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Successful Long-term Weight Maintenance: A 2-year Follow-up
OBJECTIVE: To find factors associated with successful weight maintenance (WM) in overweight and obese subjects after a very low-calorie diet (VLCD). RESEARCH METHODS AND PROCEDURES: Subjects (133) followed a VLCD (2.1 MJ/d) for 6 weeks in a free-living situation. Of these, 103 subjects (age, 49.6 ±...
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| Published in: | Obesity (Silver Spring, Md.) Md.), 2007-05, Vol.15 (5), p.1258-1266 |
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| container_title | Obesity (Silver Spring, Md.) |
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| creator | Vogels, Neeltje Westerterp-Plantenga, Margriet S |
| description | OBJECTIVE: To find factors associated with successful weight maintenance (WM) in overweight and obese subjects after a very low-calorie diet (VLCD). RESEARCH METHODS AND PROCEDURES: Subjects (133) followed a VLCD (2.1 MJ/d) for 6 weeks in a free-living situation. Of these, 103 subjects (age, 49.6 ± 9.7 years; BMI, 30.9 ± 3.8 kg/m²) completed the following 2-year WM period. Body weight (BW), body composition, leptin concentration, attitude toward eating, and physical activity were determined right before (t0) and after (t1) the VLCD, after 3 months (t2), after 1 year (t3), after 1.5 years (t4), and after 2 years (t5). RESULTS: BW loss during VLCD was 7.2 ± 3.1 kg. After 2 years, follow-up BW regain was 69.0 ± 98.4%. After 2 years of WM, 13 subjects were successful (10% BW regain). At baseline, these groups were significantly different in BMI (33.7 ± 4.7 vs. 30.5 ± 3.5 kg/m², respectively; p < 0.05) and fat mass (38.3 ± 9.8 vs. 32.1 ± 8.3 kg, p < 0.05). Successful subjects increased their dietary restraint significantly more during the whole study period (dietary restraint score, -4.9 ± 4.4 vs. -2.1 ± 3.8). Furthermore, %BW regain was associated with the amount of percentage body fat lost during VLCD, which indicates that the more fat lost, the better the WM, suggesting a fat free mass-sparing effect. DISCUSSION: Characteristics such as the ability to increase dietary restraint and maintain this high level of restraint, fat free mass sparing, and a relatively high baseline BMI and fat mass were associated with successful long-term WM ( |
| doi_str_mv | 10.1038/oby.2007.147 |
| format | article |
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RESEARCH METHODS AND PROCEDURES: Subjects (133) followed a VLCD (2.1 MJ/d) for 6 weeks in a free-living situation. Of these, 103 subjects (age, 49.6 ± 9.7 years; BMI, 30.9 ± 3.8 kg/m²) completed the following 2-year WM period. Body weight (BW), body composition, leptin concentration, attitude toward eating, and physical activity were determined right before (t0) and after (t1) the VLCD, after 3 months (t2), after 1 year (t3), after 1.5 years (t4), and after 2 years (t5). RESULTS: BW loss during VLCD was 7.2 ± 3.1 kg. After 2 years, follow-up BW regain was 69.0 ± 98.4%. After 2 years of WM, 13 subjects were successful (<10% BW regain), and 90 were unsuccessful (>10% BW regain). At baseline, these groups were significantly different in BMI (33.7 ± 4.7 vs. 30.5 ± 3.5 kg/m², respectively; p < 0.05) and fat mass (38.3 ± 9.8 vs. 32.1 ± 8.3 kg, p < 0.05). Successful subjects increased their dietary restraint significantly more during the whole study period (dietary restraint score, -4.9 ± 4.4 vs. -2.1 ± 3.8). Furthermore, %BW regain was associated with the amount of percentage body fat lost during VLCD, which indicates that the more fat lost, the better the WM, suggesting a fat free mass-sparing effect. DISCUSSION: Characteristics such as the ability to increase dietary restraint and maintain this high level of restraint, fat free mass sparing, and a relatively high baseline BMI and fat mass were associated with successful long-term WM (<10% regain after 2 years).</description><identifier>ISSN: 1930-7381</identifier><identifier>EISSN: 1930-739X</identifier><identifier>DOI: 10.1038/oby.2007.147</identifier><identifier>PMID: 17495202</identifier><language>eng</language><publisher>Oxford, UK: The North American Association for the Study of Obesity</publisher><subject>Adult ; adults ; Attitude ; attitude toward eating ; attitudes and opinions ; Body Composition ; Body fat ; body mass index ; Body Weight ; Calories ; Cardiovascular disease ; Diet ; dietary restraint ; dietary restriction ; Eating - physiology ; Eating - psychology ; Exercise ; Follow-Up Studies ; Humans ; lean body mass ; leptin ; Leptin - blood ; Middle Aged ; Netherlands ; Obesity ; Overweight ; physical activity ; Physical fitness ; Research methodology ; Surveys and