Obese Patients' Perceptions of Treatment Outcomes and the Factors That Influence Them
Abstract
BACKGROUND: Despite considerable professional consensus that modest weight losses of 5% to 10% are successful for reducing the comorbid conditions associated with obesity, obese patients often desire weight losses 2 to 3 times greater than this. Examining ways to reduce the disparities between treatment expectations and subsequent outcomes, this study evaluated the role of physical characteristics, treatment setting, and mood in patients' evaluations of treatment outcomes. METHODS: This study was conducted in a university outpatient weight loss clinic with a sample of 397 obese individuals seeking weight loss by a variety of modalities. Before treatment, participants' heights and weights were measured, and the Beck Depression Inventory and the Goals and Relative Weight Questionnaire were administered. RESULTS: Outcome evaluations ranged from 64.4 +/- 11.1 kg (mean +/- SD) for dream weight to 90.1 +/- 19.1 kg for disappointed weight. Initial body weight was the strongest predictor of disappointed, acceptable, and happy weights (beta =.90,.76, and.57, respectively). Sex (beta = -.37) and height (beta =.37) were the strongest determinants of dream weight. Heavier participants chose higher absolute weights, but the weight loss required to reach each of the outcomes was greater for heavier than for lighter patients. CONCLUSIONS: These data signal a therapeutic dilemma in which the amount of weight loss produced by the best behavioral and/or pharmacologic treatments is viewed as even less than disappointing. Patients with the highest pretreatment weights are likely to have the most unrealistic expectations for success.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Twenty years ago, lifestyle-treated participants typically reported desiring to lose 25% or more of their baseline weight.
“Twenty years ago, lifestyle-treated participants typically reported desiring to lose 25% or more of their baseline weight [101], which was often followed by practitioners’ extolling the health benefits of a 5–10% reduction, the mean loss they could deliver at the time [8].”
From The Role of Lifestyle Modification with Second-Generation Anti-obesity Medications: Comparisons, Questions, and Clinical Opportunities (2023) · cites this paper as [101]
Cites
(1998) · PsycEXTRA Dataset · doi:10.1037/e565682010-001 · Cited by 9,452 · see citing works
Responses to depression and their effects on the duration of depressive episodes
Nolen-Hoeksema, S. (1991) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.100.4.569 · Cited by 4,529 · see citing works
Origins and functions of positive and negative affect: A control-process view.
Carver, C. S., & Scheier, M. F. (1990) · Psychological Review · doi:10.1037/0033-295x.97.1.19 · Cited by 2,726 · see citing works
Carver, C. S., & Scheier, M. F. (1982) · Psychological Bulletin · doi:10.1037//0033-2909.92.1.111 · Cited by 2,650 · see citing works
Consequences of commitment to and disengagement from incentives.
Klinger, E. (1975) · Psychological Review · doi:10.1037/h0076171 · Cited by 969 · see citing works
Pyszczynski, T., & Greenberg, J. (1987) · Psychological Bulletin · doi:10.1037/0033-2909.102.1.122 · Cited by 825 · see citing works
Wicklund, R. A., & Gollwitzer, P. M. (2013) · Routledge eBooks · doi:10.4324/9781315825663 · Cited by 731 · see citing works
Foster, G. D., Wadden, T. A., Vogt, R. A., & Brewer, G. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.65.1.79 · Cited by 460 · see citing works
Self-citationWadden, T. A., Foster, G. D., & Letizia, K. A. (1994) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.62.1.165 · Cited by 350 · see citing works
Self-citationVelocity relation: Satisfaction as a function of the first derivative of outcome over time.
