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Related Experiment Videos

Promoting more modest weight losses: a pilot study.

Gary D Foster1, Suzanne Phelan, Thomas A Wadden

  • 1University of Pennsylvania School of Medicine, Philadephia, PA 19104, USA. fosterg@mail.med.upenn.edu

Obesity Research
|September 2, 2004
PubMed
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This study found that aiming for modest initial weight loss did not improve long-term weight maintenance in obese women. However, higher satisfaction with body weight at treatment end was linked to better weight maintenance.

Area of Science:

  • Behavioral Science
  • Obesity Research
  • Psychology

Background:

  • Obesity is a significant public health concern requiring effective long-term management strategies.
  • Traditional weight loss programs often focus on substantial initial weight reduction, which can be difficult to maintain.
  • Cognitive behavioral treatments (CBT) show promise but require adaptation for sustainable weight management.

Purpose of the Study:

  • To evaluate the short- and long-term effectiveness of a modified CBT program.
  • To assess if accepting a modest 5%-10% initial weight reduction enhances weight maintenance.
  • To examine the impact on body image, self-esteem, and quality of life.

Main Methods:

  • Pilot study with 17 women (mean age 46.5 years, BMI 34.7 kg/m²).

Related Experiment Videos

  • A 40-week modified CBT program with four phases: benefits of modest loss, traditional CBT, body image/self-esteem enhancement, and maintenance skills.
  • Assessments of weight, self-esteem, body image, and quality of life at week 40 and week 92 (1-year follow-up).

    • Main Results:

    • At 40 weeks, participants achieved an average weight loss of 5.7%, with significant improvements in psychosocial factors.
    • Psychosocial improvements were maintained at 1 year, but mean weight loss decreased to 2.9%.
    • Increased satisfaction with body weight at week 40 correlated with better weight maintenance at follow-up (r = -0.70, p = 0.02).

    Conclusions:

    • Focusing on modest initial weight loss alone may not be sufficient for long-term weight maintenance.
    • Enhancing patients' satisfaction with their body weight post-treatment appears crucial for sustained weight management.
    • Further research is needed to understand the link between satisfaction with initial weight loss and long-term outcomes.