title: Community-based behavioral weight-loss treatment: long-term maintenance of weight loss, physiological, and psychological outcomes.
abstract: Obesity is a significant public health problem, and sustainable long-term treatments are needed. This study examined a community-based model of weight-loss treatment. Ninety participants were recruited from eight community organizations (mean age: 49.65 years, mean body mass index: 35.80 kg/m(2); 64% female). Treatment groups were randomly assigned to two maintenance conditions: 1) self-help continuing care, or 2) assessment-only. Both received the same initial 20-session group behavioral treatment. Those randomized to continuing care were additionally instructed to meet as self-sustaining groups for 18 months post-treatment. Weight, physiological, behavioral, and psychological outcomes were assessed at baseline, post-treatment, and at six-month and 18-month follow-up. Eighty-seven percent of participants completed treatment. Participant treatment satisfaction and therapist adherence to treatment protocol were high. No group differences or time by group interaction effects emerged. Participants achieved significant weight losses at post-treatment, with no significant weight regain at six-month or 18-month follow-up. Treatment produced sustained changes in waist circumference, cholesterol, triglycerides, high-density lipoprotein, low-density lipoprotein, insulin, eating patterns, physical activity, quality of life, and body image. A community-based treatment program may be an effective form of behavioral-weight-loss treatment for overweight/obese adults. Weight losses, along with physiological and psychological benefits, were sustained over time.
authors.affiliation: University of Hawaii at Manoa, Department of Psychology, 2530 Dole Street, Sakamaki C400, Honolulu, HI 96822, USA. jlatner@hawaii.edu
authors.forename: Janet D
authors.initials: JD
authors.lastname: Latner
authors.forename: Anna C
authors.initials: AC
authors.lastname: Ciao
authors.forename: Annemarie U
authors.initials: AU
authors.lastname: Wendicke
authors.forename: Jessica M
authors.initials: JM
authors.lastname: Murakami
authors.forename: Laura E
authors.initials: LE
authors.lastname: Durso
mesh_terms: D000328:Adult; D000368:Aged; D001521:Behavior Therapy; D001828:Body Image / Q000523:psychology; D001835:Body Weight / Q000502:physiology*; D003153:Community Health Services; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008055:Lipids / Q000097:blood; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009765:Obesity / Q000097:blood / Q000503:physiopathology* / Q000523:psychology* / Q000628:therapy; D050177:Overweight / Q000097:blood / Q000503:physiopathology* / Q000523:psychology* / Q000628:therapy; D010349:Patient Compliance; D017060:Patient Satisfaction; D011788:Quality of Life; D012657:Self-Help Groups; D013997:Time Factors; D016896:Treatment Outcome; D055105:Waist Circumference; D061217:Weight Reduction Programs
chemical_list: D008055:Lipids