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Psychosocial predictors of weight regain in the weight loss maintenance trial

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Abstract

This study’s purpose was to identify psychosocial predictors of weight loss maintenance in a multi-site clinical trial, following a group-based weight loss program. Participants (N = 1025) were predominately women (63 %) and 38 % were Black (mean age = 55.6 years; SD = 8.7). At 12 months, higher SF-36 mental health composite scores were associated with less weight regain (p < .01). For Black participants, an interaction existed between race and friends’ encouragement for exercise, where higher exercise encouragement was related to more weight regain (p < .05). At 30 months, friends’ encouragement for healthy eating was associated with more weight regain (p < .05), whereas higher SF-36 mental health composite scores were related to less weight regain (p < .0001). Perceived stress and select health-related quality of life indices were associated with weight regain; this relationship varied across gender, race, and treatment conditions. Temporal changes in these variables should be investigated for their impact on weight maintenance.

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Acknowledgments

Funding was provided by National Heart, Lung, and Blood Institute Grants 5-U01 HL68734, 5-U01 HL68676, 5-U01 HL68790, 5-U01 HL68920, and 5-HL68955; This work was also supported in part by a faculty fellowship from the University of Texas MD Anderson Cancer Center’s Duncan Family Institute for Cancer Prevention and Risk Assessment (awarded to DWS), as well as a National Institutions of Health postdoctoral training Grant (T32 DK064584; awarded to MRME).

Conflict of interest

Phillip J. Brantley, Diana W. Stewart, Valerie H. Myers, Molly R. Matthews-Ewald, Jamy D. Ard, Janelle Coughlin, Carmen Samuel-Hodge, Lillian D. Lien, Christina M. Gullion, Jack F. Hollis, Laura P. Svetkey, and Victor J. Stevens declare that they have no conflict of interest. Gerald J. Jerome declares consultation for Healthways, Inc. as a potential conflict of interest.

Informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

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Authors and Affiliations

  1. Behavioral Medicine Laboratory, Pennington Biomedical Research Center, Louisiana State University System, 6400 Perkins Road, Baton Rouge, LA, 70808, USA

    Phillip J. Brantley & Molly R. Matthews-Ewald

  2. Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Diana W. Stewart

  3. Klein Buendel, Inc., Golden, CO, USA

    Valerie H. Myers

  4. Department of Epidemiology and Prevention, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA

    Jamy D. Ard

  5. Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Janelle W. Coughlin

  6. Department of Kinesiology, Towson University, Towson, MD, USA

    Gerald J. Jerome

  7. Department of Nutrition, School of Public Health and School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Carmen Samuel-Hodge

  8. Division of Endocrinology, Duke University Medical Center, Durham, NC, USA

    Lillian F. Lien

  9. Health Sciences Programs, Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA

    Christina M. Gullion, Jack F. Hollis & Victor J. Stevens

  10. Division of Nephrology and the Sarah W. Stedman Nutrition and Metabolism Center, Duke University Medical Center, Durham, NC, USA

    Laura P. Svetkey

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  1. Phillip J. Brantley
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Correspondence to Phillip J. Brantley.

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Brantley, P.J., Stewart, D.W., Myers, V.H. et al. Psychosocial predictors of weight regain in the weight loss maintenance trial. J Behav Med 37, 1155–1168 (2014). https://doi.org/10.1007/s10865-014-9565-6

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