Original Article
A Self-Regulation Program for Maintenance of Weight Loss
N Engl J Med 2006; 355:1563-1571October 12, 2006
- Abstract
Background
Since many successful dieters regain the weight they lose, programs that teach maintenance skills are needed. We developed a maintenance program based on self-regulation theory and tested the efficacy of delivering the program face to face or over the Internet.
Methods
We randomly assigned 314 participants who had lost a mean of 19.3 kg of body weight in the previous 2 years to one of three groups: a control group, which received quarterly newsletters (105 participants), a group that received face-to-face intervention (105), and a group that received Internet-based intervention (104). The content of the programs in the two intervention groups was the same, emphasizing daily self-weighing and self-regulation, as was the frequency of contact with the groups. The primary outcome was weight gain over a period of 18 months.
Results
The mean (±SD) weight gain was 2.5±6.7 kg in the face-to-face group, 4.7±8.6 kg in the Internet group, and 4.9±6.5 kg in the control group, with a significant difference between the face-to-face group and the control group (2.4 kg; 95% confidence interval [CI], 0.002 to 10.8; P=0.05). The proportion of participants who regained 2.3 kg or more over the 18-month period was significantly higher in the control group (72.4%) than in the face-to-face group (45.7%; absolute difference, 27%; 95% CI, 14 to 39; P<0.001) or the Internet group (54.8%; absolute difference, 18%; 95% CI, 5 to 30; P=0.008). Daily self-weighing increased in both intervention groups and was associated with a decreased risk of regaining 2.3 kg or more (P<0.001).
Conclusions
As compared with receiving quarterly newsletters, a self-regulation program based on daily weighing improved maintenance of weight loss, particularly when delivered face to face. (ClinicalTrials.gov number, NCT00067145.)
Media in This Article
Figure 1
Study Enrollment and Retention.Figure 2
Mean (±SE) Percent Weight Reduction at Baseline and at 6, 12, and 18 Months.Article Activity
- Article
The major challenge in the treatment of obesity is maintenance of weight loss. Weight-loss programs involving diet, exercise, and behavior modification produce initial weight losses of approximately 10%,1 resulting in clinically important health benefits.2 However, most dieters regain about one third of the weight lost during the next year and are typically back to baseline in 3 to 5 years.3 Maintenance sessions are included in most programs, since continued contact has been found to be helpful in improving maintenance of weight loss.4 Such maintenance sessions have had limited efficacy, perhaps owing to the heterogeneity of weight loss at the start of the maintenance phase and the fact that the sessions are basically extensions of the weight-loss program.
There is a need for maintenance programs that specifically target people who have lost substantial amounts of weight, regardless of how they lost it, and that teach skills specific to the maintenance of weight loss. We report here the results of the Study to Prevent Regain (STOP Regain), a randomized clinical trial testing the efficacy of a face-to-face program and an Internet-based program, as compared with a newsletter control group, in preventing weight regain over a period of 18 months. The study focused exclusively on maintenance of weight loss and recruited participants after they had lost a minimum of 10% of their body weight. The maintenance interventions developed for this trial were based on self-regulation theory5 and emphasized comparing current weight with a goal weight (weight at the start of the maintenance phase). Then, depending on the correspondence between these two weights, the participants were taught to adjust their eating and exercise behavior or to provide self-reinforcement.6 We hypothesized that the interventions, delivered face to face or over the Internet, would decrease average weight regain and reduce the proportion of participants who regained 2.3 kg or more during a period of 18 months.
Methods
Participants
We recruited 314 participants between February 2001 and September 2003 through newspaper advertisements, brochures, and contacts with commercial and research weight-control programs in the Rhode Island area (Figure 1Figure 1
Study Enrollment and Retention.). To be eligible, participants were required to have lost at least 10% of their body weight during the prior 2 years. The 10% weight-loss criterion was selected because of its relevance to clinical measures of health and the 2-year criterion because the risk of regaining weight is greatest during the first several years after weight loss.7,8 All participants were required to have a physician, friend, or weight-loss counselor complete and sign a form indicating the amount and timing of their weight loss. Exclusion criteria included serious physical disorders (e.g., heart attack or stroke), serious psychological disorders (e.g., bipolar disease, schizophrenia, or an eating disorder), pregnancy, or a planned move. Participants with medical conditions that might affect their ability to safely complete the intervention or their ability to exercise were required to obtain written permission from a physician before entering the study.Study Design
Participants were stratified according to the amount of prior weight loss (10 to 20% of body weight vs. more than 20% of body weight) and then randomly assigned to a control group (105 participants), a face-to-face intervention group (105), or an Internet intervention group (104). The face-to-face format was tested because this approach is used in most weight-control programs and provides a high level of accountability through objective weigh-ins and intensive therapist and peer support. We tested an Internet program because this approach has been shown to be helpful in weight loss and maintenance9-11; we reasoned that the Internet program would be more convenient for participants and would therefore produce better attendance at intervention sessions than the face-to-face program. Participants were assessed at 6, 12, and 18 months and were paid $25 for attending the 6- and 12-month assessments and $50 for attending the 18-month assessment. The protocol was approved by the institutional review board at the Miriam Hospital, Providence; written informed consent was obtained from all participants. The authors designed the study and secured funding; they took sole responsibility for treating participants, collecting and analyzing the data, and writing the manuscript; they vouch for the accuracy and completeness of the reported data.
