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Evaluation of long-term weight changes after a multidisciplinary weight control program.

S L Fitzwater¹, R L Weinsier, N H Wooldridge

¹Department of Nutrition Sciences, University of Alabama, Birmingham 35294.

Journal of the American Dietetic Association

|April 1, 1991

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A multidisciplinary weight loss program using a time-calorie displacement diet achieved significant long-term weight control. Most patients maintained weight loss or stayed below their initial weight 25 months later.

Area of Science:

Obesity research
Nutritional science
Behavioral medicine

Background:

The American Medical Association highlights the need for nutritionally sound diets and lifestyle changes for sustained weight management.
Obesity is a significant public health concern requiring effective long-term treatment strategies.

Purpose of the Study:

To assess the long-term effectiveness of an intensive, multidisciplinary weight reduction program.
To identify predictors of success in achieving and maintaining reduced body weight.
To evaluate the impact of the time-calorie displacement diet on weight control.

Main Methods:

A cohort of 213 obese adults participated in the program, which included dietary changes and lifestyle modifications.
The program utilized a time-calorie displacement diet (low-fat, high-complex-carbohydrate).

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Patient outcomes were tracked over 7 months of treatment and at a posttreatment follow-up averaging 25 months.

Main Results:

Participants lost an average of 6.3 kg over 7 months. Those completing 15 visits lost a mean of 10.8 kg.
Attendance (number of visits) was a key predictor of weight loss during treatment.
At follow-up, 53% maintained or continued to lose weight, with a mean net loss of 8.0 kg from pretreatment levels.

Conclusions:

A multidisciplinary approach incorporating a nutritionally sound diet and lifestyle changes promotes long-term weight control in a majority of obese patients.
The number of program visits, influenced by marital status, gender, and dietary habits, predicted weight loss success.
The time-calorie displacement diet, as part of a comprehensive program, appears effective for sustained weight management.