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Predictors of long-term weight loss in adults with modest initial weight loss, by sex and race.

Publication ,  Journal Article
Svetkey, LP; Ard, JD; Stevens, VJ; Loria, CM; Young, DY; Hollis, JF; Appel, LJ; Brantley, PJ; Kennedy, BM; Kumanyika, SK; Batch, BC; Lien, LF ...
Published in: Obesity (Silver Spring)
September 2012

Effective weight management interventions could reduce race-sex disparities in cardiovascular disease (CVD), yet little is known about factors associated with successful weight loss maintenance in race-sex subgroups. In the Weight Loss Maintenance trial (WLM), overweight/obese (BMI 25-45 kg/m(2)) adults who lost ≥4 kg in a 6-month behavioral weight loss intervention (phase I) were randomized into one of three 30-month maintenance interventions (phase II). To investigate predictors in subgroups, randomized groups were combined for this analysis. Of 1,685 phase I participants, 1,032 (61%) entered phase II, including 12% black men (BM), 26% black women (BW), 25% white men (WM), and 37% white women (WW). Weight change over the 36-month study ranged from -2.3% (95% confidence interval = -3.1 to -1.5%) in BW to -4.5% (95% confidence interval = -5.7 to -4.0%) in WM, the result of differential weight loss during phase I. Within race, men lost significantly more weight than women, but within sex group, weight loss did not differ significantly between races. Although participants regained weight during phase II, regain did not differ by race-sex group, and mean weight at the end of the study was significantly lower than phase I entry weight for each subgroup. In regression models, phase I weight loss predicted overall 36-month weight loss in all race-sex groups. Healthy dietary pattern at entry, improvement in dietary pattern, or both were predictive in three of four race-sex groups. Few other variables other than initial weight loss and dietary pattern were predictive. Future research should identify additional modifiable influences on long-term maintenance after a modest weight loss.

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Published In

Obesity (Silver Spring)

DOI

EISSN

1930-739X

Publication Date

September 2012

Volume

20

Issue

9

Start / End Page

1820 / 1828

Location

United States

Related Subject Headings

  • White People
  • Weight Loss
  • United States
  • Time Factors
  • Sex Factors
  • Predictive Value of Tests
  • Patient Compliance
  • Obesity
  • Middle Aged
  • Male
 

Citation

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Svetkey, L. P., Ard, J. D., Stevens, V. J., Loria, C. M., Young, D. Y., Hollis, J. F., … Weight Loss Maintenance Collaborative Research Group, . (2012). Predictors of long-term weight loss in adults with modest initial weight loss, by sex and race. Obesity (Silver Spring), 20(9), 1820–1828. https://doi.org/10.1038/oby.2011.88
Svetkey, Laura P., Jamy D. Ard, Victor J. Stevens, Catherine M. Loria, Deb Y. Young, Jack F. Hollis, Lawrence J. Appel, et al. “Predictors of long-term weight loss in adults with modest initial weight loss, by sex and race.Obesity (Silver Spring) 20, no. 9 (September 2012): 1820–28. https://doi.org/10.1038/oby.2011.88.
Svetkey LP, Ard JD, Stevens VJ, Loria CM, Young DY, Hollis JF, et al. Predictors of long-term weight loss in adults with modest initial weight loss, by sex and race. Obesity (Silver Spring). 2012 Sep;20(9):1820–8.
Svetkey, Laura P., et al. “Predictors of long-term weight loss in adults with modest initial weight loss, by sex and race.Obesity (Silver Spring), vol. 20, no. 9, Sept. 2012, pp. 1820–28. Pubmed, doi:10.1038/oby.2011.88.
Svetkey LP, Ard JD, Stevens VJ, Loria CM, Young DY, Hollis JF, Appel LJ, Brantley PJ, Kennedy BM, Kumanyika SK, Batch BC, Corsino L, Lien LF, Vollmer WM, Weight Loss Maintenance Collaborative Research Group. Predictors of long-term weight loss in adults with modest initial weight loss, by sex and race. Obesity (Silver Spring). 2012 Sep;20(9):1820–1828.
Journal cover image

Published In

Obesity (Silver Spring)

DOI

EISSN

1930-739X

Publication Date

September 2012

Volume

20

Issue

9

Start / End Page

1820 / 1828

Location

United States

Related Subject Headings

  • White People
  • Weight Loss
  • United States
  • Time Factors
  • Sex Factors
  • Predictive Value of Tests
  • Patient Compliance
  • Obesity
  • Middle Aged
  • Male