Interventions
The face-to-face and Internet interventions were identical in frequency of contact and content and were intended to teach participants to regulate their body weight. Participants in the intervention groups were given a scale and introduced to a weight-monitoring system based on color zones. They were taught to use the scale in the way they would use a thermostat or home glucose monitor — namely, to determine whether adjustments in energy-balance behaviors were needed.
Since a major difference between weight loss and weight maintenance is the reinforcement a person receives from others,3 participants were asked to submit their weight weekly through an automated telephone system (face-to-face group) or a Web-based form (Internet group). Those who reported maintaining their weight, defined as a weight gain of less than 1.4 kg12 over their starting weight, were in the green zone and were provided immediate reinforcement with positive automated messages and also received small green gifts monthly (e.g., green gum, green tea, or a green dollar bill) to foster the development of self-reinforcement skills. Participants with weight gains of 1.4 to 2.2 kg were in the yellow zone and were instructed to use problem-solving skills to bring their weight back to the green zone. Participants with a weight gain of 2.3 kg or more were in the red zone and were encouraged to restart active weight-loss efforts, using either their initial approach to weight loss or a standard behavioral approach involving a low-calorie, low-fat diet and increased physical activity. Participants in the red zone were also encouraged to use a tool kit provided at the start of the program that included their own weight-loss success story, self-monitoring diaries, a book providing information on calories and fat, a pedometer, and several cans of a meal-replacement product (Slim-Fast, Unilever). Red-zone participants were also offered individual counseling by e-mail (Internet group) or by telephone or in person (face-to-face group) until they returned to their starting weight. Throughout the program, participants in both intervention groups were encouraged to practice eating and exercise behaviors (such as exercising 60 minutes a day) that have been reported to help maintain weight loss.13,14
Both groups attended weekly meetings for the first month and thereafter (for the balance of the 18-month period) attended monthly meetings. In the face-to-face group, meetings were held at a clinic affiliated with Miriam Hospital and included an individual weigh-in and group session. Internet participants were provided with a laptop computer and an Internet connection (if needed) as well as technical support. They attended an introductory session designed to teach them how to use the laptop. Participants in the Internet group had access to a STOP Regain message board and a Web site where treatment lessons and weekly tips were posted and where they reported their weekly weight and physical-activity data. Their group meetings were conducted in a chat room. The same study personnel (nutritionists, exercise physiologists, and clinical psychologists with master's or Ph.D. degrees) led the meetings for both groups; all had experience leading behavioral weight-control groups and received uniform training and supervision for this study.
The control group received a quarterly newsletter with information about diet, exercise, and weight control. These participants had no interaction with intervention staff and were seen at the clinic only for assessments.
End Points
The primary end point was weight gain at 18 months; secondary end points, identified a priori, were the percentage of participants who regained 2.3 kg or more (chosen because it is larger than the change expected with normal daily weight fluctuation and because of its public health implication)15 and changes in diet, activity, and use of behavioral strategies. At each assessment, participants were weighed with a calibrated scale while they were wearing light street clothes, and they completed the Paffenbarger Physical Activity Questionnaire16 and the Block Food Frequency Questionnaire.17 They also reported their frequency of self-weighing and rated the importance of key behavioral strategies on a scale of 1 to 6 (in which a score of 1 indicates not at all important and a score of 6 of major importance). Height was assessed at baseline with a wall-mounted stadiometer.
Statistical Analysis
The sample size was selected to provide the study with a statistical power of 80% to detect a 3-kg difference in weight regain between groups, with the use of a two-tailed test and adjustment for three comparisons. Baseline characteristics were compared with the use of the chi-square test or analysis of variance. Absolute weight gain and the percentage of weight lost from the highest weight reported in the previous 2 years were determined with analysis of variance and repeated-measures analysis of covariance, respectively, with dropouts assumed to have regained 0.3 kg per month, an assumption used in prior studies18,19 and similar to the amount regained by control-group participants in this trial. Chi-square tests were used to compare groups with respect to the percentage regaining 2.3 kg or more, with dropouts assumed to have regained this amount. The three pairwise comparisons were tested and Bonferroni's adjustment was used. All analyses were performed with the use of SPSS software, version 13.0, and no interim analyses were conducted. All reported P values are two-sided and reflect Bonferroni's adjustment.
