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Multidisciplinary Approach to Obesity Management: A Case Report
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Published on: May 30, 2025

Primary weight maintenance: an observational study exploring candidate variables for intervention.

Kristina Lindvall1, Paul Jenkins, Maria Emmelin

  • 1Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University, S-901 87 Umeå, Sweden. kristina.lindvall@epiph.umu.se

Nutrition Journal
|July 17, 2013
PubMed
Summary
This summary is machine-generated.

Preventing weight gain, or primary weight maintenance (PWM), is more successful than secondary weight maintenance. This study identified numerous predictors of PWM, suggesting tailored interventions are needed for different demographic groups.

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Area of Science:

  • Public Health
  • Epidemiology
  • Behavioral Science

Background:

  • Secondary weight maintenance (SWM) shows modest long-term results.
  • Primary weight maintenance (PWM), preventing initial weight gain, may be more effective.
  • Developing PWM strategies is of significant public health interest.

Purpose of the Study:

  • Identify attitudes, strategies, and behaviors predictive of PWM.
  • Analyze predictors across different age, sex, and BMI groups in Northern Sweden.

Main Methods:

  • Surveyed 3497 individuals with measured weights 10 years apart.
  • Analyzed data from participants aged 41-63 with baseline BMI 20-30 and minimal BMI change.
  • Utilized ANOVA, correlation, and linear regression for predictor identification.

Main Results:

  • 152 of 166 tested variables (91.6%) predicted PWM in at least one subgroup.
  • Only 7 variables (4.6%) were significant across 6+ subgroups.
  • Males and normal-weight subgroups showed more significant PWM predictors.

Conclusions:

  • Numerous PWM predictors and high R-squared values support intervention development.
  • Interventions should be tailored based on individual demographics (age, sex, BMI).
  • Further research should evaluate the causal potential of identified PWM predictors.