Questionnaires ; temporal variation ; Time Factors ; very low calorie diet ; Weight control ; Weight Loss - physiology ; weight regain</subject><ispartof>Obesity (Silver Spring, Md.), 2007-05, Vol.15 (5), p.1258-1266</ispartof><rights>2007 North American Association for the Study of Obesity (NAASO)</rights><rights>Copyright Nature Publishing Group May 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5111-ab3965952e340c2b533cc5627c97bcbefb7003adefdc492873366e7900353c673</citedby><cites>FETCH-LOGICAL-c5111-ab3965952e340c2b533cc5627c97bcbefb7003adefdc492873366e7900353c673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1038%2Foby.2007.147$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1038%2Foby.2007.147$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17495202$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vogels, Neeltje</creatorcontrib><creatorcontrib>Westerterp-Plantenga, Margriet S</creatorcontrib><title>Successful Long-term Weight Maintenance: A 2-year Follow-up</title><title>Obesity (Silver Spring, Md.)</title><addtitle>Obesity (Silver Spring)</addtitle><description>OBJECTIVE: To find factors associated with successful weight maintenance (WM) in overweight and obese subjects after a very low-calorie diet (VLCD). RESEARCH METHODS AND PROCEDURES: Subjects (133) followed a VLCD (2.1 MJ/d) for 6 weeks in a free-living situation. Of these, 103 subjects (age, 49.6 ± 9.7 years; BMI, 30.9 ± 3.8 kg/m²) completed the following 2-year WM period. Body weight (BW), body composition, leptin concentration, attitude toward eating, and physical activity were determined right before (t0) and after (t1) the VLCD, after 3 months (t2), after 1 year (t3), after 1.5 years (t4), and after 2 years (t5). RESULTS: BW loss during VLCD was 7.2 ± 3.1 kg. After 2 years, follow-up BW regain was 69.0 ± 98.4%. After 2 years of WM, 13 subjects were successful (<10% BW regain), and 90 were unsuccessful (>10% BW regain). At baseline, these groups were significantly different in BMI (33.7 ± 4.7 vs. 30.5 ± 3.5 kg/m², respectively; p < 0.05) and fat mass (38.3 ± 9.8 vs. 32.1 ± 8.3 kg, p < 0.05). Successful subjects increased their dietary restraint significantly more during the whole study period (dietary restraint score, -4.9 ± 4.4 vs. -2.1 ± 3.8). Furthermore, %BW regain was associated with the amount of percentage body fat lost during VLCD, which indicates that the more fat lost, the better the WM, suggesting a fat free mass-sparing effect. DISCUSSION: Characteristics such as the ability to increase dietary restraint and maintain this high level of restraint, fat free mass sparing, and a relatively high baseline BMI and fat mass were associated with successful long-term WM (<10% regain after 2 years).</description><subject>Adult</subject><subject>adults</subject><subject>Attitude</subject><subject>attitude toward eating</subject><subject>attitudes and opinions</subject><subject>Body Composition</subject><subject>Body fat</subject><subject>body mass index</subject><subject>Body Weight</subject><subject>Calories</subject><subject>Cardiovascular disease</subject><subject>Diet</subject><subject>dietary restraint</subject><subject>dietary restriction</subject><subject>Eating - physiology</subject><subject>Eating - psychology</subject><subject>Exercise</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>lean body mass</subject><subject>leptin</subject><subject>Leptin - blood</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Obesity</subject><subject>Overweight</subject><subject>physical activity</subject><subject>Physical fitness</subject><subject>Research methodology</subject><subject>Surveys and Questionnaires</subject><subject>temporal variation</subject><subject>Time Factors</subject><subject>very low calorie diet</subject><subject>Weight control</subject><subject>Weight Loss - physiology</subject><subject>weight regain</subject><issn>1930-7381</issn><issn>1930-739X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><recordid>eNp90E1LwzAYB_Agiu83z1oQPNn5JGmaVk8qvsFkhynqKaTZ01npmpm0yL69GR0KHjwlJL_nhT8hBxQGFHh2ZovFgAHIAU3kGtmmOYdY8vx1_eee0S2y4_0HQJKCoJtki8okFwzYNrkYd8ag92VXR0PbTOMW3Sx6wWr63kaPumpabHRj8Dy6jFi8QO2iW1vX9ivu5ntko9S1x_3VuUueb2-eru_j4eju4fpyGBtBKY11wfNUhHnIEzCsEJwbI1ImTS4LU2BZSACuJ1hOTJKzTHKepijz8Ci4SSXfJSd937mznx36Vs0qb7CudYO280qCAKBSBHj8B37YzjVhNxWigiSRGcuCOu2VcdZ7h6Wau2qm3SKgpctUiFQtI1Uh0sAPV027YoaTX7zKMADowVdV4-LfZmp09SZSGkqivqTRbefwpybYJe3HHvWk1Fbpqau8eh4zoDz8S8kZ8G9GtJHk</recordid><startdate>200705</startdate><enddate>200705</enddate><creator>Vogels, Neeltje</creator><creator>Westerterp-Plantenga, Margriet S</creator><general>The North American Association for the Study of Obesity</general><general>Blackwell Publishing