Results
Baseline characteristics of the 314 participants who underwent randomization are shown in Table 1Table 1
Baseline Characteristics of the Study Participants.. There were no significant differences among the three study groups in any of these measures. The most commonly reported approaches used to lose weight were commercial weight-loss groups (39.5%), an individual approach with no outside help (22.9%), and exercise (36.6%), with an additional approach usually accompanying exercise. The 6- and 12-month assessments were completed by 300 and 290 participants (95.5% and 92.4%), respectively, with no significant differences among the groups. The 18-month assessments were completed by 291 participants (92.7%), with significantly better attendance in the Internet group than in the face-to-face group (97.1% vs. 87.6%, P=0.03), but with attendance in neither intervention group significantly different from that of the control group (93.3%; P=0.20 and P=0.16, respectively).Absolute Weight Change
The mean (±SD) absolute weight gain over the 18-month period was 2.5±6.7 kg in the face-to-face group as compared with 4.7±8.6 kg in the Internet group and 4.9±6.5 kg in the control group (Table 2Table 2
Mean Weight Change from Baseline.). There was a significant difference in weight gain between the face-to-face and control groups (absolute difference, 2.4 kg; 95% confidence interval [CI], 0.002 to 10.8; P=0.05), but not between the face-to-face group and the Internet group (2.2 kg; 95% CI, −0.50 to 10.3; P=0.09), or between the Internet group and the control group (absolute difference, 0.2 kg; 95% CI, –4.9 to 5.9; P=1.00). Repeated-measures analysis of covariance, with adjustment for baseline percent weight reduction, showed that the face-to-face group also differed significantly from both the Internet group and the control group with respect to the percentages of weight lost during the 18 months of the trial (P=0.02 and P=0.006, respectively) (Figure 2Figure 2Mean (±SE) Percent Weight Reduction at Baseline and at 6, 12, and 18 Months.). The failure to find a significant difference between the Internet and control groups on these measures resulted, in part, from the somewhat larger amount of weight regained in the Internet group. Among participants in the red zone, those in the Internet group had regained a mean of 9.8±8.4 kg at the end of 18 months, as compared with 7.5±5.6 kg in the control group (P=0.18) and 7.4±6.4 in the face-to-face group (P=0.24).Percentage of Participants Regaining 2.3 kg or More
Assuming that all dropouts regained 2.3 kg or more, we found that 72.4% of participants in the control group regained 2.3 kg or more during the 18-month period, as compared with 54.8% of participants in the Internet group (absolute difference, 18%; 95% CI, 5 to 30; P=0.008) and 45.7% of participants in the face-to-face group (absolute difference, 27%; 95% CI, 14 to 39; P<0.001) (Figure 3Figure 3
Proportion of Participants Who Regained 2.3 kg or More at 6, 12, or 18 Months.). There was no significant difference in the percentage who regained 2.3 kg or more between the two intervention groups (absolute difference, 9%; 95% CI, −4 to 23; P=0.19).Effect of Interventions on the Prevention of Weight Regain
Of the 314 participants in the study, 34.7% remained consistently in the green or yellow zone at 6, 12, and 18 months, including 43.8% of those in the face-to-face group, 37.5% of those in the Internet group, and 22.9% of those in the control group. There was a significant difference in these percentages between the control group and the face-to-face group (absolute difference, 21%; 95% CI, 9 to 33; P=0.001) and the control group and the Internet group (absolute difference, 15%; 95% CI, 2 to 27; P=0.02), but not between the intervention groups (absolute difference, 6%; 95% CI, −7 to 20; P=0.35). In contrast, only 23 of the 166 participants (13.9%) who regained 2.3 kg or more at 6 or 12 months subsequently returned to the green or yellow zone, with no significant difference among the face-to-face, Internet, and control groups (19.2%, 16.0%, and 7.8%, respectively). The difference between the face-to-face group and the control group approached significance (P=0.07), but the Internet group did not differ significantly from the face-to-face group (P=0.99) or the control group (P=0.17).
Adherence
Attendance at the face-to-face and chat-room sessions decreased over time (P<0.001) but was consistently better in the face-to-face group than in the Internet group (P=0.005). The percentage of sessions attended by participants in the face-to-face group was 78.7% from baseline to 6 months, 53.5% from 7 to 12 months, and 41.5% from 13 to 18 months, as compared with 65.7%, 41.2%, and 34.2%, respectively, in the Internet group. The percentage of participants who reported their weight each week also decreased over time (P<0.001), but the difference between the two intervention groups was not significant. In the face-to-face group, the percentage of participants who reported their weight was 84.0% from baseline to 6 months, 68.6% from 7 to 12 months, and 56.1% from 13 to 18 months, and in the Internet group the respective percentages were 82.0%, 69.1%, and 55.3%.
Adverse Events
Medical and psychological adverse events were monitored throughout the trial. No serious adverse events were related to the interventions (Figure 1).
Behavioral Changes
Despite the differences in regained weight, there were no significant differences in changes in caloric intake, percentage of calories from fat, or physical activity among the groups. However, there were significant differences in the participants' ratings of the importance of key behavioral strategies. Both intervention groups gave higher ratings for self-weighing as an important aspect of their weight-control efforts than did the control group (P=0.001). The face-to-face group, as compared with the control group, also gave higher ratings for setting a weight-loss goal (P=0.005), counting calories (P=0.03), and keeping a graph or record of eating and exercise (P=0.01).
