A descriptive study of individuals successful at long-term maintenance of substantial weight loss
Open accessAbstract
The National Weight Control Registry (NWCR) is, to the best of our knowledge, the largest study of individuals successful at long-term maintenance of weight loss. Despite extensive histories of overweight, the 629 women and 155 men in the registry lost an average of 30 kg and maintained a required minimum weight loss of 13.6 kg for 5 y. A little over one-half of the sample lost weight through formal programs; the remainder lost weight on their own. Both groups reported having used both diet and exercise to lose weight and nearly 77% of the sample reported that a triggering event had preceded their successful weight loss. Mean (+/-SD) current consumption reported by registry members was 5778 +/- 2200 kJ/d, with 24 +/- 9% of energy from fat, Members also appear to be highly active: they reported expending approximately 11830 kJ/wk through physical activity. Surprisingly, 42% of the sample reported that maintaining their weight loss was less difficult than losing weight. Nearly all registry members indicated that weight loss led to improvements in their level of energy, physical mobility, general mood, self-confidence, and physical health. In summary, the NWCR identified a large sample of individuals who were highly successful at maintaining weight loss. Future prospective studies will determine variables that predict continued maintenance of weight loss.
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Registry participants report eating 1381 kcal/day and engaging in 60 min/day of physical activity.
“Registry participants report eating 1381 kcal/day and engaging in 60 min/day of physical activity.”
From The Role of Lifestyle Modification with Second-Generation Anti-obesity Medications: Comparisons, Questions, and Clinical Opportunities (2023) · cites this paper as [32]
Some individuals achieve and maintain losses ≥15%, but they work tenaciously.
“Some individuals, as in the National Weight Control Registry, achieve and maintain losses ≥ 15%, but they work tenaciously [32].”
From The Role of Lifestyle Modification with Second-Generation Anti-obesity Medications: Comparisons, Questions, and Clinical Opportunities (2023) · cites this paper as [32]
Participants in the National Weight Control Registry practice a behavioral weight loss maintenance program.
“consistent with that practiced by participants in the National Weight Control Registry [32]”
From The Role of Lifestyle Modification with Second-Generation Anti-obesity Medications: Comparisons, Questions, and Clinical Opportunities (2023) · cites this paper as [32]
People who fully adhere to standard behavioral obesity regimens achieve large weight losses and little weight regain.
“Those who fully adhere to these regimens experience large weight losses and minimal weight regain.1”
From The mind your health project: a randomized controlled trial of an innovative behavioral treatment for obesity (2013) · cites this paper as [1]
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- Authors
- Klem, M., Wing, R., McGuire, M., Seagle, H., & Hill, J.
- Affiliations
- University of Pittsburgh (US)
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 1997-08
- Volume
- 66
- Issue
- 2
- Pages
- 239-246
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2138680533
- Cited by
- 1,060
- References
- 30
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 10 · 2023: 13 · 2022: 19 · 2021: 22 · 2020: 22 · 2019: 29 · 2018: 28 · 2017: 38 · 2016: 33 · 2015: 35 · 2014: 51 · 2013: 55 · 2012: 53
- FWCI
- 34.56
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- weight loss maintenance, long-term weight loss, energy intake, physical activity, dieting
- MeSH terms
- Adult, Energy Intake, Female, Humans, Male, Middle Aged, Obesity, Prospective Studies, Registries, Weight Loss, Exercise
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