Efficacy of habit-based weight loss interventions: A systematic review and meta-analysis
Open accessAbstract
Habit-based interventions are a novel and emerging strategy to help reduce excess weight in individuals with overweight or obesity. This systematic review and meta-analysis aims to determine the efficacy of habit-based interventions on weight loss. We identified potential studies through electronic searches in February 2019. Included studies were randomized/quasi randomized controlled trials comparing weight loss interventions founded on habit-theory with a control (active or non-active) and enrolled adults with overweight or obesity (body mass index ≥ 25 kg/m 2). Five trials (630 participants) met our inclusion criteria. After the intervention period (range 8-14 weeks), weight loss was modest but statistically different between groups (1.4 kg [95% confidence interval 0.5, 2.3; P = 0.004]) favoring habit-based interventions. Intervention groups averaged 2.5 kg weight loss (range 1.7 to 6.7 kg) compared with control 1.5 kg (range 0.4 to 5.8 kg) and were 2.4 times more likely to achieve clinically beneficial weight loss (≥ 5% weight reduction). Average weight losses in adults with overweight and obesity using habit-based interventions appear to be of clinical benefit. There were statistically significant differences in weight loss between habit-based interventions and controls, post-intervention. Longer studies powered to examine at least 12-month follow-up are required to more accurately determine the role of habit-based interventions on long-term weight loss maintenance.Trial registration Prospero ID: CRD42017065589. Available from https://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42017065589 .
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Habit based interventions led to modest reductions in body weight and greater consistency of behaviors supporting weight control.
“Habit based interventions led to modest reductions in body weight and greater consistency of behaviors supporting weight control [101].”
From Dietary and Behavioral Strategies for Weight Loss and Weight Loss Maintenance: A Narrative Review (2025) · cites this paper as [101]
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Cites
International Journal of Obesity
(2019) · International Journal of Obesity · doi:10.1038/41366.1476-5497 · Cited by 2,089 · see citing works
How are habits formed: modelling habit formation in the real world
Lally, P., van Jaarsveld, C. H. M., Potts, H. W. W., & Wardle, J. (2010) · European Journal of Social Psychology · doi:10.1002/ejsp.674 · Cited by 2,036 · see citing works
Kwasnicka, D., Dombrowski, S. U., White, M., & Sniehotta, F. (2016) · Health Psychology Review · doi:10.1080/17437199.2016.1151372 · Cited by 1,476 · see citing works
Long-term weight-loss maintenance: a meta-analysis of US studies
Anderson, J. W., Konz, E. C., Frederich, R. C., & Wood, C. L. (2001) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/74.5.579 · Cited by 1,351 · see citing works
Self-monitoring in weight loss: a systematic review of the literature
Burke, L. E., Wang, J., & Sevick, M. A. (2011) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2010.10.008 · Cited by 1,203 · see citing works
Gardner, B. (2015) · Health Psychology Review · doi:10.1080/17437199.2013.876238 · Cited by 1,016 · see citing works
Lally, P., & Gardner, B. (2013) · Health Psychology Review · doi:10.1080/17437199.2011.603640 · Cited by 901 · see citing works
Long-term weight loss after diet and exercise: a systematic review
Curioni, C. C., & Lourenço, P. M. C. (2005) · International Journal of Obesity · doi:10.1038/sj.ijo.0803015 · Cited by 694 · see citing works
Making health habitual: the psychology of ‘habit-formation’ and general practice
Gardner, B., Lally, P., & Wardle, J. (2012) · British Journal of General Practice · doi:10.3399/bjgp12x659466 · Cited by 591 · see citing works
Neal, D. T., Wood, W., & Quinn, J. M. (2006) · Current Directions in Psychological Science · doi:10.1111/j.1467-8721.2006.00435.x · Cited by 553 · see citing works
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
(2011) · Diabetes Metabolic Syndrome and Obesity · doi:10.2147/dmsott · Cited by 472 · see citing works
The importance of habits in eating behaviour. An overview and recommendations for future research
Riet, J. V., Sijtsema, S. J., Dagevos, H., & De Bruijn, G.-J. (2011) · Appetite · doi:10.1016/j.appet.2011.07.010 · Cited by 399 · see citing works
Reflective and Automatic Processes in the Initiation and Maintenance of Dietary Change
