Details

Autor(en) / Beteiligte

• Unick, Jessica L.
• Neiberg, Rebecca H.
• Hogan, Patricia E.
• Cheskin, Lawrence J.
• Dutton, Gareth R.
• Jeffery, Robert
• Nelson, Julie A.
• Pi‐Sunyer, Xavier
• West, Delia Smith
• Wing, Rena R.

Titel

Weight change in the first 2 months of a lifestyle intervention predicts weight changes 8 years later

Ist Teil von

• Obesity (Silver Spring, Md.), 2015-07, Vol.23 (7), p.1353-1356

Ort / Verlag

United States: Blackwell Publishing Ltd

Erscheinungsjahr

2015

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Objective Examine the relationship between 1‐ and 2‐month weight loss (WL) and 8‐year WL among participants enrolled in a lifestyle intervention. Methods 2,290 Look AHEAD participants (BMI: 35.65 ± 5.93 kg/m2) with type 2 diabetes received an intensive behavioral WL intervention. Results 1‐ and 2‐month WL were associated with yearly WL through Year 8 (P's < 0.0001). At Month 1, participants losing 2‐4% and >4% had 1.62 (95% CI: 1.32, 1.98) and 2.79 (95% CI: 2.21, 3.52) times higher odds of achieving ≥5% WL at Year 4 and 1.28 (95% CI: 1.05,1.58) and 1.77 (95% CI: 1.40, 2.24) times higher odds of achieving ≥5% WL at Year 8, compared to those losing <2% initially. At Month 2, 3‐6% WL resulted in greater odds of achieving ≥5% WL at Year 4 (OR = 1.85; CI: 1.48, 2.32), and >6% WL resulted in the greatest odds of achieving ≥5% WL at Year 4 (OR = 3.85; CI: 3.05, 4.88) and Year 8 (OR = 2.28; CI: 1.81, 2.89), compared to those losing <3%. Differences in adherence between WL categories were observed as early as Month 2. Conclusions 1‐ and 2‐month WL was associated with 8‐year WL. Future studies should examine whether alternative treatment strategies can be employed to improve treatment outcomes among those with low initial WL.