Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Sep;28(5):492-512.
doi: 10.1002/erv.2741. Epub 2020 May 3.

Conventional weight loss interventions across the different BMI obesity classes: A systematic review and quantitative comparative analysis

Kerstin Bauer  1 , Teresa Lau  1 , Juliane Schwille-Kiuntke  1   2 , Sandra Schild  1 , Hans Hauner  3 , Andreas Stengel  1   4 , Stephan Zipfel  1 , Isabelle Mack  1
Affiliations

Conventional weight loss interventions across the different BMI obesity classes: A systematic review and quantitative comparative analysis

Kerstin Bauer et al. Eur Eat Disord Rev. 2020 Sep.

Abstract

Objective: The recommendation for conventional body weight loss (BWL) treatment in obesity is 5-10%. It is not clear whether BWL is similar across the three different body mass index (BMI) obesity classes. The aim was to provide an overview on BWL across these classes in moderate lifestyle/diet intervention programs.

Method: A systematic literature search was conducted and the evidence of randomized controlled trials (RCTs) and pre-post design studies synthesized. The outcome was BWL.

Results: For RCTs, mean BWL in the intervention group was 3.6 kg (class I) and 5.3 kg (class II), which equates to 4 and 5% BWL, respectively. None of the assessed class III obesity studies met the inclusion criteria. For pre-post design studies, mean BWL was 5.4 kg (class I), 5.5 kg (class II) and 7.9 kg (class III), with high variation within and across studies in the latter. This equates to 6, 5 and, 6% BWL, respectively.

Conclusions: BWL of moderate BWL programs are similar across the different obesity classes. For class I obesity, the results differ between RCT and pre-post design studies by 2% BWL. The high variation of BWL in class III obesity might reflect different states of motivation such as the attitude towards bariatric surgery.

Keywords: adults; obesity; review; treatment; weight loss.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

REFERENCES

    1. Abedi, P., Lee, M. H., Kandiah, M., Yassin, Z., Shojaeezade, D., Hosseini, M., & Malihi, R. (2010). Diet intervention to improve cardiovascular risk factors among Iranian postmenopausal women. Nutrition Research and Practice, 4(6), 522-527. https://doi.org/10.4162/nrp.2010.4.6.522
    1. Acharya, S. D., Elci, O. U., Sereika, S. M., Music, E., Styn, M. A., Turk, M. W., & Burke, L. E. (2009). Adherence to a behavioral weight loss treatment program enhances weight loss and improvements in biomarkers. Patient Preference and Adherence, 3, 151-160 Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/19936157
    1. Ahern, A. L., Wheeler, G. M., Aveyard, P., Boyland, E. J., Halford, J. C. G., Mander, A. P., … Jebb, S. A. (2017). Extended and standard duration weight-loss programme referrals for adults in primary care (WRAP): A randomised controlled trial. Lancet, 389(10085), 2214-2225. https://doi.org/10.1016/S0140-6736(17)30647-5
    1. Allen, J. K., Stephens, J., Dennison Himmelfarb, C. R., Stewart, K. J., & Hauck, S. (2013). Randomized controlled pilot study testing use of smartphone technology for obesity treatment. Journal of Obesity, 2013, 1-7. https://doi.org/10.1155/2013/151597
    1. Anderson, J. W., & Konz, E. C. (2001). Obesity and disease management: Effects of weight loss on comorbid conditions. Obesity Research, 9(Suppl 4), 326S-334S. https://doi.org/10.1038/oby.2001.138

Publication types