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Weight loss maintenance in severely obese adults after an intensive lifestyle intervention: 2- to 4-year follow-up.
Obesity (Silver Spring). 2007 Feb; 15(2):413-20.O

Abstract

OBJECTIVE

To evaluate the long-term weight loss maintenance after 2 to 4 years in severely obese subjects after a lifestyle intervention at a weight loss camp in Denmark.

RESEARCH METHODS AND PROCEDURES

In a retrospective follow-up study, we assessed weight loss after 21 weeks of treatment at a weight loss camp, weight loss maintenance after 2 to 4 years, and numbers of subjects with a weight loss maintenance of > or = 10% of a total number of 435 severely obese adults participating in an intensive lifestyle intervention with a primary focus on physical activity.

RESULTS

We obtained follow-up data of 249 subjects (180 women and 69 men) with an initial body weight of 142 +/- 32 kg. After 21 weeks at the camp, the subjects had reduced their body weight with a mean of 21.9 +/- 13 kg (corresponding to a 15% weight loss). The average weight loss maintenance was 5.3% at a follow-up after 2 to 4 years, and 28.3% had maintained a weight loss above 10% after 4 years of follow-up.

DISCUSSION

Weight loss camps are a relatively new commercial approach in treating severely obese subjects. However, the results demonstrate that even with a multidisciplinary intensive setting with focus on diet, exercise, and psychological counseling, only 28% had maintained a weight loss above 10% after 4 years. This emphasizes that obesity is a chronic condition that needs additional strategies after a weight loss intervention in the efforts to maintain a sufficient weight loss.

Authors+Show Affiliations

Christiansen T
Department of Medicine and Endocrinology C, Aarhus Sygehus, Aarhus University Hospital, Tage Hansensgade 2, DK-8000 Aarhus C, Denmark. tore.christiansen@ki.au.dk
Bruun JM
No affiliation info available
Madsen EL
No affiliation info available
Richelsen B
No affiliation info available

MeSH

AdultBody WeightCombined Modality TherapyExercise TherapyFemaleFollow-Up StudiesHumansLife StyleMaleMiddle AgedObesity, MorbidRetrospective StudiesTime FactorsWeight GainWeight Loss

Pub Type(s)

Evaluation Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17299115

Clinical Trial Links

Physiological Factors That Influence Maintenance of Lifestyle Changes and Weight Loss - a Cross-sectional Study
The Effect of Repeated Lifestyle Intervention on Weight Loss Maintenance
Physiological Factors That Influence Maintenance of Lifestyle Changes and Weight Loss - a Longitudinal Study

Citation

Christiansen, Tore, et al. "Weight Loss Maintenance in Severely Obese Adults After an Intensive Lifestyle Intervention: 2- to 4-year Follow-up." Obesity (Silver Spring, Md.), vol. 15, no. 2, 2007, pp. 413-20.
Christiansen T, Bruun JM, Madsen EL, et al. Weight loss maintenance in severely obese adults after an intensive lifestyle intervention: 2- to 4-year follow-up. Obesity (Silver Spring). 2007;15(2):413-20.
Christiansen, T., Bruun, J. M., Madsen, E. L., & Richelsen, B. (2007). Weight loss maintenance in severely obese adults after an intensive lifestyle intervention: 2- to 4-year follow-up. Obesity (Silver Spring, Md.), 15(2), 413-20.
Christiansen T, et al. Weight Loss Maintenance in Severely Obese Adults After an Intensive Lifestyle Intervention: 2- to 4-year Follow-up. Obesity (Silver Spring). 2007;15(2):413-20. PubMed PMID: 17299115.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Weight loss maintenance in severely obese adults after an intensive lifestyle intervention: 2- to 4-year follow-up. AU - Christiansen,Tore, AU - Bruun,Jens M, AU - Madsen,Erik L, AU - Richelsen,Bjørn, PY - 2007/2/15/pubmed PY - 2007/4/27/medline PY - 2007/2/15/entrez SP - 413 EP - 20 JF - Obesity (Silver Spring, Md.) JO - Obesity (Silver Spring) VL - 15 IS - 2 N2 - OBJECTIVE: To evaluate the long-term weight loss maintenance after 2 to 4 years in severely obese subjects after a lifestyle intervention at a weight loss camp in Denmark. RESEARCH METHODS AND PROCEDURES: In a retrospective follow-up study, we assessed weight loss after 21 weeks of treatment at a weight loss camp, weight loss maintenance after 2 to 4 years, and numbers of subjects with a weight loss maintenance of > or = 10% of a total number of 435 severely obese adults participating in an intensive lifestyle intervention with a primary focus on physical activity. RESULTS: We obtained follow-up data of 249 subjects (180 women and 69 men) with an initial body weight of 142 +/- 32 kg. After 21 weeks at the camp, the subjects had reduced their body weight with a mean of 21.9 +/- 13 kg (corresponding to a 15% weight loss). The average weight loss maintenance was 5.3% at a follow-up after 2 to 4 years, and 28.3% had maintained a weight loss above 10% after 4 years of follow-up. DISCUSSION: Weight loss camps are a relatively new commercial approach in treating severely obese subjects. However, the results demonstrate that even with a multidisciplinary intensive setting with focus on diet, exercise, and psychological counseling, only 28% had maintained a weight loss above 10% after 4 years. This emphasizes that obesity is a chronic condition that needs additional strategies after a weight loss intervention in the efforts to maintain a sufficient weight loss. SN - 1930-7381 UR - https://www.unboundmedicine.com/medline/citation/17299115/Weight_loss_maintenance_in_severely_obese_adults_after_an_intensive_lifestyle_intervention:_2__to_4_year_follow_up_ L2 - https://doi.org/10.1038/oby.2007.530 DB - PRIME DP - Unbound Medicine ER -