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    Should providers encourage realistic weight expectations and satisfaction with lost weight in commercial weight loss programs? a preliminary study

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    Author
    Ames, Gretchen E.; Thomas, Colleen S; Patel, Roshni H; McMullen, Jillian S; Lutes, Lesley D
    Abstract
    Background Attrition is a problem among patients who participate in commercial weight loss programs. One possible explanation is that if patients are unable to reach a weight that they expect to achieve, they may be more likely to drop out of treatment. This study investigated variables associated with attrition among 30 obese patients who completed a liquid meal replacement program (LMR) and enrolled in a 52-week Small Changes Maintenance intervention (SCM). Patients lost a median 18% of body weight during LMR and completed assessments about weight expectations and weight satisfaction pre- and post-SCM. Findings Of the 30 patients who started SCM, 8 (27%) were lost to attrition. Odds of SCM attrition were higher in patients who lost[less than or equal to]18.2% of pre-LMR weight (OR: 12.25, P=0.035), had lower satisfaction ([less than or equal to]7) pre-SCM (OR: 10.11, P=0.040), and who expected further weight loss of 9.1 kg or more pre-SCM (OR: 10.11, P=0.040). SCM completers significantly increased weight loss expectations by a median of 2.3 kg from pre-SCM to post-SCM (WSR P=0.049) that paralleled weight regained post-SCM (2.7 kg). Conclusions After completion of a medically-supervised commercial weight loss program, patients with the greatest expectations for further weight loss and the lowest weight satisfaction were more likely to drop out of SCM. Failure to participate in maintenance treatment may lead to regain of greater than half of lost weight over the next year. Among SCM completers, lower expectations for further weight loss and greater weight satisfaction appeared to be associated with continued engagement in maintenance treatment.
    URI
    http://hdl.handle.net/10342/7761
    Subject
    Weight loss expectations; Attrition; Obesity treatment
    Date
    2014
    Citation:
    APA:
    Ames, Gretchen E., & Thomas, Colleen S, & Patel, Roshni H, & McMullen, Jillian S, & Lutes, Lesley D. (January 2014). Should providers encourage realistic weight expectations and satisfaction with lost weight in commercial weight loss programs? a preliminary study. , (), - . Retrieved from http://hdl.handle.net/10342/7761

    Display/Hide MLA, Chicago and APA citation formats.

    MLA:
    Ames, Gretchen E., and Thomas, Colleen S, and Patel, Roshni H, and McMullen, Jillian S, and Lutes, Lesley D. "Should providers encourage realistic weight expectations and satisfaction with lost weight in commercial weight loss programs? a preliminary study". . . (), January 2014. September 27, 2023. http://hdl.handle.net/10342/7761.
    Chicago:
    Ames, Gretchen E. and Thomas, Colleen S and Patel, Roshni H and McMullen, Jillian S and Lutes, Lesley D, "Should providers encourage realistic weight expectations and satisfaction with lost weight in commercial weight loss programs? a preliminary study," , no. (January 2014), http://hdl.handle.net/10342/7761 (accessed September 27, 2023).
    AMA:
    Ames, Gretchen E., Thomas, Colleen S, Patel, Roshni H, McMullen, Jillian S, Lutes, Lesley D. Should providers encourage realistic weight expectations and satisfaction with lost weight in commercial weight loss programs? a preliminary study. . January 2014; (): . http://hdl.handle.net/10342/7761. Accessed September 27, 2023.
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