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One year follow-up of overweight and obese hypertensive adults following intensive lifestyle therapy.
J Hum Nutr Diet. 2006 Oct; 19(5):349-54.JH

Abstract

OBJECTIVE

To examine the long-term effect on weight maintenance and dietary habits of participants in a clinical trial for weight loss.

SETTING

Community-based residents living in Maryland.

PARTICIPANTS

Forty-four hypertensive, overweight adults who participated in a randomized clinical trial of weight loss. Participants were randomized to an intensive 'lifestyle' intervention or a 'monitoring' group.

MAIN OUTCOME MEASURES

Weight, self-reported current intake of fat and fruit/fibre and self-reported barriers to maintain weight loss were assessed 1 year after the completion of the Diet, Exercise and Weight-loss Intervention Trial (DEW-IT) trial.

ANALYSIS

t-tests were used to compare groups for differences in continuous variables and chi-square tests were used to compare groups for categorical variables.

RESULTS

Fourty-two of the 44 DEW-IT subjects participated in the follow-up study. Overall, 55% (12/19) of the lifestyle intervention group remained at or below their baseline weight at 1 year, compared with 48% (11/23) of the monitoring group (P = 0.32). However, during that year, 95% (18/19) of the lifestyle intervention group and 52% (12/23) of the monitoring group gained weight from the end of the study. Both groups reported similar intake of fruits/vegetables (servings day(-1)), dietary fibre (g day(-1)) and fat (g day(-1)).

CONCLUSIONS AND IMPLICATIONS

The majority of participants who lost weight during the trial regained weight during the course of 1 year. A successful intensive 2-month programme of lifestyle modification (DEW-IT) was ineffective for long-term maintenance of weight loss.

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Authors+Show Affiliations

Jehn ML
Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. megan.jehn@asu.edu
Patt MR
No affiliation info available
Appel LJ
No affiliation info available
Miller ER
No affiliation info available

MeSH

Diet, ReducingDietary FiberExerciseFemaleFollow-Up StudiesFruitHumansHypertensionLife StyleMaleObesityTime FactorsTreatment OutcomeVegetablesWeight Loss

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

16961681

Citation

Jehn, M L., et al. "One Year Follow-up of Overweight and Obese Hypertensive Adults Following Intensive Lifestyle Therapy." Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association, vol. 19, no. 5, 2006, pp. 349-54.
Jehn ML, Patt MR, Appel LJ, et al. One year follow-up of overweight and obese hypertensive adults following intensive lifestyle therapy. J Hum Nutr Diet. 2006;19(5):349-54.
Jehn, M. L., Patt, M. R., Appel, L. J., & Miller, E. R. (2006). One year follow-up of overweight and obese hypertensive adults following intensive lifestyle therapy. Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association, 19(5), 349-54.
Jehn ML, et al. One Year Follow-up of Overweight and Obese Hypertensive Adults Following Intensive Lifestyle Therapy. J Hum Nutr Diet. 2006;19(5):349-54. PubMed PMID: 16961681.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - One year follow-up of overweight and obese hypertensive adults following intensive lifestyle therapy. AU - Jehn,M L, AU - Patt,M R, AU - Appel,L J, AU - Miller,E R,3rd PY - 2006/9/12/pubmed PY - 2007/1/11/medline PY - 2006/9/12/entrez SP - 349 EP - 54 JF - Journal of human nutrition and dietetics : the official journal of the British Dietetic Association JO - J Hum Nutr Diet VL - 19 IS - 5 N2 - OBJECTIVE: To examine the long-term effect on weight maintenance and dietary habits of participants in a clinical trial for weight loss. SETTING: Community-based residents living in Maryland. PARTICIPANTS: Forty-four hypertensive, overweight adults who participated in a randomized clinical trial of weight loss. Participants were randomized to an intensive 'lifestyle' intervention or a 'monitoring' group. MAIN OUTCOME MEASURES: Weight, self-reported current intake of fat and fruit/fibre and self-reported barriers to maintain weight loss were assessed 1 year after the completion of the Diet, Exercise and Weight-loss Intervention Trial (DEW-IT) trial. ANALYSIS: t-tests were used to compare groups for differences in continuous variables and chi-square tests were used to compare groups for categorical variables. RESULTS: Fourty-two of the 44 DEW-IT subjects participated in the follow-up study. Overall, 55% (12/19) of the lifestyle intervention group remained at or below their baseline weight at 1 year, compared with 48% (11/23) of the monitoring group (P = 0.32). However, during that year, 95% (18/19) of the lifestyle intervention group and 52% (12/23) of the monitoring group gained weight from the end of the study. Both groups reported similar intake of fruits/vegetables (servings day(-1)), dietary fibre (g day(-1)) and fat (g day(-1)). CONCLUSIONS AND IMPLICATIONS: The majority of participants who lost weight during the trial regained weight during the course of 1 year. A successful intensive 2-month programme of lifestyle modification (DEW-IT) was ineffective for long-term maintenance of weight loss. SN - 0952-3871 UR - https://www.unboundmedicine.com/medline/citation/16961681/One_year_follow_up_of_overweight_and_obese_hypertensive_adults_following_intensive_lifestyle_therapy_ L2 - https://doi.org/10.1111/j.1365-277X.2006.00711.x DB - PRIME DP - Unbound Medicine ER -