Hsee, C. K., & Abelson, R. P. (1991) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.60.3.341 · Cited by 333 · see citing works
Behavioral Treatment of Obesity
Wadden, T. A., & Foster, G. D. (2000) · Medical Clinics of North America · doi:10.1016/s0025-7125(05)70230-3 · Cited by 309 · see citing works
Self-citationEffects of four maintenance programs on the long-term management of obesity
Perri, M. G., McAllister, D. A., Gange, J. J., Jordan, R. C., McAdoo, W. G., & Nezu, A. M. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.56.4.529 · Cited by 304 · see citing works
Weighing the Options: Criteria for Evaluating Weight-Management Programs
Thomas, P. (2013) · Cited by 285 · see citing works
(1996) · PubMed · Cited by 214 · see citing works
Wadden, T. A., Vogt, R. A., Andersen, R. E., Bartlett, S. J., Foster, G. D., Kuehnel, R. H., Wilk, J., Weinstock, R., Buckenmeyer, P., Berkowitz, R. I., et al. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.65.2.269 · Cited by 212 · see citing works
Self-citationCervone, D., Jiwani, N., & Wood, R. E. (1991) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.61.2.257 · Cited by 199 · see citing works
Kral, J. G., & Näslund, E. B. (2007) · Nature Clinical Practice Endocrinology & Metabolism · doi:10.1038/ncpendmet0563 · Cited by 149 · see citing works
Jeffrey, R. W., Wing, R. R., & Mayer, R. R. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.66.4.641 · Cited by 142 · see citing works
Lay definitions of ideal weight and overweight
Crawford, D. A., & Campbell, K. J. (1999) · International Journal of Obesity · doi:10.1038/sj.ijo.0800922 · Cited by 130 · see citing works
Wadden, T. A., Bartlett, S. J., Letizia, K. A., Foster, G., Stunkard, A. J., & Conill, A. M. (1992) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/56.1.203s · Cited by 98 · see citing works
Self-citationTreating the Obese Patient: Suggestions for Primary Care Practice
Anderson, D. A. (1999) · Archives of Family Medicine · doi:10.1001/archfami.8.2.156 · Cited by 95 · see citing works
The realistic treatment of obesity: Changing the scales of success
Foster, G. D., & Kendall, P. C. (1994) · Clinical Psychology Review · doi:10.1016/0272-7358(94)90038-8 · Cited by 57 · see citing works
Self-citation[Surgical treatment of obesity].
ITURRASPE, M. C. (2003) · PubMed · Cited by 45 · see citing works
Obesity surgery: expectation and reality.
Rabner, J. G., & Rj, G. (1991) · PubMed · Cited by 37 · see citing works
The perceived relative worth of reaching and maintaining goal weight
O'Neil, P. M., Smith, C., Foster, G., & Anderson, D. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801242 · Cited by 27 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Elfhag, K., & Rössner, S. (2005) · Obesity Reviews · doi:10.1111/j.1467-789x.2005.00170.x · Cited by 1,343 · see citing works
Primary Care Physicians’ Attitudes about Obesity and Its Treatment
Foster, G. D., Wadden, T. A., Makris, A. P., Davidson, D., Sanderson, R. S., Allison, D. B., & Kessler, A. (2003) · Obesity Research · doi:10.1038/oby.2003.161 · Cited by 744 · see citing works
Self-citationA review of psychosocial pre‐treatment predictors of weight control
Teixeira, P. J., Going, S. B., Sardinha, L. B., & Lohman, T. G. (2005) · Obesity Reviews · doi:10.1111/j.1467-789x.2005.00166.x · Cited by 449 · see citing works
Lifestyle modification for the management of obesity
Wadden, T. A., Butryn, M. L., & Wilson, C. (2007) · Gastroenterology · doi:10.1053/j.gastro.2007.03.051 · Cited by 406 · see citing works
Self-citationMechanick, J. I., Kushner, R. F., Sugerman, H. J., González-Campoy, J. M., Collazo–Clavell, M. L., Guven, S., Spitz, A. F., Apovian, C. M., Livingston, E. H., Brolin, R. E., et al. (2008) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2008.08.009 · Cited by 372 · see citing works
Self-citationPretreatment predictors of attrition and successful weight management in women
