Greater weight loss with increasing age in the weight loss maintenance trial.

Journal Article (Journal Article;Multicenter Study)

OBJECTIVE: To determine the effect of age on weight loss and weight loss maintenance in participants in the Weight Loss Maintenance trial (WLM). DESIGN AND METHODS: Secondary analysis of a randomized controlled trial of overweight/obese adults with CVD risk factors was conducted. Participants were 1685 adults with baseline BMI 25-45 kg m(2) with hypertension and/or dyslipidemia. Those who lost at least 4kg in an initial 6-month behavioral weight loss intervention (N = 1,032) were randomly assigned to a 30-month maintenance phase of self-directed control (SD), monthly personal counseling (PC), or unlimited access to an internet-based intervention (IT). Age groups were defined post-hoc and weight change was compared among age groups. RESULTS: Participants ≥60 years old initially lost more weight than younger individuals, and sustained greater weight loss in IT and PC but not in SD (P value for trend 0.024, 0.002, and 0.36, respectively). CONCLUSIONS: In WLM, adults age ≥60 years had greater initial weight loss and greater sustained weight loss over 3 years, compared to younger adults. Older adults had greater weight loss maintenance with either personal counseling or internet-based intervention. Future research should determine optimal implementation strategies and effects of weight loss on health outcomes in older adults.

Full Text

Duke Authors

Cited Authors

  • Svetkey, LP; Clark, JM; Funk, K; Corsino, L; Batch, BC; Hollis, JF; Appel, LJ; Brantley, PJ; Loria, CM; Champagne, CM; Vollmer, WM; Stevens, VJ

Published Date

  • January 2014

Published In

Volume / Issue

  • 22 / 1

Start / End Page

  • 39 - 44

PubMed ID

  • 23640912

Pubmed Central ID

  • PMC3849225

Electronic International Standard Serial Number (EISSN)

  • 1930-739X

Digital Object Identifier (DOI)

  • 10.1002/oby.20506


  • eng

Conference Location

  • United States