title: Weight loss intervention adherence and factors promoting adherence: a meta-analysis.
abstract: BACKGROUND
  Adhering to weight loss interventions is difficult for many people. The majority of those who are overweight or obese and attempt to lose weight are simply not successful. The objectives of this study were 1) to quantify overall adherence rates for various weight loss interventions and 2) to provide pooled estimates for factors associated with improved adherence to weight loss interventions.
  
  
  METHODS
  We performed a systematic literature review and meta-analysis of all studies published between January 2004 and August 2015 that reviewed weight loss intervention adherence.
  
  
  RESULTS
  After applying inclusion and exclusion criteria and checking the methodological quality, 27 studies were included in the meta-analysis. The overall adherence rate was 60.5% (95% confidence interval [CI] 53.6-67.2). The following three main variables were found to impact adherence: 1) supervised attendance programs had higher adherence rates than those with no supervision (rate ratio [RR] 1.65; 95% CI 1.54-1.77); 2) interventions that offered social support had higher adherence than those without social support (RR 1.29; 95% CI 1.24-1.34); and 3) dietary intervention alone had higher adherence than exercise programs alone (RR 1.27; 95% CI 1.19-1.35).
  
  
  CONCLUSIONS
  A substantial proportion of people do not adhere to weight loss interventions. Programs supervising attendance, offering social support, and focusing on dietary modification have better adherence than interventions not supervising attendance, not offering social support, and focusing exclusively on exercise.
authors: Alliance Wellness and Rehabilitation, Moose Jaw.
authors: Mark
authors: M
authors: Lemstra
authors: School of Public Health.
authors: Yelena
authors: Y
authors: Bird
authors: School of Public Health.
authors: Chijioke
authors: C
authors: Nwankwo
authors: College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
authors: Marla
authors: M
authors: Rogers
authors: School of Public Health.
authors: John
authors: J
authors: Moraros
keywords: community based; obesity; program adherence; social support