public Health. .

Abstract

Background: A key objective of this study was to examine obesity care attitudes and behaviors of people with obesity (PwO) and determine independent factors associated with a self-reported sustained weight loss success outcome.

Methods: An online survey was conducted in 2015 among 3008 U.S. adult PwO (BMI > 30 through self-reported height and weight). Multivariate logistic models explained variation in weight loss success, defined as ≥ 10% weight loss in previous 3 years and maintained for > 1 year.

Results: Controlling for weight changes over time, we found significant associations between self-reported weight history and weight loss success. PwO who had personal motivation to lose weight, were willing to talk to a diabetes educator about their weight, who had their weight loss attempts recognized by a healthcare provider, and were diagnosed with "obesity" or "overweight" were more likely to report having success losing weight.

Conclusions: This study does not determine causality, but suggests motivation and engagement with PwO may impact weight loss, and presents a basis for assessing the mechanism involved. Determining such mechanisms may identify important targets to improve obesity treatment outcomes.

Trial registration: This study is registered with ClinicalTrials.gov , number NCT03223493, https://clinicaltrials.gov/ct2/show/NCT03223493 . Registered July 17, 2017 (retrospectively registered).

Keywords: Obesity attitudes, obesity management; People with obesity; Weight-loss success.

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Conflict of interest statement

Dr. Dhurandhar reports personal fees from Novo Nordisk during the conduct of the study and personal fees from Novo Nordisk outside the submitted work. He has also received an investigator-initiated grant from Novo Nordisk.

Mr. Kyle reports personal fees from Novo Nordisk, during the conduct of the study; personal fees from Eisai, personal fees from NutriSystem, outside the submitted work.

Dr. Stevenin is an employee of Novo Nordisk, Inc.

Dr. Tomaszewski reports consulting fees from Novo Nordisk during the conduct of the study.

Figures

Fig. 1
Fig. 1
Percent Change from Baseline Average Success Rate. Increasing the rate by 50% relative to the average baseline rates yields improvement in the rate of success by as much as 16%
See this image and copyright information in PMC

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