Prevalence and predictors of weight loss maintenance: a retrospective population-based survey of European adults with overweight and obesity

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DOI

  • E. H. Evans, Newcastle Univ, Newcastle University - UK, Fac Med Sci, Inst Hlth & Soc
  • ,
  • K. Sainsbury, Newcastle Univ, Newcastle University - UK, Fac Med Sci, Inst Hlth & Soc
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  • M. M. Marques, Trinity Coll Dublin, Trinity College Dublin, Trinity Ctr Practice & Healthcare Innovat
  • ,
  • J. Santos, Univ Lisbon, Universidade de Lisboa, Fac Human Kinet, Interdisciplinary Ctr Study Human Performance CIP
  • ,
  • S. Pedersen
  • L. Lahteenmaki
  • P. J. Teixeira, Univ Lisbon, Universidade de Lisboa, Fac Human Kinet, Interdisciplinary Ctr Study Human Performance CIP
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  • R. J. Stubbs, Univ Leeds, University of Leeds, Sch Psychol, Fac Med & Hlth
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  • B. L. Heitmann, Bispebjerg & Frederiksberg Hosp, University of Copenhagen, Parker Inst, Res Unit Dietary Studies, Univ Sydney, University of Sydney, Boden Inst Obes Nutr Exercise & Eating Disorders, Univ Copenhagen, University of Copenhagen, Inst Publ Hlth, Dept Gen Med
  • ,
  • F. F. Sniehotta, UKCRC Ctr Translat Res Publ Hlth, Fuse

Background The prevalence of weight loss attempts has increased worldwide, although the extent to which sustained weight loss is achieved is unknown. There is insufficient research into weight loss maintenance (WLM) in individuals with overweight or obesity who have recently lost clinically significant amounts of weight (>= 5%), particularly in the European general population. The present study aimed to determine the prevalence and retrospective predictors of WLM in population-based samples of European adults with overweight or obesity who had made a recently completed weight loss attempt. Methods Participants (N = 2000) in UK, Denmark and Portugal completed an online survey about loss and regain in their most recent completed weight loss attempt, features of their attempt (duration, self-weighing, lapses, strategies), as well as loss of control and binge eating. Multiple regression analysis was used to determine factors retrospectively associated with WLM in those who achieved clinically significant weight loss (n = 1272). Results Mean (SD) self-reported weight loss was 9% (8%) and mean (SD) regain was 96.3% (9%) of participants' start weight. Twenty-three percent of the total sample had maintained weight loss of >= 5% for at least 1 month. Controlling for weight loss and time since attempt, predictors of better WLM were avoidance of a temporary lapse, infrequent/absent loss of control and binge eating, and use of a greater number of dietary strategies for WLM (r(2) = 0.338, P <0.001). Principal conclusions Factors associated with recent successful WLM indicate the importance of the continued use of dietary and other strategies for WLM, particularly in the face of a lapse, as well as the need to manage dysfunctional eating behaviours.

OriginalsprogEngelsk
TidsskriftJournal of Human Nutrition and Dietetics
Antal sider9
ISSN0952-3871
DOI
StatusE-pub ahead of print - aug. 2019

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