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Maintenance of weight loss in overweight middle-aged women through the Internet.
Obesity (Silver Spring). 2008 May; 16(5):1052-60.O

Abstract

OBJECTIVE

The purpose of this study was to compare weight regain in a group of perimenopausal women (48.0+/-4.4 years old), randomized to a 12-month weight maintenance Internet intervention or to self-directed weight maintenance after a 4-month weight loss treatment.

METHODS AND PROCEDURES

After a 4-month behavioral weight loss program, 135 women were randomized to either Internet or self-directed groups. The Internet group (n=66) used a website to gain information and complete logs concerning their weight, diet, and exercise progress over a 12-month follow-up. The 69 self-directed women had no contact with study staff. All women were measured for weight and body composition, and diet intake, and were interviewed using the 7-day physical activity questionnaires at baseline, 4 months, and 16 months.

RESULTS

At the end of the 12-month follow-up, the Internet and self-directed groups had regained on average 0.4+/-5.0 kg and 0.6+/-4.0 kg, respectively (P=0.5). In within-group analyses, Internet diet-log entries were correlated with follow-up weight change (r=-0.29; P<0.05) and moderately with change in exercise energy expenditure (EEE; r=0.44; P<0.01). Follow-up weight change was not correlated with change in dietary intake.

DISCUSSION

While significant weight loss was maintained over follow-up by both groups of women, Internet use did not surpass self-direction in helping to sustain weight loss. Among Internet users, Internet use was related to weight change and EEE.

Authors+Show Affiliations

Department of Physiology, Center for Physical Activity and Nutrition, The University of Arizona, Tucson, Arizona, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

18309301

Citation

Cussler, Ellen C., et al. "Maintenance of Weight Loss in Overweight Middle-aged Women Through the Internet." Obesity (Silver Spring, Md.), vol. 16, no. 5, 2008, pp. 1052-60.
Cussler EC, Teixeira PJ, Going SB, et al. Maintenance of weight loss in overweight middle-aged women through the Internet. Obesity (Silver Spring). 2008;16(5):1052-60.
Cussler, E. C., Teixeira, P. J., Going, S. B., Houtkooper, L. B., Metcalfe, L. L., Blew, R. M., Ricketts, J. R., Lohman, J., Stanford, V. A., & Lohman, T. G. (2008). Maintenance of weight loss in overweight middle-aged women through the Internet. Obesity (Silver Spring, Md.), 16(5), 1052-60. https://doi.org/10.1038/oby.2008.19
Cussler EC, et al. Maintenance of Weight Loss in Overweight Middle-aged Women Through the Internet. Obesity (Silver Spring). 2008;16(5):1052-60. PubMed PMID: 18309301.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maintenance of weight loss in overweight middle-aged women through the Internet. AU - Cussler,Ellen C, AU - Teixeira,Pedro J, AU - Going,Scott B, AU - Houtkooper,Linda B, AU - Metcalfe,Lauve L, AU - Blew,Robert M, AU - Ricketts,Jennifer R, AU - Lohman,J'Fleur, AU - Stanford,Vanessa A, AU - Lohman,Timothy G, Y1 - 2008/02/28/ PY - 2008/3/1/pubmed PY - 2008/7/31/medline PY - 2008/3/1/entrez SP - 1052 EP - 60 JF - Obesity (Silver Spring, Md.) JO - Obesity (Silver Spring) VL - 16 IS - 5 N2 - OBJECTIVE: The purpose of this study was to compare weight regain in a group of perimenopausal women (48.0+/-4.4 years old), randomized to a 12-month weight maintenance Internet intervention or to self-directed weight maintenance after a 4-month weight loss treatment. METHODS AND PROCEDURES: After a 4-month behavioral weight loss program, 135 women were randomized to either Internet or self-directed groups. The Internet group (n=66) used a website to gain information and complete logs concerning their weight, diet, and exercise progress over a 12-month follow-up. The 69 self-directed women had no contact with study staff. All women were measured for weight and body composition, and diet intake, and were interviewed using the 7-day physical activity questionnaires at baseline, 4 months, and 16 months. RESULTS: At the end of the 12-month follow-up, the Internet and self-directed groups had regained on average 0.4+/-5.0 kg and 0.6+/-4.0 kg, respectively (P=0.5). In within-group analyses, Internet diet-log entries were correlated with follow-up weight change (r=-0.29; P<0.05) and moderately with change in exercise energy expenditure (EEE; r=0.44; P<0.01). Follow-up weight change was not correlated with change in dietary intake. DISCUSSION: While significant weight loss was maintained over follow-up by both groups of women, Internet use did not surpass self-direction in helping to sustain weight loss. Among Internet users, Internet use was related to weight change and EEE. SN - 1930-7381 UR - https://www.unboundmedicine.com/medline/citation/18309301/Maintenance_of_weight_loss_in_overweight_middle_aged_women_through_the_Internet_ DB - PRIME DP - Unbound Medicine ER -