Rothman, A. J., Sheeran, P., & Wood, W. (2009) · Annals of Behavioral Medicine · doi:10.1007/s12160-009-9118-3 · Cited by 368 · see citing works
Danner, U. N., Aarts, H., & de Vries, N. K. (2007) · British Journal of Social Psychology · doi:10.1348/014466607x230876 · Cited by 353 · see citing works
Purchase and consumption habits: not necessarily what you intend
Ji, M. F., & Wood, W. (2007) · Journal of Consumer Psychology · doi:10.1016/s1057-7408(07)70037-2 · Cited by 336 · see citing works
Long-term weight loss maintenance for obesity: a multidisciplinary approach
Marchesini, G., Montesi, L., Ghoch, M. E., Brodosi, L., Calugi, S., & Grave, R. D. (2016) · Diabetes Metabolic Syndrome and Obesity · doi:10.2147/dmso.s89836 · Cited by 325 · see citing works
Barte, J. C. M., Ter Bogt, N. C. W., Bogers, R. P., Teixeira, P. J., Blissmer, B., Mori, T. A., & Bemelmans, W. J. E. (2010) · Obesity Reviews · doi:10.1111/j.1467-789x.2010.00740.x · Cited by 319 · see citing works
Nilsen, P., Roback, K., Broström, A., & Ellström, P.-E. (2012) · Implementation Science · doi:10.1186/1748-5908-7-53 · Cited by 284 · see citing works
Experiences of habit formation: A qualitative study
Lally, P. J., Wardle, J., & Gardner, B. (2011) · Psychology Health & Medicine · doi:10.1080/13548506.2011.555774 · Cited by 277 · see citing works
Healthy habits: efficacy of simple advice on weight control based on a habit-formation model
Lally, P., Chipperfield, A., & Wardle, J. (2008) · International Journal of Obesity · doi:10.1038/sj.ijo.0803771 · Cited by 250 · see citing works
Habit Formation and Behavior Change
Gardner, B., & Rebar, A. L. (2019) · Oxford Research Encyclopedia of Psychology · doi:10.1093/acrefore/9780190236557.013.129 · Cited by 211 · see citing works
Hoffmann, T. C., Oxman, A. D., Ioannidis, J. P., Moher, D., Lasserson, T. J., Tovey, D. I., Stein, K., Sutcliffe, K., Ravaud, P., Altman, D. G., et al. (2017) · BMJ · doi:10.1136/bmj.j2998 · Cited by 194 · see citing works
Self-citationAvenell, A., Brown, T. J., McGee, M. A., Campbell, M., GRANT, A. M., Broom, J. I., Jung, R. T., & Smith, W. C. (2004) · Journal of Human Nutrition and Dietetics · doi:10.1111/j.1365-277x.2004.00531.x · Cited by 180 · see citing works
McGowan, L., Cooke, L. J., Gardner, B., Beeken, R. J., Croker, H., & Wardle, J. (2013) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.112.052159 · Cited by 160 · see citing works
Long-term weight loss maintenance for obesity: a multidisciplinary approach
Montesi, L., Ghoch, M. E., Brodosi, L., Calugi, S., Marchesini, G., & Dalle Grave, R. (2016) · Dove Medical Press (Taylor and Francis Group) · Cited by 154 · see citing works
Beeken, R. J., Leurent, B., Vickerstaff, V, Wilson, R., Croker, H., Morris, S., Omar, R. Z., Nazareth, I., & Wardle, J. (2017) · International Journal of Obesity · doi:10.1038/ijo.2016.206 · Cited by 126 · see citing works
A randomized trial comparing two approaches to weight loss: Differences in weight loss maintenance
Carels, R. A., Burmeister, J. M., Koball, A. M., Oehlhof, M. W., Hinman, N. G., LeRoy, M., Bannon, E. E., Ashrafioun, L., Storfer‐Isser, A., Darby, L. A., et al. (2013) · Journal of Health Psychology · doi:10.1177/1359105312470156 · Cited by 90 · see citing works
The Power of Habit: Why We Do What We Do and How to Change
(2013) · Industrial and Commercial Training · doi:10.1108/ict-04-2013-0028 · Cited by 74 · see citing works
The Power of Habit: Why We Do What We Do, and How to Change
Duhigg, C. (2012) · Medical Entomology and Zoology · Cited by 53 · see citing works
Cleo, G., Glasziou, P., Beller, E., Isenring, E., & Thomas, R. (2019) · International Journal of Obesity · doi:10.1038/s41366-018-0067-4 · Cited by 53 · see citing works
Self-citationCould habits hold the key to weight loss maintenance? A narrative review
Cleo, G., Isenring, E. A., Thomas, R., & Glasziou, P. (2017) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.12456 · Cited by 36 · see citing works
Self-citationTransforming Your Life: An Environmental Modification Approach to Weight Loss
Carels, R. A., Young, K. M., Koball, A. M., Gumble, A., Darby, L. A., Oehlhof, M. W., Wott, C. B., & Hinman, N. G. (2010) · Journal of Health Psychology · doi:10.1177/1359105310380986 · Cited by 27 · see citing works
Cleo, G., Hersch, J. K., & Thomas, R. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-020146 · Cited by 17 · see citing works
Self-citationHabit formation and behaviour change
Gardner, B., & Rebar, A. L. (2018) · Research Portal (King's College London) · Cited by 2 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Review Manager (RevMan) [computer program]. The Cochrane Collaboration: Copenhagen 2014.