Teixeira, P. J., Going, S. B., Houtkooper, L. B., Cussler, E. C., Metcalfe, L. L., Blew, R. M., Sardinha, L. B., & Lohman, T. G. (2004) · International Journal of Obesity · doi:10.1038/sj.ijo.0802727 · Cited by 371 · see citing works
Mechanick, J. I., Kushner, R. F., Sugerman, H. J., González-Campoy, J. M., Collazo–Clavell, M. L., Spitz, A. F., Apovian, C. M., Livingston, E. H., Brolin, R. E., Sarwer, D. B., et al. (2009) · Obesity · doi:10.1038/oby.2009.28 · Cited by 338 · see citing works
Self-citationPsychosocial Evaluation of Bariatric Surgery Candidates: A Survey of Present Practices
Bauchowitz, A. U., Gonder-Frederick, L. A., Olbrisch, M. E., Azarbad, L., Ryee, M.-Y., Woodson, M., Miller, A. D., & Schirmer, B. D. (2005) · Psychosomatic Medicine · doi:10.1097/01.psy.0000174173.32271.01 · Cited by 307 · see citing works
Grave, R. D., Calugi, S., Molinari, E., Petroni, M. L., Bondi, M., Compare, A., Marchesini, G., & QUOVADIS Study Group (2005) · Obesity Research · doi:10.1038/oby.2005.241 · Cited by 306 · see citing works
Behavioral treatment of obesity
Foster, G. D., Makris, A. P., & Bailer, B. A. (2005) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/82.1.230s · Cited by 297 · see citing works
Overweight and Obesity: Knowledge, Attitudes, and Practices of General Practitioners in France
Bocquier, A., Verger, P., Basdevant, A., Andreotti, G., Baretge, J., Villani, P., & Paraponaris, A. (2005) · Obesity Research · doi:10.1038/oby.2005.89 · Cited by 226 · see citing works
PSYCHOSOCIAL ASPECTS OF OBESITY AND OBESITY SURGERY
Wadden, T. A., Sarwer, D. B., Womble, L. G., Foster, G. D., McGuckin, B. G., & Schimmel, A. (2001) · Surgical Clinics of North America · doi:10.1016/s0039-6109(05)70181-x · Cited by 210 · see citing works
Self-citationMechanick, J. I., Kushner, R. F., Sugerman, H. J., González-Campoy, J. M., Collazo–Clavell, M. L., Guven, S., Spitz, A. F., Apovian, C. M., Livingston, E. H., Brolin, R. E., et al. (2008) · Endocrine Practice · doi:10.4158/ep.14.s1.1 · Cited by 193 · see citing works
Self-citationBehavioral treatment of obesity.
Kirkland, K., & Ct, M. (1983) · PubMed · Cited by 176 · see citing works
Weighing the Evidence of Common Beliefs in Obesity Research
Casazza, K., Brown, A., Astrup, A., Bertz, F., Baum, C., Brown, M. B., Dawson, J., Durant, N., Dutton, G., Fields, D. A., et al. (2015) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2014.922044 · Cited by 169 · see citing works
Why Patients Seek Bariatric Surgery: A Qualitative and Quantitative Analysis of Patient Motivation
Munoz, D. J., Lal, M., Chen, E. Y., Mansour, M., Fischer, S. F., Roehrig, M., Sánchez-Johnsen, L., Dymek-Valenitine, M., Alverdy, J. C., & Grange, D. L. (2007) · Obesity Surgery · doi:10.1007/s11695-008-9427-9 · Cited by 145 · see citing works
Comparison of Psychosocial Status in Treatment‐Seeking Women with Class III vs. Class I–II Obesity
Wadden, T. A., Butryn, M. L., Sarwer, D. B., Fabricatore, A. N., Crerand, C. E., Lipschutz, P. E., Faulconbridge, L. F., Raper, S. E., & Williams, N. N. (2006) · Obesity · doi:10.1038/oby.2006.288 · Cited by 145 · see citing works
Self-citationUnrealistic weight loss expectations in candidates for bariatric surgery
Kaly, P., Orellana, S., Torrella, T., Takagishi, C., Koche, L. S., & Murr, M. M. (2008) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2007.10.012 · Cited by 137 · see citing works
Wadden, T. A., Chao, A. M., Moore, M., Tronieri, J. S., Gilden, A., Amaro, A., Leonard, S., & Jakicic, J. M. (2023) · Current Obesity Reports · doi:10.1007/s13679-023-00534-z · Cited by 129 · see citing works
Self-citationManagement of the bariatric surgery patient
Stocker, D. J. (2003) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/s0889-8529(03)00002-1 · Cited by 123 · see citing works
Behavior therapy for obesity: where are we now?
