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Patients Completing 12 Weeks in Structured Maintenance Program Continue Lifestyle Changes and Prevent Weight Regain
Weithman C, Gotthelf L, Grant L
J Am Diet Assoc 2008; 108 suppl 3: A39
Objective: Maintenance of weight loss and the prevention of weight regain are critical and difficult aspects of weight management, especially in the first few months of maintenance. The purpose of this study was to examine the compliance with lifestyle behaviors and weight change in maintenance patients who had participated in a structured weight management program.
Methods & Subjects: This study was a retrospective analysis of self-report data from 124 consecutive patients who completed 12 weeks of maintenance at 3 different sites offering the HMR Program for Weight Management™. All had participated in a moderate calorie-restricted diet in an ongoing clinical treatment program for the initial weight loss.
Program: HMR offers a range of weight-loss treatment options, including medically supervised low and very low-calorie diets, moderately restricted diets and phone-based programs as well as long-term maintenance. The program is based on measurable, evidence-based variables allowing for specific goals to be set and compliance to be tracked. All options for weight loss and maintenance focus on the same lifestyle and behavior changes: weekly class attendance and record keeping; increased physical activity (≥ 2000 kcal/wk); use of meal replacements (≥ 35/wk in weight loss and 14/wk in maintenance); increased vegetable and fruit intake (≥ 35/wk) is included in some weight-loss options and in maintenance.
Results:
Measure
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12 Week Average |
Attendance
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86.7 %
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Mid-Week Phone Call
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86.0 %
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Kept Records
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93.8 %
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Meal Replacements minimum goal is 14
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37.3
|
| Vegetables & Fruits minimum goal is 35 |
45.2 |
| Physical Activity (kcal) minimum goal is 2000 |
2319 |
| Maintenance Weight Loss |
-4.6 lbs. |
• After the first week in maintenance, patients recorded an average of 2393 kcals of physical activity, 42 servings of vegetables and fruits, and 36 meal replacements per week. This resulted in continued weight loss in maintenance, an average of 1.5 lbs.
• Over the 12 weeks of maintenance, patients lost an additional 4.6 lbs., on average, for a total weight loss of 33.6 lbs. over an average of 30 weeks.
Conclusions: Successful maintenance, and additional weight loss, is achievable when compliance with lifelong lifestyle behaviors (self monitoring, use of meal replacements, increased physical activity and displacing fat with increased use of vegetables and fruits) is practiced.
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