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Cited by 381Obesity, Physical Activity, DietBariatric Surgery and OutcomesEating Disorders and Behaviors

Long-term weight loss maintenance in the United States

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Kraschnewski, J L, Boan, J, Esposito, J, Sherwood, N E, Lehman, E B, Kephart, D K, Sciamanna, C N·2010·International Journal of Obesity
DOI 10.1038/ijo.2010.94PMC PMC3671378
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Abstract

Context Although the rise in overweight and obesity in the United States is well documented, long-term weight loss maintenance (LTWLM) has been minimally explored.Objective The aim of this study is to estimate the prevalence and correlates of LTWLM among US adults.Design, setting and participants We examined weight data from 14 306 participants (age 20-84 years) in the 1999-2006 National Health and Nutrition Examination Survey (NHANES). We defined LTWLM as weight loss maintained for at least 1 year. We excluded individuals who were not overweight or obese at their maximum weight.Results Among US adults who had ever been overweight or obese, 36.6, 17.3, 8.5 and 4.4% reported LTWLM of at least 5, 10, 15 and 20%, respectively. Among the 17.3% of individuals who reported an LTWLM of at least 10%, the average and median weight loss maintained was 19.1 kg (42.1 pounds) and 15.5 kg (34.1 pounds), respectively. LTWLM of at least 10% was higher among adults of ages 75-84 years (vs ages 20-34, adjusted odds ratio (OR): 1.5; 95% confidence interval (CI): 1.2, 1.8), among those who were non-Hispanic white (vs Hispanic, adjusted OR: 1.6; 95% CI: 1.3, 2.0) and among those who were female (vs male, adjusted OR: 1.2; 95% CI: 1.1, 1.3).Conclusions More than one out of every six US adults who has ever been overweight or obese has accomplished LTWLM of at least 10%. This rate is significantly higher than those reported in clinical trials and many other observational studies, suggesting that US adults may be more successful at sustaining weight loss than previously thought.

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  • Subjects wished to lose weight and included middle-aged overweight and obese women who were able to comply with a weight-loss plan; hence, they demonstrated that they were motivated to adhere to the weight-loss diet protocol.

    “Second, subjects wished to lose weight and included middleaged overweight and obese women who were able to comply with a weight-loss plan; hence, they demonstrated that they were motivated to adhere to the weight-loss diet protocol (34).”

    From Effects on weight loss in adults of replacing diet beverages with water during a hypoenergetic diet: a randomized, 24-wk clinical trial (2015) · cites this paper as [34]

    The Results report that the sample included both men and women in nearly equal numbers, and that losing weight was a current goal for only one-third of participants. The Subjects and methods describe an analysis of NHANES weight histories, not a group of women selected for their ability to follow a weight-loss diet protocol. (LLM, conf=0.88)

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  • The participants were middle-aged overweight or obese women who could follow a weight-loss plan and were motivated to stick to the protocol.

    “Second, subjects wished to lose weight, and the study included middleaged overweight and obese women who were able to comply with a weight-loss plan; thus, the women showed that they were motivated to adhere to the protocol of the weight-loss diet (44).”

    From Beneficial effect of high energy intake at lunch rather than dinner on weight loss in healthy obese women in a weight-loss program: a randomized clinical trial (2016) · cites this paper as [44]

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Authors
Kraschnewski, J. L., Boan, J., Esposito, J., Sherwood, N. E., Lehman, E. B., Kephart, D. K., & Sciamanna, C. N.
Affiliations
  • Pennsylvania State University (US)
  • University of Minnesota (US)
Corresponding author
Sciamanna, C N
ORCID
Venue
International Journal of Obesity
Publisher
Springer Science and Business Media LLC
Published
2010-05-18
Volume
34
Issue
11
Pages
1644-1654
ISSN
  • 0307-0565 (ISSN-L)
  • 1476-5497
DOI
10.1038/ijo.2010.94
PMC
PMC3671378
OpenAlex
W2056874715
Cited by
381
References
39
Citations by year
2026: 10 · 2025: 9 · 2024: 19 · 2023: 16 · 2022: 14 · 2021: 24 · 2020: 35 · 2019: 42 · 2018: 29 · 2017: 32 · 2016: 34 · 2015: 33 · 2014: 28 · 2013: 15 · 2012: 27
FWCI
17.74
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • International Journal of Obesity (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Heart, Lung, and Blood Institute (R01HL088590)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Keywords
long-term weight loss maintenance, obesity, overweight, NHANES, age differences, racial and ethnic differences, sex differences, weight loss sustainability
MeSH terms
Adult, Aged, Aged, 80 and over, Behavior Therapy, Diet, Reducing, Exercise Therapy, Female, Humans, Male, Middle Aged, Obesity, United States, Weight Loss, Prevalence, Treatment Outcome, Age Distribution, Young Adult

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