Sarwer, D. B., von Sydow Green, A., Vetter, M. L., & Wadden, T. A. (2009) · Current Opinion in Endocrinology, Diabetes & Obesity · doi:10.1097/med.0b013e32832f5a79 · Cited by 120 · see citing works
Self-citationIs there an optimal diet for weight management and metabolic health?
Thom, G., & Lean, M. (2017) · Gastroenterology · doi:10.1053/j.gastro.2017.01.056 · Cited by 119 · see citing works
Who will lose weight? A reexamination of predictors of weight loss in women
Teixeira, P. J., Palmeira, A. L., Branco, T. L., Martins, S. S., Minderico, C. S., Themudo-Barata, J. L., Silva, A. M., & Sardinha, L. B. (2004) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-1-12 · Cited by 116 · see citing works
Are Unrealistic Weight Loss Goals Associated with Outcomes for Overweight Women?
Linde, J. A., Jeffery, R. W., Finch, E. A., Ng, D. M., & Rothman, A. J. (2004) · Obesity Research · doi:10.1038/oby.2004.65 · Cited by 104 · see citing works
Understanding Patients' Value of Weight Loss and Expectations for Bariatric Surgery
Wee, C. C., Jones, D. B., Davis, R. B., Bourland, A. C., & Hamel, M. (2006) · Obesity Surgery · doi:10.1381/096089206776327260 · Cited by 94 · see citing works
Fabricatore, A. N., Wadden, T. A., Womble, L. G., Sarwer, D. B., Berkowitz, R. I., Foster, G. D., & Brock, J. R. (2007) · International Journal of Obesity · doi:10.1038/sj.ijo.0803649 · Cited by 81 · see citing works
Self-citationWeight Loss Expectations in Obese Patients Seeking Treatment at Medical Centers
Grave, R. D., Calugi, S., Magri, F., Cuzzolaro, M., Dall’Aglio, E., Lucchin, L., Melchionda, N., Marchesini, G., & QUOVADIS Study Group (2004) · Obesity Research · doi:10.1038/oby.2004.251 · Cited by 77 · see citing works
Weight-related perceptions among patients and physicians
Befort, C. A., Greiner, K. A., Hall, S., Pulvers, K. M., Nollen, N. L., Charbonneau, A., Kaur, H., & Ahluwalia, J. S. (2006) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2006.00567.x · Cited by 76 · see citing works
Wee, C. C., Hamel, M. B., Apovian, C. M., Blackburn, G. L., Bolcic‐Jankovic, D., Colten, M. E., Hess, D. T., Huskey, K. W., Marcantonio, E. R., Schneider, B. E., et al. (2013) · JAMA Surgery · doi:10.1001/jamasurg.2013.1048 · Cited by 72 · see citing works
Cognitive and Behavioral Approaches in the Treatment of Obesity
Dorsten, B. V., & Lindley, E. M. (2011) · Medical Clinics of North America · doi:10.1016/j.mcna.2011.06.008 · Cited by 72 · see citing works
Comparison of psychosocial status in treatment-seeking women with class III vs. class I–II obesity
Wadden, T. A., Butryn, M. L., Sarwer, D. B., Fabricatore, A. N., Crerand, C. E., Lipschutz, P. E., Faulconbridge, L. F., Raper, S. E., & Williams, N. N. (2006) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2006.03.016 · Cited by 69 · see citing works
Self-citationChanging weight-loss expectations: A randomized pilot study
Ames, G. E., Perri, M. G., Fox, L. D., Fallon, E. A., Braganza, N. D., Murawski, M. E., Pafumi, L., & Hausenblas, H. A. (2005) · Eating Behaviors · doi:10.1016/j.eatbeh.2005.01.003 · Cited by 68 · see citing works
Promoting More Modest Weight Losses: A Pilot Study
Foster, G. D., Phelan, S., Wadden, T. A., Gill, D. S., Ermold, J., & Didie, E. R. (2004) · Obesity Research · doi:10.1038/oby.2004.161 · Cited by 67 · see citing works
Self-citationEquivalent weight loss for weight management programs delivered by phone and clinic
Donnelly, J. E., Goetz, J. R., Gibson, C., Sullivan, D. K., Lee, R. H., SMITH, B. K., Lambourne, K., Mayo, M. S., Hunt, S. L., Lee, J. H., et al. (2013) · Obesity · doi:10.1002/oby.20334 · Cited by 61 · see citing works
Contribution of Behavior Intervention Components to 24-Month Weight Loss
Unick, J. L., Jakicic, J. M., & Marcus, B. H. (2010) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181bd1a57 · Cited by 56 · see citing works
What do physicians recommend to their overweight and obese patients?
