scholarly journals A qualitative study of men’s behavioural changes during weight loss maintenance

2020 ◽  
Vol 140 (6) ◽  
pp. 317-326
Author(s):  
L Lozano-Sufrategui ◽  
A Pringle ◽  
D Carless ◽  
KJ Drew
Keyword(s):  
Weight Loss ◽  
Thematic Analysis ◽  
Weight Maintenance ◽  
Weight Loss Maintenance ◽  
Photo Elicitation ◽  
Structured Interviews ◽  
Behavioural Changes ◽  
Weight Loss Programme ◽  
Maintain Weight Loss ◽  
Long Term Impact

Aim: This study aims to understand the behaviour changes men who attended a weight loss programme engage in during weight maintenance. Understanding the needs of men in the context of weight loss maintenance is important, as they are underrepresented in this body of literature. Method: Given its focus on personal experience, this study adopted a qualitative design. Semi-structured interviews supported by participant-generated photo-elicitation techniques to explore the behavioural changes 12 men engaged in 6 months after attending a men-only weight loss programme. Data analysis was undertaken through thematic analysis and Gleeson’s polytextual thematic analysis. Results: This study suggests that the key behaviours men engaged in to maintain weight loss can be classified into four categories: (1) ‘Small’ changes, (2) Informed decisions, (3) Monitoring of behaviours, and (4) Dealing with ambivalence. Conclusion: This study makes an original contribution to knowledge and can have important implications for practice in the area of men’s health, particularly with regard to the long-term impact of weight loss interventions.

scholarly journals Physical Activity, Weight Loss, and Weight Maintenance in the DiOGenes Multicenter Trial

2021 ◽  
Vol 8 ◽  
Author(s):  
Marleen A. van Baak ◽  
Gabby Hul ◽  
Arne Astrup ◽  
Wim H. Saris
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Weight Maintenance ◽  
Secondary Analysis ◽  
Maintenance Phase ◽  
Weight Loss Maintenance ◽  
Multicenter Trial ◽  
Matsuda Index ◽  
Training Programmes ◽  
Positive Effect

In this secondary analysis of the DiOGenes study, we investigated whether physical activity (PA) contributes to diet-induced weight loss and helps to reduce subsequent regain. We also studied the associations of PA with changes in cardiometabolic variables. Adults with overweight were included and followed an 8-week low-calorie diet (LCD). When successful (>8% weight loss), participants were randomized to different ad libitum diet groups and were advised to maintain their weight loss over the 6-month intervention period. Body weight (BW), body composition, cardiometabolic variables and subjectively-assessed PA were measured at baseline, at the end of weight loss and at the end of the intervention. BW was reduced by the LCD (from 99.8 ± 16.7 to 88.4 ± 14.9 kg; P < 0.001). This reduction was maintained during the weight maintenance period (89.2 ± 16.0 kg). Total PA (sum score of the three subscales of the Baecke questionnaire) increased during the weight loss period (from 8.16 ± 0.83 to 8.39 ± 0.78; P < 0.001) and this increase was subsequently maintained (8.42 ± 0.90). We found no evidence that baseline PA predicted weight loss. However, a higher level of baseline PA predicted a larger weight-loss-induced improvement in total cholesterol, triglycerides, glucose and CRP, and in post-prandial insulin sensitivity (Matsuda index). Subsequent weight and fat mass maintenance were predicted by the post-weight loss level of PA and associated with changes in PA during the weight maintenance phase. In conclusion, despite the fact that higher baseline levels of PA did not predict more weight loss during the LCD, nor that an increase in PA during the LCD was associated with more weight loss, higher PA levels were associated with more improvements in several cardiometabolic variables. The positive effect of higher PA on weight loss maintenance seems in contrast to randomized controlled trials that have not been able to confirm a positive effect of exercise training programmes on weight loss maintenance. This analysis supports the notion that higher self-imposed levels of PA may improve the cardiometabolic risk profile during weight loss and help to maintain weight loss afterwards.