- Roqué i Figuls M, Martinex Gracia L, Martinez-Zapata MJ, Pacheco R, Mauricio D, Bonfill CX. Interventions for treating overweight or obesity in adults: an overview of systematic review (Protocol). Cochrane Database Syst Rev 2013.
Cited by
Sorted by citations
Madigan, C. D., Graham, H., Sturgiss, E. A., Kettle, V. E., Gokal, K., Biddle, G. J. H., Taylor, G. M. J., & Daley, A. (2022) · BMJ · doi:10.1136/bmj-2021-069719 · Cited by 121 · see citing works
Asbjørnsen, R. A., Wentzel, J., Smedsrød, M. L., Hjelmesæth, J., Clark, M. M., Solberg Nes, L., & Van Gemert-Pijnen, J. E. W. C. (2020) · Journal of Medical Internet Research · doi:10.2196/22598 · Cited by 84 · see citing works
Gardner, B., Rebar, A. L., de Wit, S., & Lally, P. J. (2024) · Social and Personality Psychology Compass · doi:10.1111/spc3.12975 · Cited by 87 · see citing works
Gardner, B., Richards, R., Lally, P. J., Rebar, A. L., Thwaite, T. L., & Beeken, R. J. (2021) · Appetite · doi:10.1016/j.appet.2021.105183 · Cited by 69 · see citing works
The potential of artificial intelligence in enhancing adult weight loss: a scoping review
Chew, H. S. J., Ang, W. H. D., & Lau, Y. (2021) · Public Health Nutrition · doi:10.1017/s1368980021000598 · Cited by 49 · see citing works
Dagbasi, A., Lett, A. M., Murphy, K., & Frost, G. (2020) · Proceedings of the Nutrition Society · doi:10.1017/s0029665120006941 · Cited by 44 · see citing works
Iłowiecka, K., Glibowski, P., Skrzypek, M., & Styk, W. (2021) · Nutrients · doi:10.3390/nu13062020 · Cited by 26 · see citing works
Bjerre, N., Holm, L., Veje, N., Quist, J. S., Færch, K., & Hempler, N. F. (2022) · Appetite · doi:10.1016/j.appet.2022.106034 · Cited by 24 · see citing works
Dietary and Behavioral Strategies for Weight Loss and Weight Loss Maintenance: A Narrative Review
Żurawski, T., & Bartosiewicz, A. (2025) · Nutrients · doi:10.3390/nu18010012 · Cited by 18 · see citing works
Powell, L. H., Daniels, B. T., Drees, B. M., Karavolos, K., Lohse, B., Masters, K. S., Nicklas, J. M., Ruder, E. H., Suzuki, S., Trabold, N., et al. (2024) · American Heart Journal · doi:10.1016/j.ahj.2023.12.016 · Cited by 16 · see citing works
Comparison of Two Diet and Exercise Approaches on Weight Loss and Health Outcomes in Obese Women
Lockard, B. L., Mardock, M. A., Oliver, J. M., Byrd, M., Simbo, S. Y., Jagim, A. R., Kresta, J. Y., Baetge, C., Jung, Y. P., Koozehchian, M., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19084877 · Cited by 14 · see citing works
Bilal, H. S. M., Akhtar, U., Chul, S. W., & Lee, S. (2020) · International Conference on Information Networking · doi:10.1109/icoin48656.2020.9016632 · Cited by 4 · see citing works
Jiang, Y., Han, J., Xiao, M., Liu, Y., & Chen, H. (2023) · Current Psychology · doi:10.1007/s12144-023-04315-8 · Cited by 3 · see citing works
Brydevall, M., Albertella, L., Christensen, E., Suo, C., Yücel, M., & Lee, R. S. C. (2025) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2025.03.004 · Cited by 3 · see citing works
Engels, L., Mons, C., Mergelsberg, E. L. P., Kothe, E. J., Hamilton, K., Gardner, B., ten Hoor, G. A., & Mullan, B. A. (2022) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2022.2134869 · Cited by 3 · see citing works
