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

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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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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: Kraschnewski, J L
Sherwood, N E
Lehman, E B
Sciamanna, C N
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: green
www.ncbi.nlm.nih.gov
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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Long-term weight loss maintenance in the United States

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