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Erschienen in: Journal of General Internal Medicine 11/2020

17.08.2020 | Original Research

Lifestyle Habits Associated with Weight Regain After Intentional Loss in Primary Care Patients Participating in a Randomized Trial

verfasst von: Bethany Barone Gibbs, PhD, Dana Tudorascu, PhD, Cindy L. Bryce, PhD, Diane Comer, BA, Gary S. Fischer, MD, Rachel Hess, MD, MS, Kimberly A. Huber, MPH, Kathleen M. McTigue, MD, MS, MPH, Laurey R. Simkin-Silverman, PhD, Molly B. Conroy, MD, MPH

Erschienen in: Journal of General Internal Medicine | Ausgabe 11/2020

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Abstract

Background

Though long-term weight loss maintenance is the treatment goal for obesity, weight regain is typical and few studies have evaluated lifestyle habits associated with weight regain.

Objective

To identify dietary and physical activity habits associated with 6- and 24-month weight regain among participants in a weight loss maintenance clinical trial.

Design

Secondary analysis of randomized clinical trial data.

Participants

Adult primary care patients with recent, intentional weight loss of at least 5%.

Main Measures

Lifestyle habits included consumption of low-fat foods, fish, desserts, sugary beverages, fruits, and vegetables and eating at restaurants from the Connor Diet Habit Survey; moderate-vigorous physical activity by self-report; steps recorded by a pedometer; and sedentary behavior by self-report. The outcome variable was weight change at 6 and 24 months. Linear regression models estimated adjusted associations between changes in weight and changes in dietary and physical activity habits.

Key Results

Overall, participants (mean (SD): 53.4 (12.2) years old; 26% male; 88% white) maintained weight loss at 6 months (n = 178, mean (SD): − 0.02 (5.70)% change) but began to regain weight by 24 months (n = 157, mean (SD): 4.22 (9.15)% increase). When considered all together, more eating at restaurants, reduced fish consumption, and less physical activity were most consistently associated with weight regain in fully adjusted models at both 6 and 24 months of follow-up. In addition, more sedentary behavior was associated with weight regain at 6 months while reduced consumption of low-fat foods, and more desserts and sugary beverages were associated with weight regain at 24 months.

Conclusions

Consuming less fish, fewer steps per day, and more frequent restaurant eating were most consistently associated with weight regain in primary care patients. Primary care providers may consider addressing specific lifestyle behaviors when counseling patients after successful weight loss.

Trial Registration

ClinicalTrials.​gov Identifier: NCT01946191
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Metadaten
Titel
Lifestyle Habits Associated with Weight Regain After Intentional Loss in Primary Care Patients Participating in a Randomized Trial
verfasst von
Bethany Barone Gibbs, PhD
Dana Tudorascu, PhD
Cindy L. Bryce, PhD
Diane Comer, BA
Gary S. Fischer, MD
Rachel Hess, MD, MS
Kimberly A. Huber, MPH
Kathleen M. McTigue, MD, MS, MPH
Laurey R. Simkin-Silverman, PhD
Molly B. Conroy, MD, MPH
Publikationsdatum
17.08.2020
Verlag
Springer International Publishing
Erschienen in
Journal of General Internal Medicine / Ausgabe 11/2020
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-020-06056-x

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