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A prospective study of predictors of successful weight maintenance by women enrolled in community-based weight-loss programs

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Abstract

OBJECTIVE: Research is limited on the psychological predictors of successful long-term weight maintenance after weight loss. Therefore, the present study examined the individual contributions of body image, depression, and self-esteem to successful weight maintenance after a significant weight loss. METHOD: Measures of depression, self-esteem, and body image were administered at baseline, three-, and twelve-months to 73 women enrolled in community-based weight loss programs. RESULTS: Significant predictors of weight maintenance included baseline self-classified weight, early (3 months) weight maintenance, later (12 months) change in perceptual body image, and the interaction between early and late change in body image avoidance. Classifying oneself as more overweight at baseline predicted less weight maintenance, while later discrepancies between current and realistic body size were positively associated with weight maintenance. Those who showed steady improvements in body image avoidance behavior were more likely to maintain weight loss. Baseline BMI, self-esteem, and depression did not predict 12-month weight maintenance. DISCUSSION: Further understanding how body image and related factors contribute to weight maintenance may inform development of more effective interventions to promote long-term weight maintenance.

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References

  1. Ogden C.L., Carroll M.D., Curtin L.R., McDowell M. A., Tabak C.J., Flegal K M.: Prevalence of overweight and obesity in the United States, 1999–2004. JAMA, 295, 1549–1555, 2006.

    Article  PubMed  CAS  Google Scholar 

  2. Fabricatore A.N., Wadden T.A.: Obesity. Annu. Rev. Clin. Psychol., 2, 357–377, 2006.

    Article  PubMed  Google Scholar 

  3. National Institutes of Health. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity. In: Adults: The Evidence Report. NIH Publication No. 98-4083. Bethesda, MD, National Institutes of Health, 1998.

    Google Scholar 

  4. Friedman M.A., Brownell K.D.: Psychological correlates of obesity: Moving to the next research generation. Psychol. Bull., 117, 3–20, 1995.

    Article  PubMed  CAS  Google Scholar 

  5. Simon G.E., Von Korff M., Saunders K., Miglioretti D.L., Crane P.K., van Belle G., Kessler R.C.: Association between obesity and psychiatric disorders in the US adult population. Arch. Gen. Psychiatry, 63, 824–830, 2006.

    Article  PubMed  Google Scholar 

  6. Onyike C.U., Crum R.M., Lee H.B., Lyketsos C.G., Eaton W.W.: Is obesity associated with major depression? Results from the Third National Health and Nutrition Examination Survey. Am. J. Epidemiol., 58, 1139–1147, 2003.

    Article  Google Scholar 

  7. Heo M., Pietrobelli A., Fontaine K. R., Sirey J.A., Faith M.S.: Depressive mood and obesity in US adults: comparison and moderation by sex, age, and race. Int. J. Obes., 30, 513–519, 2006.

    Article  CAS  Google Scholar 

  8. Sarwer D.B., Thompson J.K., Cash T.F.: Body image and obesity in adulthood. Psychiatr. Clin. North Am., 28, 69–87, 2005.

    Article  PubMed  Google Scholar 

  9. Werrij M.Q., Mulkens S., Hospers H.J., Jansen A.: Overweight and obesity: The significance of a depressed mood. Patient Education and Counseling, 62, 126–131, 2006.

    Article  PubMed  Google Scholar 

  10. Faith M.S., Matz P.E., Jorge M.A.: Obesity-depression associations in the population. J. Psychosom. Res., 53, 935–942, 2002.

    Article  PubMed  Google Scholar 

  11. Blair S.N., Holder S.: Exercise in the management of obesity. In: Fairburn C.G., Brownell K.D. (Eds.), Eating disorders and obesity: A comprehensive handbook. New York, Guilford Press, 2002, pp. 518–523.

    Google Scholar 

  12. Wadden T.A., Osei S.: The treatment of obesity: The overview. In: Wadden T.A., Stunkard A.J. (Eds.), Handbook of obesity treatment. New York, Guilford Press, 2002, pp. 229–248.

    Google Scholar 

  13. Perri M.G.: Improving maintenance in behavioral treatment. In: Fairburn C.G., Brownell K.D. (Eds.), Eating disorders and obesity: A comprehensive handbook. New York, Guilford Press, 2002, pp. 593–598.