Ltd</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>200705</creationdate><title>Successful Long-term Weight Maintenance: A 2-year Follow-up</title><author>Vogels, Neeltje ; Westerterp-Plantenga, Margriet S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5111-ab3965952e340c2b533cc5627c97bcbefb7003adefdc492873366e7900353c673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>adults</topic><topic>Attitude</topic><topic>attitude toward eating</topic><topic>attitudes and opinions</topic><topic>Body Composition</topic><topic>Body fat</topic><topic>body mass index</topic><topic>Body Weight</topic><topic>Calories</topic><topic>Cardiovascular disease</topic><topic>Diet</topic><topic>dietary restraint</topic><topic>dietary restriction</topic><topic>Eating - physiology</topic><topic>Eating - psychology</topic><topic>Exercise</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>lean body mass</topic><topic>leptin</topic><topic>Leptin - blood</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>Obesity</topic><topic>Overweight</topic><topic>physical activity</topic><topic>Physical fitness</topic><topic>Research methodology</topic><topic>Surveys and Questionnaires</topic><topic>temporal variation</topic><topic>Time Factors</topic><topic>very low calorie diet</topic><topic>Weight control</topic><topic>Weight Loss - physiology</topic><topic>weight regain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vogels, Neeltje</creatorcontrib><creatorcontrib>Westerterp-Plantenga, Margriet S</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity (Silver Spring, Md.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vogels, Neeltje</au><au>Westerterp-Plantenga, Margriet S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful Long-term Weight Maintenance: A 2-year Follow-up</atitle><jtitle>Obesity (Silver Spring, Md.)</jtitle><addtitle>Obesity (Silver Spring)</addtitle><date>2007-05</date><risdate>2007</risdate><volume>15</volume><issue>5</issue><spage>1258</spage><epage>1266</epage><pages>1258-1266</pages><issn>1930-7381</issn><eissn>1930-739X</eissn><notes>http://www.obesityresearch.org/contents-by-date.0.shtml</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>OBJECTIVE: To find factors associated with successful weight maintenance (WM) in overweight and obese subjects after a very low-calorie diet (VLCD). RESEARCH METHODS AND PROCEDURES: Subjects (133) followed a VLCD (2.1 MJ/d) for 6 weeks in a free-living situation. Of these, 103 subjects (age, 49.6 ± 9.7 years; BMI, 30.9 ± 3.8 kg/m²) completed the following 2-year WM period. Body weight (BW), body composition, leptin concentration, attitude toward eating, and physical activity were determined right before (t0) and after (t1) the VLCD, after 3 months (t2), after 1 year (t3), after 1.5 years (t4), and after 2 years (t5). RESULTS: BW loss during VLCD was 7.2 ± 3.1 kg. After 2 years, follow-up BW regain was 69.0 ± 98.4%. After 2 years of WM, 13 subjects were successful (<10% BW regain), and 90 were unsuccessful (>10% BW regain). At baseline, these groups were significantly different in BMI (33.7 ± 4.7 vs. 30.5 ± 3.5 kg/m², respectively; p < 0.05) and fat mass (38.3 ± 9.8 vs. 32.1 ± 8.3 kg, p < 0.05). Successful subjects increased their dietary restraint significantly more during the whole study period (dietary restraint score, -4.9 ± 4.4 vs. -2.1 ± 3.8). Furthermore, %BW regain was associated with the amount of percentage body fat lost during VLCD, which indicates that the more fat lost, the better the WM, suggesting a fat free mass-sparing effect. DISCUSSION: Characteristics such as the ability to increase dietary restraint and maintain this high level of restraint, fat free mass sparing, and a relatively high baseline BMI and fat mass were associated with successful long-term WM (<10% regain after 2 years).</abstract><cop>Oxford, UK</cop><pub>The North American Association for the Study of Obesity</pub><pmid>17495202</pmid><doi>10.1038/oby.2007.147</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| source | Wiley-Blackwell Journals |
| subjects | Adult adults Attitude attitude toward eating attitudes and opinions Body Composition Body fat body mass index Body Weight Calories Cardiovascular disease Diet dietary restraint dietary restriction Eating - physiology Eating - psychology Exercise Follow-Up Studies Humans lean body mass leptin Leptin - blood Middle Aged Netherlands Obesity Overweight physical activity Physical fitness Research methodology Surveys and Questionnaires temporal variation Time Factors very low calorie diet Weight control Weight Loss - physiology weight regain |
| title | Successful Long-term Weight Maintenance: A 2-year Follow-up |
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