Abstract
Past studies have suggested that weight loss history is associated with subsequent weight loss. However, questions remain whether method and amount of weight lost in previous attempts impacts current weight loss efforts. This study utilized data from the Weight Loss Maintenance Trial to examine the association between weight loss history and weight loss outcomes in a diverse sample of high-risk individuals. Multivariate regression analysis was conducted to determine which specific aspects of weight loss history predict change in weight during a 6-month weight loss intervention. Greater weight loss was predicted by fewer previous weight loss attempts with assistance (p = 0.03), absence of previous dietary/herbal weight loss supplement use (p = 0.01), and greater maximum weight loss in previous attempts (p < 0.001). Future interventions may benefit from assessment of weight loss history and tailoring of interventions based on past weight loss behaviors and outcomes.
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Ali, M. K., Echouffo-Tcheugui, J. B., & Williamson, D. F. (2012). How effective were lifestyle interventions in real-world settings that were modeled on the Diabetes Prevention Program? Health Affairs, 31, 67–75.
Appel, L. J., Vollmer, W. M., Obarzanek, E., Aicher, K. M., Conlin, P. R., Kennedy, B. M., et al. (1999). Recruitment and baseline characteristics of participants in the dietary approaches to stop hypertension trial. Journal of the American Dietetic Association, 99, S69–S75.
Blanck, H., Serdula, M., Gillespie, C., Galuska, D. A., Sharpe, P. A., Conway, J. M., et al. (2007). Use of nonprescription dietary supplements for weight loss is common among Americans. Journal of the American Dietetic Association, 107, 441–447.
Brantley, P., Appel, L., Hollis, J., Stevens, V. J., Ard, J., Champagne, C. M., et al. (2008). Weight loss maintenance (WLM): Design and rationale of a multi-center trial to sustain weight loss. Clinical Trials, 5, 546–556.
Brown, J., & Wimpenny, P. (2011). Determining factors required for a holistic approach to weight management of those with obesity. Advances in Nursing Science, 34, 136–150.
Collins, L. M., Schafer, J. L., & Kam, C. M. (2001). A comparison of inclusive and restrictive strategies in modern missing data procedures. Psychological Methods, 6, 330–351.
Danaei, G., Ding, E., Mozaffarian, D., Taylor, B., Rehm, J., Murray, C. J. L., et al. (2009). The preventable causes of death in the United States: Comparative risk assessment of dietary, lifestyle, and metabolic risk factors. Public Library of Science Medicine, 6, e1000058.
Dwyer, J. T., Allison, D. B., & Coates, P. M. (2005). Dietary supplements in weight reduction. Journal of the American Dietetic Association, 105, S80–S86.
Egger, G., Cameron-Smith, D., & Stanton, R. (1999). The effectiveness of popular, non-prescription weight loss supplements. The Medical Journal of Australia, 171, 604–608.
Fabricatore, A., Wadden, T., Moore, R., Butryn, M., Heymsfield, S., & Nguyen, A. (2009). Predictors of attrition and weight loss success: Results from a randomized controlled trial. Behaviour Research and Therapy, 47, 685–691.
Flegal, K., Carroll, M., Ogden, C., & Curtin, L. (2010). Prevalence and trends in obesity among US adults, 1999–2008. The Journal of the American Medical Association, 303, 235–241.
Goodpaster, B., DeLany, J., Otto, A., Kuller, L., Vockley, J., South-Paul, J. E., et al. (2010). Effects of diet and physical activity interventions on weight loss and cardiometabolic risk factors in severely obese adults: A randomized trial. The Journal of the American Medical Association, 304, 1795–1802.
Guh, D., Zhang, W., Bansback, N., Amarsi, Z., Birmingham, C., & Anis, A. (2009). The incidence of co-morbidities related to obesity and overweight: A systematic review and meta-analysis. BMC Public Health, 9, 88.
Hammond, R., & Levine, R. (2010). The economic impact of obesity in the United States. Diabetes, Metabolic Syndrome, and Obesity: Targets and Therapy, 3, 285–295.
Hollis, J., Gullion, C., Stevens, V., Brantley, P. J., Appel, L. J., Ard, J. D., et al. (2008). Weight loss during the intensive intervention phase of the weight-loss maintenance trial. American Journal of Preventive Medicine, 35, 118–126.
Kiernan, M., King, A., Kraemer, H., Stefanick, M., & Killen, J. (1998). Characteristics of successful and unsuccessful dieters: An application of signal detection methodology. Annals of Behavioral Medicine, 20, 1–6.
Knowler, W., Barrett-Connor, E., Fowler, S., Hamman, R. F., Lachin, J. M., Walker, E. A., et al. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine, 346, 393–403.
