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Weight loss intervention adherence and factors promoting adherence: a meta-analysis
Mark Lemstra1, Yelena Bird2, Chijioke Nwankwo2
1Alliance Wellness and Rehabilitation, Moose Jaw.
Patient Preference and Adherence
|August 31, 2016
Summary
Many people struggle with weight loss adherence. Supervised, socially supportive, and diet-focused programs improve success rates for weight loss interventions.
Area of Science:
- Obesity and Weight Management
- Behavioral Science
- Public Health
Background:
- Weight loss interventions are challenging for many individuals, with a high failure rate among overweight and obese populations.
- Understanding adherence is critical for improving the efficacy of weight loss strategies.
Purpose of the Study:
- To determine overall adherence rates across diverse weight loss interventions.
- To identify factors associated with enhanced adherence to weight loss programs.
Main Methods:
- A systematic literature review and meta-analysis was conducted.
- Studies published between January 2004 and August 2015 focusing on weight loss intervention adherence were included.
Main Results:
- The meta-analysis included 27 studies, revealing an overall adherence rate of 60.5%.
- Supervised attendance (rate ratio [RR] 1.65) and social support (RR 1.29) significantly increased adherence.
- Dietary interventions alone showed higher adherence (RR 1.27) compared to exercise programs alone.
Conclusions:
- A significant portion of individuals do not adhere to prescribed weight loss interventions.
- Weight loss programs that incorporate supervised attendance, social support, and dietary focus demonstrate superior adherence rates.
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