Since self-weighing is a key component of the self-regulation model, we compared the proportion of participants in each group who reported weighing themselves at least daily. Differences between treatment groups were significant at 6, 12, and 18 months (P<0.001 for all pairwise comparisons); during each period, 28.9 to 40.0% of participants in the control group reported daily weighing, as compared with 65.1 to 81.4% of participants in the Internet group and 71.2 to 78.9% of participants in the face-to-face group. In addition, in the face-to-face and Internet groups, a smaller proportion of participants who weighed themselves daily regained 2.3 kg or more, as compared with those who weighed themselves less often (face-to-face group, 26.2% vs. 58.3%; absolute difference, 32%; 95% CI, 10 to 55; P=0.005; Internet group, 39.7% vs. 67.7%; absolute difference, 28%; 95% CI, 7 to 49; P=0.01). In the control group, the difference was much smaller (65.3% vs. 71.9%; absolute difference, 7%; 95% CI, −15 to 28; P=0.54) (Figure 4Figure 4
Proportion of Participants Who Regained 2.3 kg or More among Those Who Reported Weighing Themselves Daily versus Weighing Less Often at 18 Months.).Discussion
A major problem in the treatment of obesity is maintenance of weight loss. Our results suggest that with minimal intervention, 72% of successful dieters will regain more than 2.3 kg over a period of 18 months. The interventions used in our study, which focused on teaching self-regulation of body weight, significantly decreased the risk of regaining 2.3 kg or more. However, only the face-to-face format reduced the amount of weight regained.
We recruited participants who had recently lost a clinically important amount of weight, regardless of how they had lost the weight, and taught them strategies to prevent weight regain instead of promoting further weight loss. The efficacy of the interventions we tested suggests that this concept of a separate and distinct weight-loss maintenance program may be important for the successful treatment of obesity. In this study and a prior study,20 preventing weight regain appears to be critical because of the difficulty of reversing even small weight regains.
The face-to-face format produced the best outcomes in this trial, with an average weight gain of 2.5 kg and 46% of participants regaining 2.3 kg or more. Attendance was also superior in the face-to-face group. The Internet intervention was effective in decreasing the proportion of participants who regained weight, but it was less effective in reducing the amount of weight regained. Therefore, from a public health perspective, it might be desirable to use the Internet strategy for prevention of weight regain but to add face-to-face or telephone counseling if weight is regained.
The proportion of participants who reported daily self-weighing was significantly higher in the intervention groups than in the control group, and daily self-weighing was strongly associated with successful weight-loss maintenance. However, frequent self-weighing could be either a cause or a consequence of weight-loss maintenance. The fact that participants in the intervention groups had been taught to use their weight data to regulate their eating and exercise behaviors may be what made this strategy effective for these groups but not for the control group. Several recent studies have shown the importance of frequent self-weighing for both prevention of weight gain and weight loss,21 and clinical guidelines of the National Heart, Lung, and Blood Institute7 state that “regular self-monitoring of weight is critical for long-term maintenance.” Although concern has been expressed about possible adverse effects of regular self-weighing, there is little evidence to support this concern22 and no evidence of adverse consequences of the interventions in our trial.
The strengths of our study include the selection of a cohort of successful dieters (who had an average weight loss of more than 19 kg at baseline), the randomized design, and the fact that 93% of participants completed the 18-month follow-up. Limitations include failure to find differences in dietary intake or activity, perhaps reflecting the limitations of using self-reported measures,23 and the inability to determine whether self-regulation was more effective than other approaches to weight-loss maintenance and which aspects of the intervention were most important.
In conclusion, the two self-regulation interventions were more effective than the use of newsletters in maintaining weight loss for the duration of the study. The face-to-face intervention decreased the amount of weight regained, but both the Internet and the face-to-face interventions decreased the risk of regaining 2.3 kg or more. Future studies should examine ways to refine these interventions in order to improve their efficacy.
Supported by a grant (DK57413) from the National Institute of Diabetes and Digestive and Kidney Diseases.
Dr. Wing reports having received consulting fees from Sanofi and Pfizer; and Dr. Tate, lecture fees from Unilever. No other potential conflict of interest relevant to this article was reported.
We are indebted to Natalie Robinson, Elizabeth Jackvony, Deborah Sepinwall, Jacki Hecht, and Marta Roberts for their contributions in coordinating the study and providing the interventions; to Jason Peng and Jason Machan for data management and statistical support; to Kristen Whitehead for administrative support; and to all the STOP Regain participants.
Source Information
From Brown Medical School (R.R.W., A.A.G., H.A.R.) and Miriam Hospital (R.R.W., A.A.G., H.A.R., J.L.F.) — both in Providence, RI; and the University of North Carolina, Chapel Hill (D.F.T.).
Address reprint requests to Dr. Wing at the Weight Control and Diabetes Research Center, 196 Richmond St., Providence, RI 02903, or at rwing@lifespan.org.
- References
References
1
Wing RR. Behavioral approaches to the treatment of obesity. In: Bray GA, Bouchard C, eds. Handbook of obesity: clinical applications. New York: Marcel Dekker, 2004:147-67.
