title: Predictors of weight loss maintenance following an insurance-sponsored weight management program.
abstract: Intentional weight loss among overweight and obese adults (body mass index ≥ 25 kg/m(2)) is associated with numerous health benefits, but weight loss maintenance (WLM) following participation in weight management programming has proven to be elusive. Many individuals attempting to lose weight join formal programs, especially women, but these programs vary widely in focus, as do postprogram weight regain results. We surveyed 2,106 former participants in a community-based, insurance-sponsored weight management program in the United States to identify the pre, during, and post-intervention behavioral and psychosocial factors that lead to successful WLM. Of 835 survey respondents (39.6% response rate), 450 met criteria for inclusion in this study. Logistic regression analyses suggest that interventionists should assess and discuss weight loss and behavior change perceptions early in a program. However, in developing maintenance plans later in a program, attention should shift to behaviors, such as weekly weighing, limiting snacking in the evening, limiting portion sizes, and being physically active every day.
authors.affiliation: Department of Social and Behavioral Sciences, West Virginia University School of Public Health, P.O. Box 9190, Morgantown, WV, 26506-9190, USA.
authors.forename: Christiaan G
authors.initials: CG
authors.lastname: Abildso
authors.affiliation: Institute of Sport Science, University of Bern, 3012 Bern, Switzerland.
authors.forename: Olivier
authors.identifier: 0000-0002-1650-8680
authors.initials: O
authors.lastname: Schmid
authors.affiliation: College of Physical Activity and Sport Sciences, West Virginia University, Morgantown, WV 26506-6116, USA.
authors.forename: Megan
authors.identifier: 0000-0002-5921-9387
authors.initials: M
authors.lastname: Byrd
authors.affiliation: College of Physical Activity and Sport Sciences, West Virginia University, Morgantown, WV 26506-6116, USA.
authors.forename: Sam
authors.identifier: 0000-0003-4142-3053
authors.initials: S
authors.lastname: Zizzi
authors.affiliation: Department of Psychology, University of Wisconsin-La Crosse, La Crosse, WI 54601, USA.
authors.forename: Alessandro
authors.identifier: 0000-0001-6488-4210
authors.initials: A
authors.lastname: Quartiroli
authors.affiliation: College of Graduate and Professional Studies, John F. Kennedy University, Pleasant Hill, CA 94523-4817, USA.
authors.forename: Sean J
authors.initials: SJ
authors.lastname: Fitzpatrick
mesh_terms: D001521:Behavior Therapy; D015992:Body Mass Index; D005260:Female; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D007341:Insurance; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000517:prevention & control / Q000628:therapy; D050177:Overweight; D010465:Perception; D012111:Residence Characteristics; D014481:United States; D015430:Weight Gain; D015431:Weight Loss
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