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Long-term weight loss maintenance in the United States
Open accessAbstract
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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“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]
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“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).”
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Metadata
- 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
- Venue
- International Journal of Obesity
- Published
- 2010-05-18
- Volume
- 34
- Issue
- 11
- Pages
- 1644-1654
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- 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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