McClelland, J., Gallagher, D., Moore, S. E., McGirr, C., Beeken, R. J., Croker, H. A., Eastwood, K., O’Neill, R. F., Woodside, J. V., McGowan, L. J., et al. (2024) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-024-06945-7 · Cited by 2 · see citing works
Conroy, D., Smith, D. M., & Armitage, C. J. (2022) · Psychology and Health · doi:10.1080/08870446.2021.2012574 · Cited by 4 · see citing works
Habits of Mind: Mindful Awareness from a Habits Framework
Lipsett, M., Berkman, E. T., & Creswell, J. D. (2025) · Springer eBooks · doi:10.1007/978-3-031-91451-5_5 · Cited by 2 · see citing works
Movahedian, M., Tabibi, H., Atabak, S., Hedayati, M., Najafi, I., Seyrafian, S., & Rouhani, M. H. (2025) · Scientific Reports · doi:10.1038/s41598-025-20792-2 · Cited by 2 · see citing works
Westphal, G., Branco, B. H. M., Chaput, J., & Nardo, N. (2024) · Retos · doi:10.47197/retos.v53.102361 · Cited by 2 · see citing works
Biagini, A. C. S. C. F., Torres, C. P., Lizzi, E. A. D. S., Díaz‐Serrano, K. V., & Borsatto, M. C. (2022) · O Mundo da Saúde · doi:10.15343/0104-7809.202246074084 · Cited by 3 · see citing works
Promoting Behavioral Weight Loss and Physical Activity
Monroe, C. M. (2022) · Advances in medical education, research, and ethics (AMERE) book series · doi:10.4018/978-1-7998-9490-2.ch005
Coleman, C., Kiel, J., LaCalamita, C., Frye, N., & Provelengios, L. (2022) · Food and Nutrition Sciences · doi:10.4236/fns.2022.135033
Influência do autocuidado nos quadros de bruxismo e DTM na infância
Biagini, A. C. S. C. F. (2021) · doi:10.11606/d.58.2021.tde-01122022-121750
Douglas, M. E., Driver, S. J., McShan, E., Alrawi, S., & Bennett, M. (2025) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2025.2597767
Two-Phase Model of Habit Change: A Longitudinal Qualitative Study
Leonov, A., & Laplante, J. P. (2026) · American Journal of Qualitative Research · doi:10.29333/ajqr/18005
Rantala, E., Valtanen, M., Umer, A., Parikka, S., Pihlajamäki, J., Ruotsalainen, I., & Lindström, J. (2026) · JMIR mhealth and uhealth · doi:10.2196/84076
Papadopoulou, S. Κ., Angelakou, E.-P., Koimtsidis, T., Pavlidou, E., Tasoulas, D., & Giaginis, C. (2026) · Frontiers in Nutrition · doi:10.3389/fnut.2026.1892085
- Authors
- Cleo, G., Beller, E., Glasziou, P., Isenring, E., & Thomas, R.
- Affiliations
- Bond University (AU)
- Corresponding author
- Cleo, Gina
- Venue
- Journal of Behavioral Medicine
- Published
- 2019-09-16
- Volume
- 43
- Issue
- 4
- Pages
- 519-532
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W2974028257
- Cited by
- 28
- References
- 34
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 4 · 2023: 1 · 2022: 8 · 2021: 4 · 2020: 3
- FWCI
- 0.52
- Type
- journal article
- Language
- en
- Open access
- green
- research.bond.edu.au
- Licence
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Bond University Research Portal (Bond University) (submittedVersion, other-oa)
- Funders
- National Health and Medical Research Council (APP1104136, APP1044904, GNT1080042)
- Topics
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- weight loss, obesity, overweight, habit theory, behavioral weight management, weight loss maintenance
- MeSH terms
- Adult, Diet, Feeding Behavior, Female, Habits, Humans, Male, Obesity, Weight Loss, Body Mass Index, Overweight, Young Adult
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