Phelan, S., Nallari, M., Darroch, F. E., & Wing, R. R. (2009) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2009.02.080081 · Cited by 54 · see citing works
Self-citationPlodkowski, R. A., Nguyen, Q., Sundaram, U., Nguyen, L. D., Chau, D., & Jeor, S. S. (2009) · Expert Opinion on Pharmacotherapy · doi:10.1517/14656560902775750 · Cited by 54 · see citing works
Should night eating syndrome be included in the DSM?
Striegel‐Moore, R. H., Franko, D. L., May, A. M., Ach, E., Thompson, D., & Hook, J. M. (2006) · International Journal of Eating Disorders · doi:10.1002/eat.20302 · Cited by 54 · see citing works
Jung, F. U. C. E., Spahlholz, J., Hilbert, A., Riedel-Heller, S. G., & Luck‐Sikorski, C. (2017) · Obesity Facts · doi:10.1159/000468154 · Cited by 52 · see citing works
Clifton, P. M. (2008) · Nature Clinical Practice Gastroenterology & Hepatology · doi:10.1038/ncpgasthep1283 · Cited by 50 · see citing works
Do Patients’ Unrealistic Weight Goals Have Prognostic Significance for Bariatric Surgery?
White, M. A., Masheb, R. M., Rothschild, B. S., Burke‐Martindale, C. H., & Grilo, C. M. (2007) · Obesity Surgery · doi:10.1007/s11695-007-9009-2 · Cited by 50 · see citing works
Informed consent issues in the conduct of bariatric surgery
Raper, S. E., & Sarwer, D. B. (2007) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2007.09.002 · Cited by 47 · see citing works
Self-citationFailure to Meet Weight Loss Expectations Does Not Impact Maintenance in Successful Weight Losers
Gorin, A. A., Pinto, A. M., Tate, D. F., Raynor, H. A., Fava, J. L., & Wing, R. R. (2007) · Obesity · doi:10.1038/oby.2007.367 · Cited by 47 · see citing works
Linde, J. A., Jeffery, R. W., Levy, R. L., Pronk, N. P., & Boyle, R. G. (2005) · International Journal of Obesity · doi:10.1038/sj.ijo.0802990 · Cited by 45 · see citing works
Roth, J. D., Trevaskis, J. L., Wilson, J., Lei, C., Athanacio, J., Mack, C. M., Kesty, N. C., Coffey, T. S., Weyer, C., & Parkes, D. G. (2008) · International Journal of Obesity · doi:10.1038/ijo.2008.91 · Cited by 43 · see citing works
Fischer, L., Nickel, F., Sander, J., Ernst, A., Bruckner, T. M., Herbig, B., Büchler, M. W., Müller-Stich, B. P., & Sandbu, R. (2014) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2014.02.040 · Cited by 43 · see citing works
Baum, C., Andino, K., Wittbrodt, E. T., Stewart, S. S., Szymanski, K. A., & Turpin, R. S. (2015) · PharmacoEconomics · doi:10.1007/s40273-015-0264-0 · Cited by 42 · see citing works
Assessing the value of weight loss among primary care patients
Wee, C. C., Hamel, M. B., Davis, R. B., & Phillips, R. S. (2004) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2004.40063.x · Cited by 41 · see citing works
Secular trends in desired weight of adults
Maynard, L. M., Serdula, M. K., Galuska, D. A., Gillespie, C., & Mokdad, A. H. (2006) · International Journal of Obesity · doi:10.1038/sj.ijo.0803297 · Cited by 42 · see citing works
Cognitive and Behavioral Approaches in the Treatment of Obesity
Dorsten, B. V., & Lindley, E. M. (2008) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/j.ecl.2008.08.003 · Cited by 39 · see citing works
Obesity in the Context of Aging: Quality of Life Considerations
Corica, F., Bianchi, G. P., Corsonello, A., Mazzella, N., Lattanzio, F., & Marchesini, G. (2014) · PharmacoEconomics · doi:10.1007/s40273-014-0237-8 · Cited by 39 · see citing works
Holley, T. J., Collins, C. E., Morgan, P. J., Callister, R., & Hutchesson, M. (2015) · Public Health Nutrition · doi:10.1017/s1368980015000993 · Cited by 40 · see citing works