2
Knowler WC ,Barrett-Connor E ,Fowler SE , et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002;346:393-403
Full Text | Web of Science | Medline3
Wadden TA, Phelan S. Behavioral assessment of the obese patient. In: Wadden TA, Stunkard AJ, eds. Handbook of obesity treatment. New York: Guilford Press, 2002:186-226.
4
Perri MG, Corsica JA. Improving the maintenance of weight lost in behavioral treatment of obesity. In: Wadden TA, Stunkard AJ, eds. Handbook of obesity treatment. New York: Guilford Press, 2002:357-79.
5
Kanfer FH, Goldstein AP, eds. Helping people change: a textbook of methods. New York: Pergamon Press, 1975.
6
Wing RR ,Epstein LH ,Nowalk MP ,Lamparski DM . Behavioral self-regulation in the treatment of patients with diabetes mellitus. Psychol Bull 1986;99:78-89
CrossRef | Web of Science | Medline7
National Institutes of Health
Medline8
McGuire MT ,Wing RR ,Klem ML ,Lang W ,Hill JO . What predicts weight regain in a group of successful weight losers? J Consult Clin Psychol 1999;67:177-185[Erratum, J Consult Clin Psychol 1999;67:282.]
CrossRef | Web of Science | Medline9
Tate DF ,Jackvony EH ,Wing RR . Effects of Internet behavioral counseling on weight loss in adults at risk for type 2 diabetes: a randomized trial. JAMA 2003;289:1833-1836
CrossRef | Web of Science | Medline10
Tate DF ,Wing RR ,Winett RA . Using Internet technology to deliver a behavioral weight loss program. JAMA 2001;285:1172-1177
CrossRef | Web of Science | Medline11
Harvey-Berino J ,Pintauro S ,Buzzell P ,Gold EC . Effect of Internet support on the long-term maintenance of weight loss. Obes Res 2004;12:320-329
CrossRef | Medline12
Baker RC ,Kirschenbaum DS . Weight control during the holidays: highly consistent self-monitoring as a potentially useful coping mechanism. Health Psychol 1998;17:367-370
CrossRef | Web of Science | Medline13
Klem ML ,Wing RR ,McGuire MT ,Seagle HM ,Hill JO . A descriptive study of individuals successful at long-term maintenance of substantial weight loss. Am J Clin Nutr 1997;66:239-246
Web of Science | Medline14
Wing RR ,Hill JO . Successful weight loss maintenance. Annu Rev Nutr 2001;21:323-341
CrossRef | Web of Science | Medline15
Stevens J ,Truesdale KP ,McClain JE ,Cai J . The definition of weight maintenance. Int J Obes (Lond) 2006;30:391-399
CrossRef | Web of Science | Medline16
Paffenbarger RS Jr ,Wing AL ,Hyde RT . Physical activity as an index of heart attack risk in college alumni. Am J Epidemiol 1978;108:161-175
Web of Science | Medline17
Block G ,Hartman AM ,Dresser CM ,Carroll MD ,Gannon J ,Gardner L . A data-based approach to diet questionnaire design and testing. Am J Epidemiol 1986;124:453-469
Web of Science | Medline18
Wadden TA ,Berkowitz RI ,Womble LG , et al. Randomized trial of lifestyle modification and pharmacotherapy for obesity. N Engl J Med 2005;353:2111-2120
Full Text | Web of Science | Medline19
Wadden TA ,Berkowitz RA ,Sarwer DB ,Prus-Wisniewski R ,Steinberg C . Benefits of lifestyle modification in the pharmacologic treatment of obesity: a randomized trial. Arch Intern Med 2001;161:218-227
CrossRef | Web of Science | Medline20
Phelan S ,Hill JO ,Lang W ,Dibello JR ,Wing RR . Recovery from relapse among successful weight maintainers. Am J Clin Nutr 2003;78:1079-1084
Web of Science | Medline21
Linde JA ,Jeffery RW ,French SA ,Pronk NP ,Boyle RG . Self-weighing in weight gain prevention and weight loss trials. Ann Behav Med 2005;30:210-216
CrossRef | Web of Science | Medline22
O'Neil PM ,Brown JD . Weighing the evidence: benefits of regular weight monitoring for weight control. J Nutr Educ Behav 2005;37:319-322
CrossRef | Web of Science | Medline23
Lichtman SW ,Pisarska K ,Berman ER , et al. Discrepancy between self-reported and actual caloric intake and exercise in obese participants. N Engl J Med 1992;327:1893-1898
Full Text | Web of Science | Medline
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Jennifer M. Ohlendorf, Marianne E. Weiss, Polly Ryan. (2012) Weight-Management Information Needs of Postpartum Women. MCN, The American Journal of Maternal/Child Nursing 37:1, 56-63
CrossRef3
K. M. Ross Middleton, S. M. Patidar, M. G. Perri. (2012) The impact of extended care on the long-term maintenance of weight loss: a systematic review and meta-analysis. Obesity Reviewsno-no
