Cited by 1,060Obesity, Physical Activity, DietNutrition, Health and Food BehaviorEating Disorders and Behaviors

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A descriptive study of individuals successful at long-term maintenance of substantial weight loss

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Klem, ML, Wing, RR, McGuire, MT, Seagle, HM, Hill, JO·1997·The American Journal of Clinical Nutrition

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Abstract

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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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)
DOI: 10.1093/ajcn/66.2.239
OpenAlex: W2138680533
Cited by: 1,060
References: 29
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: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 9336 d)
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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A descriptive study of individuals successful at long-term maintenance of substantial weight loss

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