Revising the Boston Interview: incorporating new knowledge and experience
Sogg, S., & Mori, D. L. (2008) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2008.01.007 · Cited by 36 · see citing works
Consumer satisfaction with a weight-gain intervention programme for obese pregnant women
Claesson, I., Josefsson, A., Cedergren, M. I., Brynhildsen, J., JEPPSSON, A., Nyström, F. H., Sydsjö, A., & Sydsjö, G. (2007) · Midwifery · doi:10.1016/j.midw.2006.10.007 · Cited by 37 · see citing works
Amariles, P., González, L., & Giraldo, N. A. G. (2006) · Current Therapeutic Research · doi:10.1016/j.curtheres.2006.02.001 · Cited by 36 · see citing works
Body Weight Regulation and Obesity
Kaplan, L. M. (2003) · Journal of Gastrointestinal Surgery · doi:10.1016/s1091-255x(03)00047-7 · Cited by 36 · see citing works
Price, H. I., Gregory, D. M., & Twells, L. (2013) · Obesity Surgery · doi:10.1007/s11695-013-1007-y · Cited by 35 · see citing works
Receptivity to Bariatric Surgery in Qualified Patients
Fung, M., Wharton, S., Macpherson, A., & Kuk, J. L. (2016) · Journal of Obesity · doi:10.1155/2016/5372190 · Cited by 35 · see citing works
Weight loss goals of patients in a health maintenance organization
Dutton, G. R., Perri, M. G., Dancer-Brown, M., Goble, M., & Vessem, N. V. (2009) · Eating Behaviors · doi:10.1016/j.eatbeh.2009.09.007 · Cited by 34 · see citing works
Provencher, V., Bégin, C., Gagnon-Girouard, M.-P., Gagnon, H., Tremblay, A., Boivin, S., & Lemieux, S. (2007) · International Journal of Obesity · doi:10.1038/sj.ijo.0803656 · Cited by 33 · see citing works
Bish, C. L., Blanck, H. M., Maynard, L. M., Serdula, M. K., Thompson, N. J., & Khan, L. K. (2007) · PubMed Central · Cited by 33 · see citing works
The Escalating Pandemics of Obesity and Sedentary Lifestyle
Manson, J. E., Skerrett, P. J., Greenland, P., & VanItallie, T. B. (2004) · Archives of Internal Medicine · doi:10.1001/archinte.164.3.249 · Cited by 32 · see citing works
Yan, L. (2020) · Production and Operations Management · doi:10.1111/poms.13171 · Cited by 32 · see citing works
Low-level laser therapy for weight reduction: a randomized pilot study
Croghan, I. T., Hurt, R. T., Schroeder, D. R., Fokken, S. C., Jensen, M. D., Clark, M. M., & Ebbert, J. O. (2019) · Lasers in Medical Science · doi:10.1007/s10103-019-02867-5 · Cited by 31 · see citing works
Weight Loss Expectations and Goals in a Population Sample of Overweight and Obese US Adults
Fabricatore, A. N., Wadden, T. A., Rohay, J. M., Pillitteri, J. L., Shiffman, S. M., Harkins, A. M., & Burton, S. L. (2008) · Obesity · doi:10.1038/oby.2008.383 · Cited by 31 · see citing works
Self-citationJepsen, R., Aadland, E., Andersen, J. R., & Natvig, G. K. (2013) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-11-187 · Cited by 30 · see citing works
A Survey of Bariatric Surgery Patients’ Interest in Postoperative Interventions
Bradley, L. E., Sarwer, D. B., Forman, E. M., Kerrigan, S. G., Butryn, M. L., & Herbert, J. D. (2015) · Obesity Surgery · doi:10.1007/s11695-015-1765-9 · Cited by 30 · see citing works
Self-citationChaput, J., Arguin, H., Gagnon, C., & Tremblay, A. (2008) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/h07-137 · Cited by 30 · see citing works
Susanto, A., Burk, J., HOCKING, S. L., Markovic, T., & Gill, T. P. (2022) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2022.09.006 · Cited by 28 · see citing works
Unrealistic Weight-Loss Goals among Obese Patients Are Associated with Age and Causal Attributions