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Jennifer M. Ohlendorf. (2012) Stages of Change in the Trajectory of Postpartum Weight Self-Management. Journal of Obstetric, Gynecologic, & Neonatal Nursing 41:1, 57-70
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N. Golub, D. Geba, S.A. Mousa, G. Williams, R.C. Block. (2011) Greasing the wheels of managing overweight and obesity with omega-3 fatty acids. Medical Hypotheses 77:6, 1114-1120
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Meghan L. Butryn, Victoria Webb, Thomas A. Wadden. (2011) Behavioral Treatment of Obesity. Psychiatric Clinics of North America 34:4, 841-859
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Suzanne Phelan, Kris Jankovitz, Todd Hagobian, Barbara Abrams. (2011) Reducing excessive gestational weight gain: lessons from the weight control literature and avenues for future research. Women's Health 7:6, 641-661
CrossRef8
Jean Harvey-Berino, Rebecca A. Krukowski, Paul Buzzell, Doris Ogden, Joan Skelly, Delia S. West. (2011) The Accuracy of Weight Reported in a Web-Based Obesity Treatment Program. Telemedicine and e-Health 17:9, 696-699
CrossRef9
Sarah Friend, Katherine W. Bauer, Tracy C. Madden, Dianne Neumark-Sztainer. (2011) Self-Weighing among Adolescents: Associations with Body Mass Index, Body Satisfaction, Weight Control Behaviors, and Binge Eating. Journal of the American Dietetic Association
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Thomas A. Wadden, Rebecca H. Neiberg, Rena R. Wing, Jeanne M. Clark, Linda M. Delahanty, James O. Hill, Jonathan Krakoff, Amy Otto, Donna H. Ryan, Mara Z. Vitolins. (2011) Four-Year Weight Losses in the Look AHEAD Study: Factors Associated With Long-Term Success. Obesity 19:10, 1987-1998
CrossRef11
Lora E. Burke, Jing Wang. (2011) Treatment Strategies for Overweight and Obesity. Journal of Nursing Scholarshipno-no
CrossRef12
James C. Hersey, Olga Khavjou, Laura B. Strange, Richard L. Atkinson, Steven N. Blair, Susan Campbell, Connie L. Hobbs, Bridget Kelly, Tania M. Fitzgerald, Julia Kish-Doto, Matthew A. Koch, Breda Munoz, Eric Peele, Jason Stockdale, Cynthia Augustine, Glenda Mitchell, David Arday, John Kugler, Patricia Dorn, James Ellzy, Regina Julian, Joyce Grissom, Marcia Britt. (2011) The efficacy and cost-effectiveness of a community weight management intervention: A randomized controlled trial of the health weight management demonstration. Preventive Medicine
CrossRef13
Brent Van Dorsten, Emily M. Lindley. (2011) Cognitive and Behavioral Approaches in the Treatment of Obesity. Medical Clinics of North America 95:5, 971-988
CrossRef14
David B. Sarwer, Rebecca J. Dilks, Lisa West-Smith. (2011) Dietary intake and eating behavior after bariatric surgery: threats to weight loss maintenance and strategies for success. Surgery for Obesity and Related Diseases 7:5, 644-651
CrossRef15
Deborah J Toobert, Lisa A Strycker, Diane K King, Manuel Barrera, Diego Osuna, Russell E Glasgow. (2011) Long-term outcomes from a multiple-risk-factor diabetes trial for Latinas: ¡Viva Bien!. Translational Behavioral Medicine 1:3, 416-426
CrossRef16
M. Teufel, S. Becker, N. Rieber, K. Stephan, S. Zipfel. (2011) Psychotherapie und Adipositas. Der Nervenarzt 82:9, 1133-1139
CrossRef17
Michelle S. Fortier, William Hogg, Tracey L. O’Sullivan, Christopher Blanchard, Ronald J. Sigal, Robert D. Reid, Pierre Boulay, Éric Doucet, Étienne Bisson, Julie Beaulac, Diane Culver. (2011) Impact of integrating a physical activity counsellor into the primary health care team: physical activity and health outcomes of the Physical Activity Counselling randomized controlled trial. Applied Physiology, Nutrition, and Metabolism 36:4, 503-514
CrossRef18
L. Hindle, C. Carpenter. (2011) An exploration of the experiences and perceptions of people who have maintained weight loss. Journal of Human Nutrition and Dietetics 24:4, 342-350
CrossRef19
Christopher N. Sciamanna, Michaela Kiernan, Barbara J. Rolls, Jarol Boan, Heather Stuckey, Donna Kephart, Carla K. Miller, Gordon Jensen, Terry J. Hartmann, Eric Loken, Kevin O. Hwang, Ronald J. Williams, Melissa A. Clark, Jane R. Schubart, Arthur M. Nezu, Erik Lehman, Cheryl Dellasega. (2011) Practices Associated with Weight Loss Versus Weight-Loss Maintenance. American Journal of Preventive Medicine 41:2, 159-166