Kruger, J., Yore, M., Ainsworth, B., & Macera, C. (2008). Physical activity patterns associated with weight-control status: Differences by race and sex. Journal of Physical Activity & Health, 5, 456–468.
Leibel, R. L., & Hirsch, J. (1984). Diminished energy requirements in reduced-obese patients. Metabolism, 33, 164–170.
Lenz, T. L., & Hamilton, W. R. (2004). Supplemental products used for weight loss. Journal of the American Pharmaceutical Association, 44, 59–68.
Linde, J. A., Rothman, A. J., Baldwin, A. S., & Jeffery, R. W. (2006). The impact of self-efficacy on behavior change and weight change among overweight participants in a weight loss trial. Health Psychology, 25, 282–291.
Maxwell, S. E., & Delaney, H. D. (1990). Designing experiments and analyzing data: A model comparison perspective. Belmont, CA: Lawrence Erlbaum Associates.
Pekkarinen, T., Takala, I., & Mustajoki, P. (1996). Two year maintenance of weight loss after a VLCD and behavioural therapy for obesity: Correlation to the scores of questionnaires measuring eating behaviour. International Journal of Obesity, 20, 332–337.
Pillitteri, J. L., Shiffman, S., Rohay, J. M., Harkins, A. M., Burton, S. L., & Wadden, T. A. (2008). Use of dietary supplements for weight loss in the United States: Results of a national survey. Obesity, 16, 790–796.
Pittler, M. H., & Ernst, E. (2004). Dietary supplements for body-weight reduction: A systematic review. American Journal of Clinical Nutrition, 79, 529–536.
Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7, 147–177.
Smith, M. C., Sondhaus, E., & Porzelius, L. K. (1995). Effects of binge eating on the predication of weight loss in obese women. Journal of Behavioral Medicine, 18, 161–168.
Spano, M., & Antonio, J. (2008). Future trends: Nutritional supplements in sports and exercise. In M. Greenwood, D. S. Kalman, & J. Antonio (Eds.), Nutritional supplements in sports and exercise (pp. 491–522). Totowa, NJ: Humana Press.
Stevens, V., Obarzanek, E., Cook, N., & Lee, I. (2001). Long-term weight loss and changes in blood pressure: Results of the trials of hypertension prevention, phase II. Annals of Internal Medicine, 134, 1–11.
Svetkey, L., Stevens, V., Brantley, P., Appel, L. J., Hollis, J. F., Loria, C. M., et al. (2008). Comparison of strategies for sustaining weight loss: The weight loss maintenance randomized controlled trial. The Journal of the American Medical Association, 299, 1139–1148.
Teixeira, P., Going, S., Houtkooper, L., Cussler, E. C., Martin, C. J., Metcalfe, L. L., et al. (2002). Weight loss readiness in middle-aged women: Psychosocial predictors of success for behavioral weight reduction. Journal of Behavioral Medicine, 25, 499–523.
Teixeira, P., Going, S., Houtkooper, L., Cussler, E. C., Metcalfe, L. L., Blew, R. M., et al. (2004). Pretreatment predictors of attrition and successful weight management in women. International Journal of Obesity, 28, 1124–1133.
Teixeira, P., Going, S., Sardinha, L., & Lohman, T. (2005). A review of psychosocial pre-treatment predictors of weight control. Obesity Review, 6, 43–65.
Wadden, T. A., Webb, V. L., Moran, C. H., & Bailer, B. A. (2012). Lifestyle modification for obesity: New developments in diet, physical activity, and behavior therapy. Circulation, 125, 1157–1170.
West, D., Prewitt, T., Bursac, Z., & Felix, H. (2008). Weight loss of black, white, and Hispanic men and women in the Diabetes Prevention Program. Obesity, 16, 1413–1420.
Acknowledgments
We would like to thank the Coordinating Center analysts who made substantial contributions to this work and a special thanks to the WLM participants who made this study possible. The study sponsor participated in most aspects of the design and conduct of the trial and preparation of the manuscript. The authors have full control of all primary data, and are agreeable to the journal reviewing the data if requested. This study was supported by grants 5-U01 HL68734, 5-U01 HL68676, 5-U01 HL68790, 5-U01 HL68920, and 5-HL68955 from the National Heart, Lung, Blood Institute.
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Clinicaltrials.gov Identifier: NCT00054925.
Appendix: Weight Loss History Questionnaire
Appendix: Weight Loss History Questionnaire
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Myers, V.H., McVay, M.A., Champagne, C.M. et al. Weight loss history as a predictor of weight loss: results from Phase I of the weight loss maintenance trial. J Behav Med 36, 574–582 (2013). https://doi.org/10.1007/s10865-012-9450-0
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DOI: https://doi.org/10.1007/s10865-012-9450-0