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Weight Management Results
One Hundred-pound Weight Losses with an Intensive Behavioral Program: Changes in Risk Factors in 118 Patients with Long-term Follow-up. Am J Clin Nutr 2007;86:301-307
These 118 patients weighed an average of 352 lbs on entering the HMR Program and lost an average of 134 lbs. in 44 weeks. Medication doses were reduced in all patients who entered the program on medications. Medications were discontinued in 66% of all patients, including 100% of patients with dyslipidemia, 67% with hypertension, 73% with diabetes and 83% with degenerative joint disease.
Weight loss and long-term follow-up of severely obese individuals treated with an intense behavioral program. Int J Obes 2007;31:488-493.
Results for 1100 people with BMIs > 40 kg/m2 who completed the 12-week program showed an average weight loss of 77.6 lbs. Twenty-five percent (25%) of this group lost 100 lbs. or more – for an average weight loss of 137.4 lbs. Those who lost > 100 lbs. were maintaining an average of 90.4 lbs. approximately 2 years later while participating in a maintenance program.
100 lb. Weight Loss in Intensive Behavioral Program Results in Reduction in Medical Risk Factors Obes 2008; 16 Suppl 1: s158
Data from 139 consecutive patients from 28 medical facilities who lost > 100 lbs. were analyzed using an initial and a follow-up health risk appraisal (HRA). The average weight change was 133 lbs. or 38.7% of initial body weight over an average of 2.4 years. At follow-up, a large percent of patients were off their medications: 65.5% off oral diabetes medications, 83.3% off insulin, 43.7% off cholesterol medications, and 50.0% off blood pressure medications.
Impact of Weight Loss on Patients with High TC/HDL Ratios Obes 2008; 16 suppl: s308
Patients (n=331) who entered the HMR Program with TC/HDL > 5.0 and were not on medications were included in the analysis. From initial to follow-up health risk appraisal, patients lost an average of 49 lbs. (18.5%) and made substantial lifestyle changes. TC/HDL ratio decreased an average of 25.9% and triglycerides decreased 36.7%. The average number of elevated risk factors decreased from 8 to 3.
Patients Completing 12 Weeks in Structured Maintenance Program Continue Lifestyle Changes and Prevent Weight Regain J Am Diet Assoc 2008; 108 suppl 3: A39
Data from 124 consecutive patients found that patients continued to practice lifestyle behaviors over the 12 weeks of maintenance (average of 2319 kcals of physical activity, 45 servings of vegetables and fruits, and 29.6 meal replacements per week). During this time, patients lost an additional 4.5 lbs, on average, for a total weight loss of 33.6 lbs.
Three Behaviors Which Prevented Weight Regain in Maintenance Obes 2008;16 suppl 1:S157
Data were analyzed from 165 consecutive patients who completed 6 months of maintenance. On average, patients were doing 2,695 kcals of physical activity per week, 48.5 servings of vegetables and fruits per week, and 29.6 meal replacements per week and were experiencing virtually no weight regain at 6 months (-0.14 lbs). When each patient’s data was analyzed for each week in maintenance, however, it was found that most patients seem to require different levels of these behaviors at different times in order to manage their weight.
Using a Greater Number of Meal Replacement Entrees Helps Prevent Weight Regain in Maintenance Obes 2008; 16 suppl 1: s158
Data were analyzed from 142 consecutive maintenance patients who had participated in Healthy Solutions® for weight loss. The average weight loss was 31 lbs. in an average of 17 weeks. Those who used > 12 entrees per week lost an average of 7.8 lbs. in maintenance while those who used < 12 entrees per week gained an average of .08 lbs.
Patients with Hypertension Who Lose Substantial Amounts of Weight Can Positively Impact Risk Factors and Need for Medications Obes 2007;15 suppl:A98.
Patients with high blood pressure but not on medications at the time of program entry were followed in maintenance. Patients who lost substantial amounts of weight (average of 54 lbs) and made lifestyle changes (along with decreases in medical risk factors) were able, on average, to avoid the need for hypertensive medications.
Prehypertensive Patients Substantially Improve Risk Factors in a Weight Management Program. Obes 2006;14 suppl:A101.
Initial risk factor data from patients who were prehypertensive when they entered the HMR® Program for Weight ManagementTM were compared with data an average of 2.7 years later. Patients had significant decreases in all measured medical risk factors. 94.3% of patients remained free of blood pressure medications and 84.6% discontinued diabetes medications.
Weight Maintenance with Five Clinic-Based and Phone-Based Treatment Options. Obes 2006;14 suppl:A101.
603 medically supervised patients were maintaining an average of 71.1% of their weight loss (average weight loss was 62.8 lbs.) over a total of 63.9 weeks of treatment. Healthy Solutions patients (n = 259) were maintaining an average of 66% of their weight loss (average weight loss was 41.6 lbs.) over a total of 65.4 weeks of treatment.
Losing Greater Amounts of Weight Leads to Greater Changes in Medical Risk Factors. Obes 2006;14 suppl:A103
Data from 2564 patients in 65 HMR clinics were analyzed by percent of initial body weight kept off. All measured medical risk factors decreased significantly more in those losing the most weight as compared to all other groups. Patients reporting the greatest changes in lifestyle behaviors lost more weight, indicating a dose-response relationship.
