A descriptive study of weight loss maintenance: 6 and 15 year follow-up of initially overweight adults.
OBJECTIVE
To describe factors associated with long-term maintenance of weight loss.


METHODS
We identified initially overweight individuals (body mass index >27 kg/m2, n=911) from the nationwide Finnish Twin Cohort and studied those who lost at least 5% of their body weight between 1975 and 1981. Subjects who had maintained weight loss until 1990 (38 men, 17 women) were compared to both regainers (28 men, 26 women) and the other overweight subjects in the cohort.


METHODS
Self-report data on weight, height, health behaviours and perceived well-being; self-report and register-based data on health status and use of medication.


RESULTS
Only 6% of all overweight individuals lost and maintained at least 5% weight loss. In men weight loss maintenance was associated with a low level of stress and health-promoting behaviours but also with medical problems. Failure to maintain weight loss seemed to be associated with stressful life and past high alcohol intake. In women weight loss maintenance was associated with low initial well-being and health-compromising behaviours that improved after weight loss.


CONCLUSIONS
Long-term weight loss maintenance is rare. Predictors of weight loss maintenance are different between women and men. International Journal of Obesity (2000)24, 116-125
Sarlio-Lähteenkorva
S
S
Department of Public Health, University of Helsinki, Helsinki, Finland.sirpa.sarlio-lahteenkorva@helsinki.fi
Rissanen
A
A
Kaprio
J
J
D000328:Adult; D015331:Cohort Studies; D005260:Female; D005387:Finland / Q000453:epidemiology; D005500:Follow-Up Studies; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology* / Q000517:prevention & control*; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D015431:Weight Loss