CrossRef20
Jeffrey J. VanWormer, Jennifer A. Linde, Lisa J. Harnack, Steven D. Stovitz, Robert W. Jeffery. (2011) Self-Weighing Frequency Is Associated with Weight Gain Prevention over 2 Years Among Working Adults. International Journal of Behavioral Medicine
CrossRef21
Jennifer Andrus. (2011) Helping Patients with Weight Loss. AJN, American Journal of Nursing 111:7, e1-e3
CrossRef22
Nancy E. Sherwood, A. Lauren Crain, Brian C. Martinson, Marcia G. Hayes, Julie D. Anderson, Jessica M. Clausen, Patrick J. O'Connor, Robert W. Jeffery. (2011) Keep it off: A phone-based intervention for long-term weight-loss maintenance. Contemporary Clinical Trials 32:4, 551-560
CrossRef23
Jonine M. Jancey, Andy H. Lee, Peter A. Howat, Linda Burke, Choon C. Leong, Trevor Shilton. (2011) The Effectiveness of a Walking Booster Program for Seniors. American Journal of Health Promotion 25:6, 363-367
CrossRef24
(2011) Weight Loss and Exercise in Obese Older Adults. New England Journal of Medicine 364:25, 2466-2468
Full Text25
S Kodama, K Saito, S Tanaka, C Horikawa, K Fujiwara, R Hirasawa, Y Yachi, K T Iida, H Shimano, Y Ohashi, N Yamada, H Sone. (2011) Effect of web-based lifestyle modification on weight control: a meta-analysis. International Journal of Obesity
CrossRef26
Pedro Del Corral, David R. Bryan, W. Timothy Garvey, Barbara A. Gower, Gary R. Hunter. (2011) Dietary Adherence During Weight Loss Predicts Weight Regain. Obesity 19:6, 1177-1181
CrossRef27
T. Rutledge, L. M. Groesz, S. E. Linke, G. Woods, K. L. Herbst. (2011) Behavioural weight management for the primary careprovider. Obesity Reviews 12:5, e290-e297
CrossRef28
Jennifer A. Linde, Robert W. Jeffery. (2011) Testing a Brief Self-Directed Behavioral Weight Control Program. Behavioral Medicine 37:2, 47-53
CrossRef29
2011. References. , 283-360.
CrossRef30
Lawrence A. Leiter, David H. Fitchett, Richard E. Gilbert, Milan Gupta, G.B. John Mancini, Philip A. McFarlane, Robert Ross, Hwee Teoh, Subodh Verma, Sonia Anand, Kathryn Camelon, Chi-Ming Chow, Jafna L. Cox, Jean-Pierre Després, Jacques Genest, Stewart B. Harris, David C.W. Lau, Richard Lewanczuk, Peter P. Liu, Eva M. Lonn, Ruth McPherson, Paul Poirier, Shafiq Qaadri, Rémi Rabasa-Lhoret, Simon W. Rabkin, Arya M. Sharma, Andrew W. Steele, James A. Stone, Jean-Claude Tardif, Sheldon Tobe, Ehud Ur. (2011) Cardiometabolic Risk in Canada: A Detailed Analysis and Position Paper by the Cardiometabolic Risk Working Group. Canadian Journal of Cardiology 27:2, e1-e33
CrossRef31
P. J. Teixeira, H. Patrick, J. Mata. (2011) Why we eat what we eat: the role of autonomous motivation in eating behaviour regulation. Nutrition Bulletin 36:1, 102-107
CrossRef32
Claus Luley, Alexandra Blaik, Kirsten Reschke, Silke Klose, Sabine Westphal. (2011) Weight loss in obese patients with type 2 diabetes: Effects of telemonitoring plus a diet combination – The Active Body Control (ABC) Program. Diabetes Research and Clinical Practice 91:3, 286-292
CrossRef33
D S West, A A Gorin, L L Subak, G Foster, C Bragg, J Hecht, M Schembri, R R Wing. (2011) A motivation-focused weight loss maintenance program is an effective alternative to a skill-based approach. International Journal of Obesity 35:2, 259-269
CrossRef34
D. Thomas, V. Vydelingum, J. Lawrence. (2011) E-mail contact as an effective strategy in the maintenance of weight loss in adults. Journal of Human Nutrition and Dietetics 24:1, 32-38
CrossRef35
Gianluca Castelnuovo, Gian Manzoni, Valentina Villa, Gian Cesa, Giada Pietrabissa, Enrico Molinari. (2011) The STRATOB study: design of a randomized controlled clinical trial of Cognitive Behavioral Therapy and Brief Strategic Therapy with telecare in patients with obesity and binge-eating disorder referred to residential nutritional rehabilitation. Trials 12:1, 114
CrossRef36
Kathleen M McTigue, Rachel Hess. (2011) What role can the internet play in preventing diabetes?. Diabetes Management 1:1, 9-12
CrossRef37
