Title
Predictors of weight maintenance
Author
Pasman, W.J.
Saris, W.H.M.
Westerterp-Plantenga, M.S.
Centraal Instituut voor Voedingsonderzoek TNO
Publication year
1999
Abstract
Objective: To obtain predictors of weight maintenance after a weight-loss intervention. Research Methods and Procedures: An overall analysis of data from two-long intervention studies [n = 67 women; age: 37.9±1.0 years; body weight (BW): 87.0±1.2 kg; body mass index: 32.1±0.5 kg·m-2; % body fat: 42.4±0.5%]. Subjects were measured before a very low energy diet (month 0), after the very low energy diet of 2 months (month 2) and after a 14-month follow-up phase (at 16 months), in which fiber or a carbohydrate-containing food supplement was supplied. The baseline measurements and the changes in parameters induced by the diet intervention were used to predict the changes in BW in the follow-up phase [ABW(2-16)]. Results: Multiple regression analysis revealed that 50% (p<0.001) of the variability in weight regain could be explained by pphysiological and behavioral factors. These were: frequency of previous dieting (r2 = 0.27, p<0.05), hunger score (measured with the three-factor eating behavior questionnaire), and change in 24-hour resting metabolic rate (RMR). Frequent dieters showed significantly more weight regain than less frequent dieters (8.8±1.0 kg vs. 5.1±0.8 kg, p<0.01). Subjects having parents with obesity regained almost significantly more weight than subjects with lean parents (8.5±0.2 kg vs. 5.1±1.5 kg, respectively; p = 0.06). Discussion: Physiological (ΔRMR-24 hours) and behavioral factors (previous frequency of dieting and hunger score) predicted failure of weight maintenance and, as such, can be used to identify women who are at risk for weight regain. Copyright © 1999 NAASO.
Subject
Nutrition
Diet history
Eating behavior
Resting metabolic rate
Weight regain
Adult
Body mass
Body weight
Carbohydrate metabolism
Dietary fiber
Feeding behavior
Female
Forecasting
Human
Intervention study
Low calory diet
Metabolism
Obesity
Parent
Pathophysiology
Physiology
Psychological aspect
Questionnaire
Regression analysis
Weight gain
Weight reduction
Adult
Body Mass Index
Body Weight
Carbohydrate Metabolism
Diet, Reducing
Dietary Fiber
Feeding Behavior
Female
Forecasting
Humans
Intervention Studies
Obesity
Parents
Questionnaires
Regression Analysis
Weight Gain
Weight Loss
To reference this document use:
http://resolver.tudelft.nl/uuid:ed8527d7-d47f-4252-9c3a-f0494cf02e29
TNO identifier
41029
ISSN
1071-7323
Source
Obesity Research, 7 (1), 43-50
Document type
article