Long-term maintenance of weight loss: Current status.
Abstract
Intervention strategies for promoting long-term weight loss are examined empirically and conceptually. Weight control research over the last 20 years has dramatically improved short-term treatment efficacy but has been less successful in improving long-term success. Interventions in preadolescent children show greater long-term efficacy than in adults. Extending treatment length and putting more emphasis on energy expenditure have modestly improved long-term weight loss in adults. Fresh ideas are needed to push the field forward. Suggested research priorities are patient retention, natural history, assessment of intake and expenditure, obesity phenotypes, adolescence at a critical period, behavioral preference-reinforcement value, physical activity and social support, better linkage of new conceptual models to behavioral treatments, and the interface between pharmacological and behavioral methods.
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Long-term weight loss maintenance lags far behind initial weight loss in behavioral treatment.
“According to Jeffery, the greatest achievement in behavioral treatment is increased initial weight loss; however, long-term weight loss lags far behind [10].”
From SMART trial: A randomized clinical trial of self-monitoring in behavioral weight management-design and baseline findings (2009) · cites this paper as [10]
Individuals differ in how much they respond to or adhere to weight loss treatment, in their side effect profiles, and in how quickly they respond (between-persons heterogeneity).
“In addition, not all individuals will respond or adhere to the weight loss treatment to the same degree, have the same side effect profile (e.g., in the case of weight loss medications), or respond within the same time-frame, to any given treatment or package of treatments (between-persons heterogeneity; [5,6].”
From Introduction to SMART designs for the development of adaptive interventions: with application to weight loss research (2014) · cites this paper as [6]
Weight loss maintenance failure is a result of the individual failing to maintain healthy eating and exercise habits.
“Research suggests that this is a result of the individual failing to maintain healthy eating and exercise habits (Jeffery et al., 2000; McGuire, Wing, Klem, Lang & Hill, 1999).”
From Exploratory randomised controlled trial of a mindfulness-based weight loss intervention for women (2009) · cites this paper as Jeffery et al., 2000
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- Authors
- Jeffery, R. W., Epstein, L. H., Wilson, G. T., Drewnowski, A., Stunkard, A. J., & Wing, R. R.
- Affiliations
- University of Minnesota (US)
- Rutgers Cancer Institute (US)
- University of Pennsylvania (US)
- University at Buffalo, State University of New York (US)
- University of Washington (US)
- University of Pittsburgh (US)
- Venue
- Health Psychology
- Published
- 2000-01
- Volume
- 19
- Issue
- 1, Suppl
- Pages
- 5-16
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2152025994
- Cited by
- 1,093
- References
- 49
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 19 · 2023: 21 · 2022: 21 · 2021: 30 · 2020: 29 · 2019: 36 · 2018: 42 · 2017: 56 · 2016: 58 · 2015: 57 · 2014: 73 · 2013: 60 · 2012: 70
- FWCI
- 33.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01hl041332-12, 5r01hl041330-12)
- National Heart, Lung, and Blood Institute (HL41332, HL 41330)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK050456, DK50456)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- weight loss maintenance, obesity, weight management interventions, long-term treatment efficacy, energy expenditure, preadolescents, treatment retention, obesity phenotypes, adolescence, physical activity, social support
- MeSH terms
- Adolescent, Adult, Behavior Therapy, Cardiovascular Diseases, Child, Female, Follow-Up Studies, Humans, Health Knowledge, Attitudes, Practice, Life Style, Long-Term Care, Male, Obesity, Weight Loss
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