title: Practices associated with weight loss versus weight-loss maintenance results of a national survey.
abstract: BACKGROUND
  Few studies have examined the weight-control practices that promote weight loss and weight-loss maintenance in the same sample.
  
  
  OBJECTIVE
  To examine whether the weight control practices associated with weight loss differ from those associated with weight-loss maintenance.
  
  
  METHODS
  Cross-sectional survey of a random sample of 1165 U.S. adults. The adjusted associations of the use of 36 weight-control practices in the past week with success in weight loss (≥10% lost in the past year) and success in weight-loss maintenance (≥10% lost and maintained for ≥1 year) were examined.
  
  
  RESULTS
  Of the 36 practices, only 8 (22%) were associated with both weight loss and weight-loss maintenance. Overall, there was poor agreement (kappa=0.22) between the practices associated with weight loss and/or weight-loss maintenance. For example, those who reported more often following a consistent exercise routine or eating plenty of low-fat sources of protein were 1.97 (95% CI=1.33, 2.94) and 1.76 (95% CI=1.25, 2.50) times more likely, respectively, to report weight-loss maintenance but not weight loss. Alternatively, those who reported more often doing different kinds of exercises or planning meals ahead of time were 2.56 (95% CI=1.44, 4.55) and 1.68 (95% CI=1.03, 2.74) times more likely, respectively, to report weight loss but not weight-loss maintenance.
  
  
  CONCLUSIONS
  Successful weight loss and weight-loss maintenance may require two different sets of practices. Designing interventions with this premise may inform the design of more effective weight-loss maintenance interventions.
authors.affiliation: Department of Medicine, Penn State Hershey Medical Center, Penn State University, Hershey, Pennsylvania 17033, USA. cs19081@gmail.com
authors.forename: Christopher N
authors.initials: CN
authors.lastname: Sciamanna
authors.forename: Michaela
authors.initials: M
authors.lastname: Kiernan
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: Rolls
authors.forename: Jarol
authors.initials: J
authors.lastname: Boan
authors.forename: Heather
authors.initials: H
authors.lastname: Stuckey
authors.forename: Donna
authors.initials: D
authors.lastname: Kephart
authors.forename: Carla K
authors.initials: CK
authors.lastname: Miller
authors.forename: Gordon
authors.initials: G
authors.lastname: Jensen
authors.forename: Terry J
authors.initials: TJ
authors.lastname: Hartmann
authors.forename: Eric
authors.initials: E
authors.lastname: Loken
authors.forename: Kevin O
authors.initials: KO
authors.lastname: Hwang
authors.forename: Ronald J
authors.initials: RJ
authors.lastname: Williams
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Clark
authors.forename: Jane R
authors.initials: JR
authors.lastname: Schubart
authors.forename: Arthur M
authors.initials: AM
authors.lastname: Nezu
authors.forename: Erik
authors.initials: E
authors.lastname: Lehman
authors.forename: Cheryl
authors.initials: C
authors.lastname: Dellasega
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001835:Body Weight; D003430:Cross-Sectional Studies; D003625:Data Collection; D004032:Diet; D004041:Dietary Fats; D004044:Dietary Proteins; D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014481:United States; D015431:Weight Loss; D055815:Young Adult
chemical_list: D004041:Dietary Fats; D004044:Dietary Proteins