scholarly journals What a weight loss programme should contain if people with obesity were asked - a qualitative analysis within the DO:IT study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Christina Jessen-Winge ◽  
Pia Maria Ilvig ◽  
Heather Fritz ◽  
Carl J. Brandt ◽  
Kim Lee ◽  
...  
Keyword(s):  
Weight Loss ◽  
Everyday Life ◽  
Social Relations ◽  
Weight Maintenance ◽  
Individual Interviews ◽  
Positive Effects ◽  
Specialized Hospital ◽  
Weight One ◽  
Weight Loss Programme ◽  
Clinically Significant

Abstract Background Currently 1.9 billion adults worldwide are estimated to be overweight or obese. In Denmark the municipalities hold the responsibility to deliver weight loss programmes to overweight and obese citizens. There is a tendency to assume that weight loss programmes that show positive effects in specialized hospital settings are directly transferrable to municipal settings. However, municipality-based weight loss programmes have not produced clinically significant reductions in body weight. One reason for this may be that much research evidence regarding obesity programming neglects the perspectives of people with obesity. The first step in developing a weight loss programme designed for municipal settings is to understand what people with obesity want and need from a programme. The aim of this study was to examine what people with obesity find important in a weight loss programme for weight loss and weight maintenance. Methods We used a qualitative, explorative, descriptive design with individual interviews. We included men and women age 17 and older with a BMI ≥ 25 kg/m2. Participants were recruited from the wait lists of 13 municipality programmes and through Facebook posts. Data were analyzed using content analysis. Results Thirty-four participants with overweight or obesity were individually interviewed (ages between 19 and 74). Findings suggest that weight loss programmes should; a) support participants in structuring days; b) consider the use of replacement activities to reduce cognitive and emotional burden; c) aide individuals to increase self-efficacy and; d) include family and friends as well as health professionals and peers in the weight loss process. Diet and exercise, while important, should be balanced with other meaningful activities in everyday life. Conclusion Participants in this study wished to balance weight loss related activities with overall everyday life as well as finding the believe in their ability to lose weight in social relations.

scholarly journals “I’m Still on Track”: A Qualitative Exploration of Participant Experiences of a Weight Loss Maintenance Program

Healthcare ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 21
Author(s):  
Bronwyn McGill ◽  
Blythe J. O’Hara ◽  
Philayrath Phongsavan ◽  
Adrian Bauman ◽  
Luke Lawler ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Personal Responsibility ◽  
Self Regulation ◽  
Real Life ◽  
Weight Loss Maintenance ◽  
External Support ◽  
Structured Interviews ◽  
Positive Health ◽  
Maintenance Program

Qualitative evidence of participants’ experiences of real-life weight loss maintenance programs is important for ongoing participant engagement and can inform program improvements. The purpose of this study was to understand how participants account for their engagement with a weight loss maintenance program and the role of the program in their weight management. A qualitative study using semi-structured interviews with 17 participants of a weight loss maintenance program was conducted; common themes were identified using a thematic inductive approach. Many participant narratives incorporated recurrent descriptions of their program experiences as a weight management journey. Our analysis generated four themes: returning to real life as a threat, the personal responsibility imperative, the program supporting agency and the program supporting self-regulation. The program, which provides external support and strategies, overlapped with the context of returning to real life and the personal responsibility imperative. Participant accounts of their journey at this intersection include the program supporting both agency and self-regulation which influences ongoing weight management. The interplay between themes identified and the maintenance program services allows compatibility between participants’ sense of personal responsibility and the program components to help participants to ‘stay on track’ or ‘get back on track’. In providing sufficient structure, opportunities to revisit successful strategies, and accountability, participants are empowered to overcome real-life threats and make positive health choices.

scholarly journals Weight-loss maintenance 1, 2 and 5 years after successful completion of a weight-loss programme

2007 ◽  
Vol 99 (4) ◽  
pp. 925-930 ◽  
Author(s):  
Michael R. Lowe ◽  
Tanja V. E. Kral ◽  
Karen Miller-Kovach
Keyword(s):  
Weight Loss ◽  
Weight Loss Maintenance ◽  
The United States ◽  
National Sample ◽  
Self Report ◽  
Clinical Samples ◽  
Successful Completion ◽  
Measured Weight ◽  
Weight Loss Programme ◽  
Weight Watchers