    Google Scholar 

  14. Perri M.G. Corsica J.A.: Improving the maintenance of weight loss in behavioral treatment of obesity. In: Wadden T.A., Stunkard A.J. (Eds.), Handbook of obesity treatment. New York, Guilford Press, 2002, pp. 357–379.

    Google Scholar 

  15. Wing R.R., Klem M.L.: Characteristics of successful weight maintainers. In: Fairburn C.G., Brownell K.D. (Eds.), Eating disorders and obesity: A comprehensive handbook. New York, Guilford Press, 2002, pp. 588–592.

    Google Scholar 

  16. Hill J.O., Wyatt H., Phelan S., Wing R.: The National Weight Control Registry: Is it useful in helping deal with our obesity epidemic? J. Nutr. Educ. Behav., 37, 206–210, 2005.

    Article  PubMed  Google Scholar 

  17. McGuire M.T., Wing R.R., Klem M.L., Lang W., Hill J.O.: What predicts weight regain in a group of successful weight losers? J. Consult. Clin. Psychol., 67, 177–185, 1999.

    Article  PubMed  CAS  Google Scholar 

  18. Klem M.L., Wing R.R., McGuire M.T., Seagle H.M., Hill J.O.: Psychological symptoms in individuals successful at long-term maintenance of weight loss. Health Psychol., 17, 336–345, 1998.

    Article  PubMed  CAS  Google Scholar 

  19. Pasman W.J., Saris W.H.M., Westerterp-Plantenga M. S.: Predictors of weight maintenance. Obes. Res., 7, 43–50, 1999.

    Article  PubMed  CAS  Google Scholar 

  20. Lean M.E.J.: Is long-term weight loss possible? Br. J. Nutr., 83, S103–S111, 2000.

    Article  PubMed  CAS  Google Scholar 

  21. Byrne S., Cooper Z., Fairburn C.: Weight maintenance and relapse in obesity: A qualitative study. Int. J. Obes., 27, 955–962, 2003.

    Article  CAS  Google Scholar 

  22. Byrne S.M.: Psychological aspects of weight maintenance and relapse in obesity. J. Psychosom. Res., 53, 1029–1036, 2002.

    Article  PubMed  Google Scholar 

  23. Rosen J.C.: Obesity and body image. In: Fairburn C.G., Brownell K.D. (Eds.), Eating disorders and obesity: A comprehensive handbook. New York, Guilford Press, 2002, pp. 399–402.

    Google Scholar 

  24. Cash T.F.: Body image and weight changes in a multisite comprehensive very-low-calorie diet program. Behav. Ther., 25, 239–254, 1994.

    Article  Google Scholar 

  25. Foster G.D., Wadden T.A., Vogt R.A.: Body image in obese women before, during, and after weight loss treatment. Health Psychol., 16, 226–229, 1997.

    Article  PubMed  CAS  Google Scholar 

  26. Foster G.D., Matz P.E.: Weight loss and changes in body image. In: Cash T.F., Pruzinsky T. (Eds.), Body Image: A handbook of theory, research, and clinical practice. New York, Guilford Press, 2002, pp. 405–413.

    Google Scholar 

  27. Cooper Z., Fairburn C.G., Hawker D.M.: Cognitivebehavioral treatment of obesity. New York, Guilford Press, 2003.

    Google Scholar 

  28. Ramirez E.M. Rosen J.C.: A comparison of weight control and weight control plus body image therapy for obese men and women. J. Consult. Clin. Psychol., 69, 440–446, 2001.

    Article  PubMed  CAS  Google Scholar 

  29. Cash T.F.: The management of body image problems. In: Fairburn C.G., Brownell K.D. (Eds.), Eating disorders and obesity: A comprehensive handbook. New York, Guilford Press, 2002, pp. 599–603.

    Google Scholar 

  30. Sorbara M., Geliebter A.: Body image disturbance in obese outpatients before and after weight loss in relation to race, gender, binge eating, and age of onset of obesity. Int. J. Eat. Disord., 31, 416–423, 2002.

    Article  PubMed  Google Scholar 

  31. Cash T.F.: The multidimensional body-self relations questionnaire. Retrieved March 22, 2004, from http://www.body-images.com, 2000.