Long-term follow-up of 1,000 patients shows substantial lifestyle and medical changes. Obes Res 2005;13 suppl:A203.
1,000 maintenance patients were maintaining an average weight loss of 44 pounds (18% of initial body weight) over an average of 2½ years. Participants had made substantial lifestyle changes and had highly significant decreases in all measured medical parameters, such as fasting blood glucose, blood pressure, total cholesterol/HDL ratio, and triglycerides.
A comparison of meal replacements and medication in weight maintenance after weight loss. J Am Coll Nutr 2005;24:347–353.
After an average weight loss of 50.3 lbs. with a very low-calorie diet, using 2 HMR® meal replacement entrees a day was effective in maintaining weight loss within 6 lbs. over one year.
Intensive behavioral program is a successful treatment option for severely obese patients with BMI > 40. Obes Res 2005;13 suppl:A203.
1,136 participants who completed at least 12 weeks in weight loss treatment lost an average of 78.1 lbs. over an average of 37.2 weeks. Nearly ¼ of these participants lost > 100 lbs. and those who entered a maintenance program were keeping off an average of 69% of this weight loss (94.5 lbs.) over an average of 2.7 years.
Response of men and women with BMI > 40 to intensive treatment program for weight management. Obes Res 2005;13 suppl:A144.
This study analyzed data from 1,136 men and women who entered the HMR Program with a BMI > 40 kg/m2 and completed at least 12 weeks of weight loss. Men in this sample tended to sustain more of their weight loss. However, men and women who had lost > 100 lbs. were both maintaining an average weight loss of 27% of initial body weight after 2½ to nearly 3 years while participating in the program.
Improved long-term maintenance of weight loss with ongoing involvement in weight management program. Obes Res 2004;12 suppl:A41.
Fifty-four participants who lost > 100 lbs. (average weight loss was 140 lbs.) were maintaining 70% of this weight loss (average of 100 lbs.) at an average of over three years.
Long-term weight-loss maintenance: a meta-analysis of US studies. Am J Clin Nutr 2001;74:579–584.
Individuals who lost greater amounts of weight in shorter amounts of time (e.g., very low-calorie diet) lost significantly more weight overall and kept off more of the weight loss than those following less intensive diets. Additionally, those who exercised more had significantly greater success with weight-loss maintenance than those who exercised less.
Success in behavioral weight management program depends on treatment variables chosen. Obes Res 2001;9 suppl 3:181S.
Behavioral and weight change data from a total of 248 maintenance patients who were active in either 1995 or in 2000 were compared. Due to recent changes in the HMR Program, those who were enrolled in 2000 gained less weight in the maintenance program and participated in more lifestyle behaviors, such as physical activity, meal replacements, and vegetable/fruit intake.
Accountability (attendance and phone calls) is critical for patient success in a weight management program.
Obes Res 2000;8 suppl 1:69S.
Data from 666 maintenance program participants were analyzed to determine the impact of attendance and phone calls on success. Those who attended the program most often and made a greater number of structured phone calls were more successful with weight management and lifestyle behaviors than those who attended less often.
Greater improvement in medical risk factors with greater weight loss/maintenance compared to recommended 5–10%. Obes Res 2000;8 suppl 1:69S.
The average weight loss maintenance for a sample of 1,219 participants from the maintenance program was 43.1 lbs. (17% of initial body weight) over 2 years. Compared to the standard of a 5-10% loss of initial body weight, those maintaining greater amounts of weight demonstrated significant improvements in medical risk factors.
Use of meal replacements associated with greater success in weight maintenance treatment program. J Am Diet Assoc 2000;100 suppl:A-75.
In a sample of 666 participants, those who used > 14 meal replacements per week did better with weight maintenance and participated in more lifestyle behaviors (physical activity, vegetable/fruit intake, attended the program, and kept records) than those who used < 14 meal replacements per week.
Long-term weight maintenance after an intensive weight-loss program. J Am Coll Nutr 1999;18:620–627.
This prospective study documented an average weight loss of 65 lbs. for patients in a medically supervised HMR very low-calorie diet program and reported follow-up data of up to seven years.
Weight loss and 2-year follow-up for 80 morbidly obese patients treated with intensive very-low-calorie diet and an education program. Am J Clin Nutr 1992;56:244–246S.
This follow-up study found that obese individuals in a medically supervised HMR program lost a substantial amount of weight, reduced risk factors, and were maintaining 48% of their weight loss two years after treatment.
Benefits and risks of an intensive very-low-calorie diet program for severe obesity. Am J Gastroenterol 1992;87:6–15.
This article reviewed the use of very low-calorie diets and reported data for three samples of patients enrolled in an HMR program. Patients were maintaining approximately 56% of their initial weight loss two years after treatment.
Safety and effectiveness of a multidisciplinary very-low-calorie diet program for selected obese individuals. J Am Diet Assoc 1991;91:1582–1584.
This study reported the results for the first 100 patients consecutively enrolled in an HMR very low-calorie diet program (up to 42 month follow-up).
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