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Lessons from obesity management programmes: greater initial weight loss improves long-term maintenance.

A Astrup1, S Rössner

  • 1Research Department of Human Nutrition, Royal Veterinary and Agricultural University, Rolighedsvej 30, DK-1958 Frederiksberg, Denmark. ast@kvl.dk

Obesity Reviews : an Official Journal of the International Association for the Study of Obesity
|July 18, 2002
PubMed
Summary

Rapid initial weight loss, followed by lifestyle changes, improves long-term weight maintenance. Greater initial weight reduction, not slower rates, is key for sustained weight management success.

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Area of Science:

  • Obesity research
  • Weight management science

Background:

  • Common belief suggests slow weight loss is better for maintenance.
  • Existing literature indicates initial weight loss positively correlates with long-term maintenance.

Purpose of the Study:

  • To evaluate the relationship between initial weight loss rate and long-term weight maintenance.
  • To determine if greater initial weight loss improves sustained weight management.

Main Methods:

  • Review of evidence from randomized intervention trials.
  • Analysis of studies involving rapid initial weight loss (e.g., liquid diets, anorectic drugs).
  • Examination of integrated 1-2 year weight maintenance programs including lifestyle interventions.

Main Results:

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  • Initial weight loss is positively associated with long-term weight maintenance.
  • Greater initial weight loss, achieved without lifestyle changes, enhances long-term maintenance when followed by a comprehensive program.
  • Sustained weight maintenance is improved by a greater initial weight loss as a first step.

Conclusions:

  • A greater initial weight loss may lead to improved sustained weight maintenance.
  • The findings challenge the common belief that slow weight loss is superior for long-term results.
  • Integrated weight management programs are crucial following initial weight loss for success.