Abstract
The results of weight maintenance after initial weight loss are reported infrequently, although, when they have been reported, the outcomes are generally poor and weight regain is common.
Methods
After an initial 12-week randomised intervention comparing all meal provision against a self-directed energy restriction, participants re-consented to participate in a follow-on study. Participants were given the option to choose to continue with the same dietary intervention (either all meal provision (provided free of charge) or self-directed diet) or change to the other diet for a further 12 weeks. Participants were followed up at 4-weekly intervals during both intervention periods (a total of 24 weeks), with a final follow up at 12 months.
Results
Eighty-five out of 86 individuals who completed the original 12-week randomised phase chose to continue on to the follow-up study. No significant differences in further weight loss between groups (P = 0.138) [mean (SEM): −3.4% (1.1%) for all meal provision only; −3.4% (0.6%) self-directed then all meal provision; −1.1% (1.2%) all meal provision then self-directed] were seen after a further 12 weeks. Meal provision for a total of 24 weeks resulted in 67% of individuals losing at least 10% body weight. The groups switching from self-directed dieting to meal provision (or vice versa) were the only groups to have a lower mean weight at 12 months than at the start of the follow-on study.
Conclusions
Structured support for 24 weeks followed by 28 weeks of self-care can result in weight maintenance, with initial weight loss maintained at 12 months from enrolling on a 12-week weight loss intervention, with a 12-week follow-on period
| Original language | English |
|---|---|
| Pages (from-to) | 384-390 |
| Number of pages | 7 |
| Journal | Journal of Human Nutrition and Dietetics |
| Volume | 27 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Aug 2014 |
| Externally published | Yes |
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Weight maintenance over 12 months after weight loss resulting from participation in a 12-week randomised controlled trial comparing all meal provision to self-directed diet in overweight adults. / Whitham, C; MELLOR, Duane; Goodwin, S; Reid, Marie; Atkin, Stephen.
In: Journal of Human Nutrition and Dietetics, Vol. 27, No. 4, 08.2014, p. 384-390.Research output: Contribution to journal › Article
TY - JOUR
T1 - Weight maintenance over 12 months after weight loss resulting from participation in a 12-week randomised controlled trial comparing all meal provision to self-directed diet in overweight adults
AU - Whitham, C
AU - MELLOR, Duane
AU - Goodwin, S
AU - Reid, Marie
AU - Atkin, Stephen
PY - 2014/8
Y1 - 2014/8
N2 - BackgroundThe results of weight maintenance after initial weight loss are reported infrequently, although, when they have been reported, the outcomes are generally poor and weight regain is common.MethodsAfter an initial 12-week randomised intervention comparing all meal provision against a self-directed energy restriction, participants re-consented to participate in a follow-on study. Participants were given the option to choose to continue with the same dietary intervention (either all meal provision (provided free of charge) or self-directed diet) or change to the other diet for a further 12 weeks. Participants were followed up at 4-weekly intervals during both intervention periods (a total of 24 weeks), with a final follow up at 12 months.ResultsEighty-five out of 86 individuals who completed the original 12-week randomised phase chose to continue on to the follow-up study. No significant differences in further weight loss between groups (P = 0.138) [mean (SEM): −3.4% (1.1%) for all meal provision only; −3.4% (0.6%) self-directed then all meal provision; −1.1% (1.2%) all meal provision then self-directed] were seen after a further 12 weeks. Meal provision for a total of 24 weeks resulted in 67% of individuals losing at least 10% body weight. The groups switching from self-directed dieting to meal provision (or vice versa) were the only groups to have a lower mean weight at 12 months than at the start of the follow-on study.ConclusionsStructured support for 24 weeks followed by 28 weeks of self-care can result in weight maintenance, with initial weight loss maintained at 12 months from enrolling on a 12-week weight loss intervention, with a 12-week follow-on period
AB - BackgroundThe results of weight maintenance after initial weight loss are reported infrequently, although, when they have been reported, the outcomes are generally poor and weight regain is common.MethodsAfter an initial 12-week randomised intervention comparing all meal provision against a self-directed energy restriction, participants re-consented to participate in a follow-on study. Participants were given the option to choose to continue with the same dietary intervention (either all meal provision (provided free of charge) or self-directed diet) or change to the other diet for a further 12 weeks. Participants were followed up at 4-weekly intervals during both intervention periods (a total of 24 weeks), with a final follow up at 12 months.ResultsEighty-five out of 86 individuals who completed the original 12-week randomised phase chose to continue on to the follow-up study. No significant differences in further weight loss between groups (P = 0.138) [mean (SEM): −3.4% (1.1%) for all meal provision only; −3.4% (0.6%) self-directed then all meal provision; −1.1% (1.2%) all meal provision then self-directed] were seen after a further 12 weeks. Meal provision for a total of 24 weeks resulted in 67% of individuals losing at least 10% body weight. The groups switching from self-directed dieting to meal provision (or vice versa) were the only groups to have a lower mean weight at 12 months than at the start of the follow-on study.ConclusionsStructured support for 24 weeks followed by 28 weeks of self-care can result in weight maintenance, with initial weight loss maintained at 12 months from enrolling on a 12-week weight loss intervention, with a 12-week follow-on period
KW - Meal provision
KW - Meal replacement
KW - Self-care after weight loss
KW - Weight loss
KW - Weight maintenance
UR - http://www.scopus.com/inward/record.url?scp=84904701011&partnerID=8YFLogxK
UR - http://www.mendeley.com/research/weight-maintenance-12-months-after-weight-loss-resulting-participation-12week-randomised-controlled
U2 - 10.1111/jhn.12178
DO - 10.1111/jhn.12178
M3 - Article
VL - 27
SP - 384
EP - 390
JO - Journal of Human Nutrition and Dietetics
JF - Journal of Human Nutrition and Dietetics
SN - 0952-3871
IS - 4
ER -