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Unrealistic weight-loss goals among obese patients are associated with age and causal attributions.
J Am Diet Assoc 2009; 109(11):1903-8JA

Abstract

Unrealistic weight-loss goals may impede the success of weight-loss attempts. The aim of this study was to examine the frequency of unrealistic goals and their association with other patient characteristics at the start of a weight-loss program. For patients with a body mass index (calculated as kg/m(2)) of 30 to 35, 35 to 40, or 40 to 50, medically advised weight-loss goals were set at 10%, 15%, and 20% of current weight, respectively. Personal weight-loss goals exceeding the medically advised goal by >50% were considered unrealistic. Obesity-related beliefs were measured by the "Obesity Cognition Questionnaire" and the eating-behavior self-efficacy scale of the "Obesity Psychosocial State Questionnaire." From September 2003 until March 2006, 90 patients were enrolled in the study, 26 men and 64 women, with a mean age of 43 years (range=18 to 68 years) and body mass indexes ranging from 30 to 50. Unrealistic goals were observed in 49% of the patients and were more frequent in younger patients (P=0.03), in patients attributing their obesity to physical causes (r=0.35, P=0.001), and in patients not attributing their obesity to behavioral causes (r=-0.28, P=0.008). This study confirms that discrepancies in weight-loss goals between obese patients and professionals occur frequently. Because unrealistic goals can hamper long-term outcomes of weight-loss programs, better outcomes could possibly be achieved by addressing unrealistic weight-loss goals before treatment.

Authors+Show Affiliations

University Medical Center Utrecht, Utrecht, The Netherlands. E.Wamsteker@centrumovergewicht.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

19857632

Citation

Wamsteker, Erika W., et al. "Unrealistic Weight-loss Goals Among Obese Patients Are Associated With Age and Causal Attributions." Journal of the American Dietetic Association, vol. 109, no. 11, 2009, pp. 1903-8.
Wamsteker EW, Geenen R, Zelissen PM, et al. Unrealistic weight-loss goals among obese patients are associated with age and causal attributions. J Am Diet Assoc. 2009;109(11):1903-8.
Wamsteker, E. W., Geenen, R., Zelissen, P. M., van Furth, E. F., & Iestra, J. (2009). Unrealistic weight-loss goals among obese patients are associated with age and causal attributions. Journal of the American Dietetic Association, 109(11), pp. 1903-8. doi:10.1016/j.jada.2009.08.012.
Wamsteker EW, et al. Unrealistic Weight-loss Goals Among Obese Patients Are Associated With Age and Causal Attributions. J Am Diet Assoc. 2009;109(11):1903-8. PubMed PMID: 19857632.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unrealistic weight-loss goals among obese patients are associated with age and causal attributions. AU - Wamsteker,Erika W, AU - Geenen,Rinie, AU - Zelissen,Pierre M J, AU - van Furth,Eric F, AU - Iestra,Jolein, PY - 2008/10/22/received PY - 2009/06/05/accepted PY - 2009/10/28/entrez PY - 2009/10/28/pubmed PY - 2010/2/26/medline SP - 1903 EP - 8 JF - Journal of the American Dietetic Association JO - J Am Diet Assoc VL - 109 IS - 11 N2 - Unrealistic weight-loss goals may impede the success of weight-loss attempts. The aim of this study was to examine the frequency of unrealistic goals and their association with other patient characteristics at the start of a weight-loss program. For patients with a body mass index (calculated as kg/m(2)) of 30 to 35, 35 to 40, or 40 to 50, medically advised weight-loss goals were set at 10%, 15%, and 20% of current weight, respectively. Personal weight-loss goals exceeding the medically advised goal by >50% were considered unrealistic. Obesity-related beliefs were measured by the "Obesity Cognition Questionnaire" and the eating-behavior self-efficacy scale of the "Obesity Psychosocial State Questionnaire." From September 2003 until March 2006, 90 patients were enrolled in the study, 26 men and 64 women, with a mean age of 43 years (range=18 to 68 years) and body mass indexes ranging from 30 to 50. Unrealistic goals were observed in 49% of the patients and were more frequent in younger patients (P=0.03), in patients attributing their obesity to physical causes (r=0.35, P=0.001), and in patients not attributing their obesity to behavioral causes (r=-0.28, P=0.008). This study confirms that discrepancies in weight-loss goals between obese patients and professionals occur frequently. Because unrealistic goals can hamper long-term outcomes of weight-loss programs, better outcomes could possibly be achieved by addressing unrealistic weight-loss goals before treatment. SN - 1878-3570 UR - https://www.unboundmedicine.com/medline/citation/19857632/Unrealistic_weight_loss_goals_among_obese_patients_are_associated_with_age_and_causal_attributions_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-8223(09)01429-1 DB - PRIME DP - Unbound Medicine ER -