The objective was to assess weight-loss maintenance in individuals who successfully completed a commercial weight-loss programme at multiple sites in the United States. A total of 699 lifetime members of Weight Watchers represented the national sample and 217 additional lifetime members served as an oversample. Lifetime members were asked to self-report their current weight 1, 2, and 5 years after they had successfully completed the programme. Additional lifetime members served as an oversample whose weights were measured. The discrepancy between reported and measured weight in the oversample was used to adjust the self-reported weights of the national sample. Seventy-one percent of participants were middle-aged or older and 95·3 % were female; their mean starting BMI was 27·6 (sd 3·6) kg/m2. The percentage of Weight Watchers lifetime members who maintained at least 5 % of their weight loss 1, 2 and 5 years after successful completion of the programme was 79·8, 71·0, and 50·0, respectively. The percentage of participants who remained below their goal weight 1, 2 and 5 years after completion of the programme was 26·5, 20·5, and 16·2, respectively. Results obtained with this group of successful Weight Watchers members are not directly comparable to those obtained with clinical samples of obese dieters because the current sample comprises only the most successful Weight Watchers participants. However, these results provide further evidence that maintenance of weight loss in those who successfully lose weight in one commercial weight-loss programme is more feasible than data from clinical populations have suggested.

scholarly journals Impact of Successful Weight Loss Maintenance on Serum Lipids and Glucose Concentrations of Previous Participants of a Weight Loss Programme in Accra, Ghana

2019 ◽  
Vol 2019 ◽  
pp. 1-12 ◽  
Author(s):  
Sandra Ayisi Addo ◽  
Christiana Nti ◽  
Frederick Vuvor ◽  
Jonathan Adjimani ◽  
Matilda Steiner-Asiedu
Keyword(s):  
Weight Loss ◽  
Serum Lipid ◽  
Fasting Blood Glucose ◽  
Density Lipoprotein ◽  
Weight Loss Maintenance ◽  
Dietary Behaviour ◽  
Cross Sectional ◽  
Weight Loss Programme ◽  
Successful Weight Loss

Background and Aim. There is a need to investigate the long-term impact of successful weight loss maintenance on blood lipids and glucose concentrations in populations within Africa, where obesity and cardiovascular disease (CVD) rates are increasingly becoming a public health threat. The aim of this study was to compare the serum lipid and glucose concentrations of successful and unsuccessful weight loss maintainers who previously participated in the Nutriline Weight Loss Programme (NWLP) in Accra, Ghana. Methods. 112 participants were randomly selected to participate in this cross-sectional study. Baseline and end of weight loss programme anthropometric and programmatic data were accessed via the NWLP archival database. On follow-up, anthropometric data, physical activity, dietary behaviour, serum lipid, and glucose indices were taken. Successful weight loss maintainers (SWLM) were defined as those achieving at least 5% weight loss below the baseline weight at follow-up, otherwise unsuccessful (UWLM). Results. The adjusted serum total cholesterol (TC) concentration was significantly lower for SWLM (5.17 ± 0.99 mmol/L) compared to UWLM (5.59 ± 1.06 mmol/L). Serum low-density lipoprotein (LDL), high-density lipoprotein (HDL), fasting blood glucose (FBG), and glycosylated haemoglobin (HbA1c) concentrations for SWLM versus UWLM did not differ significantly and were as follows: 3.58 ± 0.92 mmol/L versus 3.87 ± 0.99 mmol/L, 1.22 ± 0.38 mmol/L versus 1.17 ± 0.32 mmol/L, 4.48 ± 0.72 mmol/L versus 4.73 ± 1.00 mmol/L, and 5.52 ± 0.39% versus 5.59 ± 0.59%, respectively. Triglyceride (TG) concentration was significantly (P<0.001) lower for SWLM (0.79 ± 0.28 mmol/L) compared to UWLM (1.17 ± 0.51 mmol/L). After adjusting for covariates, it was no longer significant. Additionally, there was no significant association between weight loss maintenance success and having a normal status for selected lipids and glucose parameters. Conclusion. SWLM had a significantly lower serum TC compared to UWLM. In addition, a greater proportion of SWLM had normal values for TC, TG, HbA1c, and LDL out of the six parameters measured although not statistically significant.

