Successful long-term weight loss maintenance in a rural population

Vanessa A Milsom1,2, Kathryn M Ross Middleton2, Michael G Perri21Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 2Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USABackground: Few investigations of successful long-term weight loss b...

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Autores principales:	Milsom VA, Ross Middleton KM, Perri MG
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Obesity Weight Loss Weight Maintenance Lifestyle Intervention Rural Health Disparities Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/211e36ac9ae34058bf27641ba1d2fc25
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spelling	oai:doaj.org-article:211e36ac9ae34058bf27641ba1d2fc252021-12-02T00:21:46ZSuccessful long-term weight loss maintenance in a rural population1178-1998https://doaj.org/article/211e36ac9ae34058bf27641ba1d2fc252011-11-01T00:00:00Zhttps://www.dovepress.com/successful-long-term-weight-loss-maintenance-in-a-rural-population-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Vanessa A Milsom1,2, Kathryn M Ross Middleton2, Michael G Perri21Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 2Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USABackground: Few investigations of successful long-term weight loss beyond two years have been conducted, and none has examined weight changes in medically underserved rural populations of older adults. The purpose of this study was to assess long-term weight loss maintenance 3.5 years after the completion of an initial six-month lifestyle intervention for obesity among women aged 50–75 years residing in rural communities.Methods: One hundred and ten obese women with a mean (± standard deviation) age of 60.08 ± 6.17 years and mean body mass index of 36.76 ± 5.10 kg/m2 completed an in-person assessment during which their weight and adherence to behavioral weight management strategies were evaluated.Results: Participants showed a mean weight reduction of 10.17% ± 5.0% during the initial six-month intervention and regained 6.95% ± 9.44% from the completion of treatment to follow-up assessment 3.5 years later. A substantial proportion of participants (41.80%) were able to maintain weight reductions of 5% or greater from baseline to follow-up. "Successful" participants (those who maintained losses of 5% or greater at follow-up) reported weighing themselves, self-monitoring their intake and calories, planning meals in advance, and choosing lower calorie foods with greater frequency than "unsuccessful" participants (those who lost less than 5%).Conclusion: Collectively, these findings indicate that a large proportion of participants were able to maintain clinically significant weight losses for multiple years after treatment, and that self-monitoring was a key component of successful long-term weight management.Keywords: obesity, weight loss, weight maintenance, lifestyle intervention, rural, health disparitiesMilsom VARoss Middleton KMPerri MGDove Medical PressarticleObesityWeight LossWeight MaintenanceLifestyle InterventionRuralHealth DisparitiesGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 6, Pp 303-309 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Obesity Weight Loss Weight Maintenance Lifestyle Intervention Rural Health Disparities Geriatrics RC952-954.6
spellingShingle	Obesity Weight Loss Weight Maintenance Lifestyle Intervention Rural Health Disparities Geriatrics RC952-954.6 Milsom VA Ross Middleton KM Perri MG Successful long-term weight loss maintenance in a rural population
description	Vanessa A Milsom1,2, Kathryn M Ross Middleton2, Michael G Perri21Department of Psychiatry, Yale University School of Medicine, New Haven, CT, 2Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USABackground: Few investigations of successful long-term weight loss beyond two years have been conducted, and none has examined weight changes in medically underserved rural populations of older adults. The purpose of this study was to assess long-term weight loss maintenance 3.5 years after the completion of an initial six-month lifestyle intervention for obesity among women aged 50–75 years residing in rural communities.Methods: One hundred and ten obese women with a mean (± standard deviation) age of 60.08 ± 6.17 years and mean body mass index of 36.76 ± 5.10 kg/m2 completed an in-person assessment during which their weight and adherence to behavioral weight management strategies were evaluated.Results: Participants showed a mean weight reduction of 10.17% ± 5.0% during the initial six-month intervention and regained 6.95% ± 9.44% from the completion of treatment to follow-up assessment 3.5 years later. A substantial proportion of participants (41.80%) were able to maintain weight reductions of 5% or greater from baseline to follow-up. "Successful" participants (those who maintained losses of 5% or greater at follow-up) reported weighing themselves, self-monitoring their intake and calories, planning meals in advance, and choosing lower calorie foods with greater frequency than "unsuccessful" participants (those who lost less than 5%).Conclusion: Collectively, these findings indicate that a large proportion of participants were able to maintain clinically significant weight losses for multiple years after treatment, and that self-monitoring was a key component of successful long-term weight management.Keywords: obesity, weight loss, weight maintenance, lifestyle intervention, rural, health disparities
format	article
author	Milsom VA Ross Middleton KM Perri MG
author_facet	Milsom VA Ross Middleton KM Perri MG
author_sort	Milsom VA
title	Successful long-term weight loss maintenance in a rural population
title_short	Successful long-term weight loss maintenance in a rural population
title_full	Successful long-term weight loss maintenance in a rural population
title_fullStr	Successful long-term weight loss maintenance in a rural population
title_full_unstemmed	Successful long-term weight loss maintenance in a rural population
title_sort	successful long-term weight loss maintenance in a rural population
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/211e36ac9ae34058bf27641ba1d2fc25
work_keys_str_mv	AT milsomva successfullongtermweightlossmaintenanceinaruralpopulation AT rossmiddletonkm successfullongtermweightlossmaintenanceinaruralpopulation AT perrimg successfullongtermweightlossmaintenanceinaruralpopulation
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Successful long-term weight loss maintenance in a rural population

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