Wamsteker, E. W., Geenen, R., ZELISSEN, P. M. J., van Furth, E. F., & Iestra, J. A. (2009) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2009.08.012 · Cited by 28 · see citing works
Adolescents' perceptions of obesity treatment – an interview study
Morinder, G., Biguet, G., Mattsson, E., Marcus, C., & Larsson, U. E. (2010) · Disability and Rehabilitation · doi:10.3109/09638288.2010.520800 · Cited by 28 · see citing works
Hult, M., Bonn, S. E., Brandt, L., Wirén, M., & Lagerros, Y. T. (2019) · Obesity Surgery · doi:10.1007/s11695-019-03834-3 · Cited by 28 · see citing works
Health-related quality of life following vertical banded gastroplasty
van Hout, G. C. M., Fortuin, F. A. M., Pelle, A. J. M., Blokland-Koomen, M. E., & Heck, G. L. V. (2008) · Surgical Endoscopy · doi:10.1007/s00464-008-9860-9 · Cited by 27 · see citing works
Adverse effects of weight loss: Are persistent organic pollutants a potential culprit?
Rouhou, M. C., Karelis, A. D., St-Pierre, D. H., & Lamontagne, L. (2016) · Diabetes & Metabolism · doi:10.1016/j.diabet.2016.05.009 · Cited by 27 · see citing works
Decisions about weight management: a synthesis of qualitative studies of obesity
Brown, I., & Gould, J. (2011) · Clinical Obesity · doi:10.1111/j.1758-8111.2011.00020.x · Cited by 25 · see citing works
Influence of weight discrimination on weight loss goals and self‐selected weight loss interventions
Sharma, S., Wharton, S., Forhan, M. A., & Kuk, J. L. (2011) · Clinical Obesity · doi:10.1111/j.1758-8111.2011.00028.x · Cited by 25 · see citing works
Developing a holistic approach to obesity management
Brown, J., & Wimpenny, P. (2011) · International Journal of Nursing Practice · doi:10.1111/j.1440-172x.2010.01899.x · Cited by 25 · see citing works
The use of orlistat in the treatment of obesity, dyslipidaemia and Type 2 diabetes
Nelson, R. H., & Miles, J. M. (2005) · Expert Opinion on Pharmacotherapy · doi:10.1517/14656566.6.14.2483 · Cited by 25 · see citing works
Eating behaviour patterns and BMI in Portuguese higher education students
Poínhos, R., Oliveira, B. M. P. M., & Correia, F. (2013) · Appetite · doi:10.1016/j.appet.2013.08.024 · Cited by 24 · see citing works
Unhealthy Weight Control Practices: Culprits and Clinical Recommendations
Ferraro, Z. M., Patterson, S., & Chaput, J. (2015) · Clinical Medicine Insights Endocrinology and Diabetes · doi:10.4137/cmed.s23060 · Cited by 24 · see citing works
Weight Goals in a College‐age Population
Anderson, D. A., Lundgren, J. D., Shapiro, J. R., & Paulosky, C. A. (2003) · Obesity Research · doi:10.1038/oby.2003.41 · Cited by 22 · see citing works
de Vet, E., Nelissen, R. M. A., Zeelenberg, M., & de Ridder, D. T. D. (2012) · Journal of Health Psychology · doi:10.1177/1359105312454038 · Cited by 22 · see citing works
Principles and Practices in the Management of Obesity
Foster, G. D. (2003) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200205-456pp · Cited by 22 · see citing works
Self-citationBariatric Surgery: A Key Role for Registered Dietitians
Kushner, R. F., & Neff, L. M. (2010) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2009.12.030 · Cited by 21 · see citing works
Latner, J. D., Stunkard, A. J., Wilson, G. T., & Jackson, M. L. (2006) · Obesity · doi:10.1038/oby.2006.61 · Cited by 21 · see citing works
Durant, N. H., Joseph, R. P., Affuso, O., Dutton, G. R., Robertson, H. T., & Allison, D. B. (2013) · Obesity Reviews · doi:10.1111/obr.12038 · Cited by 18 · see citing works
Clinical and economic considerations of antiobesity treatment: a review of orlistat
Zohrabian, A. (2010) · ClinicoEconomics and Outcomes Research · doi:10.2147/ceor.s5101 · Cited by 20 · see citing works