    Google Scholar 

  32. Grant J.R., Cash T.F.: Cognitive-behavioral body-image therapy: Comparative efficacy of group and modestcontact treatments. Behav. Ther., 26, 69–84, 1995.

    Article  Google Scholar 

  33. Williamson D.A., Womble L.G., Zucker N.L., Reas D.L., White M.A., Blouin D.C., Greenway F.: Body image assessment for obesity (BIA-O): Development of a new procedure. Int. J. Obes., 24, 1326–1332, 2000.

    Article  CAS  Google Scholar 

  34. Rosen J.C., Srebnik D., Saltzberg E., Wendt S.: Development of a body image avoidance questionnaire. Psychol. Assess., 3, 32–37, 1991.

    Article  Google Scholar 

  35. Radloff L.S.: The CES-D Scale: A new self-report depression scale for research in the general population. Appl. Psychol. Measurement, 1, 385–401, 1977.

    Article  Google Scholar 

  36. Rosenberg M.: Society and the adolescent self-image. Princeton, NJ, Princeton University Press, 1965.

    Google Scholar 

  37. Byrne B.M.: Measuring self-concept across the life span: Issues and instrumentation. Washington, DC, American Psychological Association, 1996.

    Book  Google Scholar 

  38. Gray-Little B., Williams V.S.L., Hancock T.D.: An item response theory analysis of the Rosenberg self-esteem scale. Person. Soc. Psychol. Bull., 23, 443–451, 1997.

    Article  Google Scholar 

  39. Field A.: Discovering statistics using SPSS. London, Sage Publications, 2005.

    Google Scholar 

  40. Wadden T.A., Sarwer D.B.: Behavioral treatment of obesity. In: Goldstein D.J. (Ed.), The management of eating disorders and obesity. Totowa, NJ, Humana Press, 1999, pp. 173–199.

    Google Scholar 

  41. Finer N., Ryan D.H., Renz C.L., Hewkin A.C.: Prediction of response to sibutramine therapy in obese non-diabetic and diabetic patients. Diab. Obes. Metab., 8, 206–213, 2006.

    Article  CAS  Google Scholar 

  42. Toplak H., Ziegler O., Keller U., Hamann A., Godin C., Wittert G., Zanella M.T., Zuniga-Guajardo S., Van Gaal L.: X-PERT: Weight reduction with orlistat in obese subjects receiving a mildly or moderately reduced-energy diet: Early response to treatment predicts weight maintenance. Diabetes Obes. Metab., 7, 699–708, 2005.

    Article  PubMed  CAS  Google Scholar 

  43. Cash T.F.: The body image workbook: An 8-step program for learning to like your looks. Oakland, CA, New Harbinger, 1997.

    Google Scholar 

  44. Lean M.E.J.: Clinical handbook of weight management. London, UK, Martin Dunitz, 2003.

    Google Scholar 

  45. Jacobson B.H., DeBock D.H.: Comparison of Body Mass Index by self-reported versus measured height and weight. Percept. Mot. Skills, 92, 128–132, 2001.

    Article  PubMed  CAS  Google Scholar 

  46. Klesges R.C., Klem M.L., Epkins C.C., Klesges L.M.: A longitudinal evaluation of dietary restraint and its relationship to changes in body weight. Addict. Behav., 16, 363–368, 1991.

    Article  PubMed  CAS  Google Scholar 

  47. Stunkard A.J., Albaum J.M.: The accuracy of self-reported weights. Am. J. Clin. Nutr., 34, 1593–1599, 1981.

    PubMed  CAS  Google Scholar 

  48. United States Department of Health and Human Services. The surgeon general’s call to action to prevent and decrease overweight and obesity 2001. Retrieved January 13, 2004, from http://www.surgeongeneral.gov, 2001.

    Google Scholar 

  49. Foreyt J.P., Poston W.S.C., McInnis K.J., Rippe J.M.: Lifestyle obesity management. Malden, MA, Blackwell Publishing, 2003.

    Google Scholar 

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Collings, A.S., Saules, K.K. & Saad, L.R. A prospective study of predictors of successful weight maintenance by women enrolled in community-based weight-loss programs. Eat Weight Disord 13, 38–47 (2008). https://doi.org/10.1007/BF03327783

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