scholarly journals Reach and Adoption of a Randomized Weight Loss Maintenance Trial in Rural African Americans of Faith: The WORD (Wholeness, Oneness, Righteousness, Deliverance)

2018 ◽  
Vol 33 (4) ◽  
pp. 549-557 ◽  
Author(s):  
Karen H. Kim Yeary ◽  
Page C. Moore ◽  
C. Heath Gauss ◽  
Carol Cornell ◽  
T. Elaine Prewitt ◽  
...  
Keyword(s):  
Weight Loss ◽  
African Americans ◽  
Participation Rate ◽  
Diabetes Prevention Program ◽  
Cluster Randomized Trial ◽  
Weight Loss Maintenance ◽  
Religious Attendance ◽  
Church Participation ◽  
Predominantly Female ◽  
Maintain Weight Loss

Purpose: There is minimal information regarding the Reach and Adoption of evidence-based weight loss maintenance interventions for African Americans of faith. Design: The WORD (Wholeness, Oneness, Righteousness, Deliverance) was an 18-month, cluster randomized trial designed to reduce and maintain weight loss in African American adults of faith. Participants received the Diabetes Prevention Program adapted core weight loss program for 6 months, and churches were subsequently randomized to 12-month maintenance treatment or control. All participants underwent body weight and associated behavioral and psychosocial assessments at baseline, 6, 12, and 18 months. The current article focuses on assessing Reach and Adoption at baseline and 6 months using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework. Setting: Lower Mississippi Delta. Participants: Thirty churches, 61 WORD Leaders (WLs), and 426 participants. Intervention: Group delivered by trained community members (WLs). Measures: Body mass index and percentage weight lost from baseline to 6-month follow-up were measured. Reach was assessed at participant, WL, and church levels through calculating participation rates and sociodemographics of each level. Adoption was assessed at church and WL levels. Analysis: Descriptive statistics summarized baseline characteristics of each level. Continuous and categorical end point comparisons were made. Results: Participants’ participation rate was 0.84 (n = 437 agreed to participate, n = 519 eligible invited to participate); they were predominantly female, employed, and had a mean age of 49.8. Dropouts by 6 months were younger, had differential marital status, and religious attendance compared with retained participants. Church participation rate was 0.63 (n = 30 enrolled, n = 48 eligible approached) and the majority reported ≤100 active members. The WL participation rate was 0.61 (n = 61 implemented intervention, n = 100 eligible approached); they were primarily female and aged 53.9 (mean). Conclusion: Recruitment, engagement, and delivery strategies employed by the WORD show promise of sustained engagement and adoption in other faith-based behavioral weight management programs for African Americans.

scholarly journals Exploring use of activity monitors for patients with obesity during weight-loss treatment - a qualitative study

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Ingrid S. Følling ◽  
Line M. Oldervoll ◽  
Christina Hilmarsen ◽  
Ellen M. I. Ersfjord
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Health Concern ◽  
Use Of Self ◽  
Structured Interviews ◽  
Health Habits ◽  
Self Monitoring ◽  
Major Health ◽  
Activity Monitors ◽  
Weight Loss Programme

Abstract Background Obesity is a major health concern in western countries. In Norway, patients with obesity can attend weight-loss programmes, which focus on changes in dietary and physical activity habits. Use of self-monitoring is advocated when changing dietary and physical activity habits for adults with obesity. This study aimed to explore the experiences of patients with obesity who used activity monitors while attending a weight-loss programme. Methods Patients with body mass index (BMI) > 35 kg/m2 with weight related comorbidities or a BMI > 40 kg/m2 referred to an intermittent weight-loss programme were recruited into this study. They were introduced to one of three different activity monitors, Fitbit Zip™, Mio Fuse™, or Mio Slice™. Semi-structured interviews were performed with patients six months into the weight-loss programme. Thematic analysis was applied when analysing the data. Results Of the 29 informants (aged 21 to 66 years) interviewed, 59% were female. Their experience with activity monitors was related to their adherence to the weight-loss programme. Two main themes emerged from the informants stories: 1. “Activity monitors visualize proof of effort or failure to change health habits”. 2. “Activity monitors act as a positive or negative enforcer when incorporating change”. Conclusions Using activity monitors either strengthens or undermines patients’ attempts to change health habits when attending a weight-loss program. Our findings suggest a need for more individualized weight-loss programmes for patients with obesity.

