Predictors of long-term weight loss maintenance following participation in an insurance sponsored community-based weight management program
Megan Byrd, West Virginia University, USA
Theme: Exercise and health behaviors
Program ID: SYM-07
Presentation: October 3, 2013 8:15 am - 9:30 am
Weight loss and weight loss maintenance are related to improved mood, energy, physical mobility, self-confidence and physical health (Klem et. al, 2007). A common issue in weight management programs designed to provide lifestyle interventions is promoting long-term weight loss maintenance and preventing “weight cycling.” This pattern of weight loss and weight regain leads to increased risks for metabolic syndrome, mental health concerns, and weight regain (Vergnaud et al., 2008). Maintaining a 5-10% weight loss was found to increase rates of long-term maintenance, prevent weight cycling, and provide health benefits (Colorado Clinical Guidelines Collaborative, 2007; Wing & Hill, 2001). Behavioral, cognitive, physical, and motivational factors have been proposed as predictors of successful long-term weight loss maintenance (Wing & Hill, 2001). However, consensus on successful predictors of weight loss maintenance during and after programs is lacking. The purpose of this study was to determine predictors of long-term weight loss maintenance following participation in an insurance-sponsored, community-based weight management program. Current and former participants (N=2,106) were recruited to complete a program evaluation survey. Of 835 responses (40% response rate), survey and objective outcome data from respondents that were at least one month post program completion and lost weight during the program (n=450) were analyzed using hierarchical, stepwise logistic regression procedures. Factors predictive of long-term weight loss maintenance included (all p<.05): 1) time since ending the program; 2) frequency of self-weighing; 3) limiting snacking in the evening; 4) limiting portion sizes; 5) perception of initial weight loss; and 6) perceived difficulty of continuing a regular exercise routine. The presentation will highlight areas of potential in- and post-program intervention for consultants based on this practice-based evidence.