A Patient-Centered Electronic Tool for Weight Loss Outcomes after Roux-en-Y Gastric Bypass
Wood, G. C., Benotti, P. N., Gerhard, G. S., Miller, E. K., Zhang, Y., Zaccone, R. J., Argyropoulos, G. A., Petrick, A. T., & Still, C. D. (2014) · Journal of Obesity · doi:10.1155/2014/364941 · Cited by 20 · see citing works
Behavioral Approaches to the Treatment of Obesity
Butryn, M. L., Clark, V. L., & Coletta, M. C. (2012) · doi:10.1002/9781394323142.ch15 · Cited by 20 · see citing works
Grunvald, E. L. (2014) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0000000000000041 · Cited by 19 · see citing works
Conceição, E., de Lourdes, M., Moreira, L., Pinto‐Bastos, A., & Félix, S. (2020) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2020.03.005 · Cited by 18 · see citing works
Price, H. I., Gregory, D. M., & Twells, L. (2014) · BMC Obesity · doi:10.1186/s40608-014-0028-y · Cited by 17 · see citing works
Psarou, A., & Brown, I. (2010) · Primary Health Care Research & Development · doi:10.1017/s1463423610000083 · Cited by 17 · see citing works
Insights Following Implementation of an Exercise Intervention in Older Veterans with PTSD
Pebole, M. M., & Hall, K. S. M. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16142630 · Cited by 17 · see citing works
Frank, A. (2005) · Humana Press eBooks · doi:10.1385/1-59259-865-x:375 · Cited by 17 · see citing works
Management of nonalcoholic fatty liver disease: weight control
Bouneva, I., & Kirby, D. F. (2004) · Clinics in Liver Disease · doi:10.1016/j.cld.2004.04.003 · Cited by 17 · see citing works
Development and validation of the Treatment Related Impact Measure of Weight (TRIM-Weight)
Brod, M. I., Hammer, M., Kragh, N., Alolga, S. L., & Bushnell, D. M. (2010) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-8-19 · Cited by 17 · see citing works
Type 2 Diabetes in Children: Oxymoron or Medical Metamorphosis?
Copeland, K. C., Chalmers, L. J., & Brown, R. D. R. (2005) · Pediatric Annals · doi:10.3928/0090-4481-20050901-09 · Cited by 15 · see citing works
Gelinas, B. L., Delparte, C. A., Hart, R., & Wright, K. D. (2013) · Bariatric Surgical Practice and Patient Care · doi:10.1089/bari.2013.9999 · Cited by 15 · see citing works
Eating Order: A 13-Week Trust Model Class for Dieting Casualties
Jackson, E. G. (2008) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2007.01.007 · Cited by 15 · see citing works
- Authors
- Foster, G. D., Wadden, T. A., Phelan, S., Sarwer, D. B., & Sanderson, R. S.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Foster, Gary D.
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2001-09-24
- Volume
- 161
- Issue
- 17
- Pages
- 2133
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W2054101269
- Cited by
- 185
- References
- 25
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 1 · 2020: 3 · 2019: 11 · 2018: 5 · 2017: 3 · 2016: 6 · 2015: 10 · 2014: 11 · 2013: 11 · 2012: 7
- FWCI
- 29.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01dk056114-05)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK 56114)
- Topics
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- obesity, weight loss expectations, treatment outcome assessment, patient perspectives, weight loss goals, initial body weight, sex differences, height, depression, weight loss clinics
- MeSH terms
- Adult, Behavior Therapy, Clinical Trials as Topic, Female, Humans, Male, Middle Aged, Obesity, Gastroplasty, Weight Loss, Patient Satisfaction, Outcome Assessment, Health Care
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