“Do you find it normal to be so fat?” Weight stigma in obese gym users

2021 ◽  
pp. 101269022110568
Author(s):  
David Argüelles ◽  
Víctor Pérez-Samaniego ◽  
Elena López-Cañada
Keyword(s):  
Thematic Analysis ◽  
Social Process ◽  
Weight Stigma ◽  
Photo Elicitation ◽  
Evidence Based ◽  
Structured Interviews ◽  
Obese People ◽  
Negative Stereotypes ◽  
Negative Comments ◽  
Exercise Equipment

Weight stigma is a negative social process that involves discrimination against overweight and obese people. Gyms are important environments to promote exercise where weight stigma can be a hindrance for obese exercise practitioners. This critical-oriented study provides evidence-based answers to this question: How do obese users experience weight stigma in gyms? Six obese gym users (BMI >30) participated in semi-structured interviews and provided visual data for photo-elicitation. A thematic analysis enabled the grouping of their experiences around weight stigma into three forms of discrimination: 1) direct: negative comments about body weight and body size; 2) indirect: internalization of negative stereotypes on weight, ability or appearance; 3) structural: explicit or symbolic rejection related with weight-centric exercise, equipment and recommendations implicit in marketing and advertising. The results provide evidence and interpretations of different forms of discrimination and inequality that operate in gyms, and how they affect obese users’ experiences. Based on these results, we compile a list of measures to prevent weight stigma and recommendations for exercise professionals to relate with obese users.

Abstract P202: Is There a Relationship Between the Psychological Influence of the Highly Palatable Food Environment and Weight Loss Attempts?

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Molly Matthews-Ewald ◽  
Phillip J Brantley ◽  
Melissa N Harris ◽  
Valerie Myers ◽  
Robert Newton ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Maintenance ◽  
Future Research ◽  
Linear Regression Models ◽  
Behavioral Weight Loss ◽  
Hedonic Hunger ◽  
Successful Weight Loss ◽  
Maintain Weight Loss ◽  
Power Of Food Scale ◽  
Weight Loss Interventions

Background: Research suggests that the degree of food desirability may have an impact on successful weight loss. Defined as susceptibility to eating when presented with environmental stimuli, hedonic hunger is related to increased food consumption. Individuals with higher hedonic hunger may be less able to successfully maintain weight loss and, therefore, may have more weight loss attempts (WLA). The purpose was to examine associations between the number of WLA and the PFS total scale and subscale scores, controlling for race, sex, BMI, and age. Methods: Participants were obese adults enrolled in Heads Up, an insurance-sponsored observational study examining surgical and non-surgical weight loss techniques. Individuals completed the Power of Food Scale (PFS) and demographic information, including the number of WLA. The PFS was developed to assess hedonic hunger when food is: 1) available, 2) present, and 3) tasted. Results: Of the 705 participants, 409 (57.8%) were Caucasian, 597 (84.3%) were female, and had attempted to lose weight 9.13 (SD=9.8) times. The number of WLA significantly predicted PFS total scores and subscale scores except for the “Food Tasted” subscale. The full linear regression models accounted for 4.7%, 4.1%, and 6.2% of the variance in the total PFS, Food Available subscale, and Food Present subscale scores, respectively. Conclusions: Results demonstrate that hedonic hunger may be a factor in repeated WLA. Future research should examine the temporal sequence to fully explain this relationship to provide additional tailoring of behavioral weight loss interventions to address hedonic hunger as a hindrance to successful weight maintenance.

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