Wendy Brouwer, Willemieke Kroeze, Rik Crutzen, Jascha de Nooijer, Nanne K de Vries, Johannes Brug, Anke Oenema. (2011) Which Intervention Characteristics are Related to More Exposure to Internet-Delivered Healthy Lifestyle Promotion Interventions? A Systematic Review. Journal of Medical Internet Research 13:1,
CrossRef38
Vincent Makoundou, Zoltan Pataky, Elisabetha Bobbioni-Harsch, Jean Pierre Gachoud, Alain Golay. (2011) Do Obese Patients after Weight Loss Become Metabolically Normal?. Obesity Facts 4:3, 218-221
CrossRef39
Vincent Makoundou, Zoltan Pataky, Elisabetha Bobbioni-Harsch, Jean Pierre Gachoud, Franck Habicht, Alain Golay. (2011) Multi-Factorial Approach Associated with a New ‘On/Off’ Orlistat® Use in a Weight Loss Maintenance Programme: 4 Years Follow-Up. Obesity Facts 4:3, 191-196
CrossRef40
Thomas Rutledge, Lisa M. Groesz, Michelle Savu. (2011) Psychiatric Factors and Weight Loss Patterns Following Gastric Bypass Surgery in a Veteran Population. Obesity Surgery 21:1, 29-35
CrossRef41
Lora E. Burke, Jing Wang, Mary Ann Sevick. (2011) Self-Monitoring in Weight Loss: A Systematic Review of the Literature. Journal of the American Dietetic Association 111:1, 92-102
CrossRef42
Denise E. Wilfley, Anna Vannucci, Emily K. White. (2010) Early Intervention of Eating- and Weight-Related Problems. Journal of Clinical Psychology in Medical Settings 17:4, 285-300
CrossRef43
Thomas A. Wadden, Ken Fujioka, Soren Toubro, Ira Gantz, Ngozi E. Erondu, Menghui Chen, Shailaja Suryawanshi, Wendy Carofano, Amy O. Johnson-Levonas, Deborah R. Shapiro, Keith D. Kaufman, Steven B. Heymsfield, John M. Amatruda. (2010) A Randomized Trial of Lifestyle Modification and Taranabant for Maintaining Weight Loss Achieved With a Low-Calorie Diet. Obesity 18:12, 2301-2310
CrossRef44
Marian L. Fitzgibbon, Melinda R. Stolley, Linda Schiffer, Lisa K. Sharp, Vicky Singh, Alan Dyer. (2010) Obesity Reduction Black Intervention Trial (ORBIT): 18-Month Results. Obesity 18:12, 2317-2325
CrossRef45
(2010) NHG-Standaard Obesitas. Huisarts en wetenschap 2010:11, 609-625
CrossRef46
Anna Khaylis, Themis Yiaslas, Jessica Bergstrom, Cheryl Gore-Felton. (2010) A Review of Efficacious Technology-Based Weight-Loss Interventions: Five Key Components. Telemedicine and e-Health 16:9, 931-938
CrossRef47
Daniel S. Kirschenbaum. (2010) Expert Recommendations for the Treatment of Childhood and Adolescent Obesity: Advantages of the Seven Step Model and Immersion Treatments. Journal of Sport Psychology in Action 1:2, 66-75
CrossRef48
Jeremy D. Akers, Paul A. Estabrooks, Brenda M. Davy. (2010) Translational Research: Bridging the Gap between Long-Term Weight Loss Maintenance Research and Practice. Journal of the American Dietetic Association 110:10, 1511-1522.e3
CrossRef49
Rebecca Lo Presti, Justine Lai, Tom Hildebrandt, Katharine L. Loeb. (2010) Psychological Treatments for Obesity in Youth and Adults. Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine 77:5, 472-487
CrossRef50
Marion L. Vetter, Lucy F. Faulconbridge, Victoria L. Webb, Thomas A. Wadden. (2010) Behavioral and pharmacologic therapies for obesity. Nature Reviews Endocrinology
CrossRef51
Zafra Cooper, Helen A. Doll, Deborah M. Hawker, Susan Byrne, Gillie Bonner, Elizabeth Eeley, Marianne E. O’Connor, Christopher G. Fairburn. (2010) Testing a new cognitive behavioural treatment for obesity: A randomized controlled trial with three-year follow-up. Behaviour Research and Therapy 48:8, 706-713
CrossRef52
Nancy F. Krebs, Dexiang Gao, Jane Gralla, Juliet S. Collins, Susan L. Johnson. (2010) Efficacy and Safety of a High Protein, Low Carbohydrate Diet for Weight Loss in Severely Obese Adolescents. The Journal of Pediatrics 157:2, 252-258
CrossRef53
Jessica Gokee LaRose, Deborah F. Tate, Amy A. Gorin, Rena R. Wing. (2010) Preventing Weight Gain in Young Adults. American Journal of Preventive Medicine 39:1, 63-68
CrossRef54
Sévrine Buclin-Thiébaud, Zoltan Pataky, Vanessa Bruchez, Alain Golay. (2010) New psycho-pedagogic approach to obesity treatment: A 5-year follow-up. Patient Education and Counseling 79:3, 333-337
CrossRef55
Catherine G. Ling, Sheila O. Smith. (2010) Alternative placements for women wearing pedometers. Journal of the American Academy of Nurse Practitioners 22:5, 264-269
CrossRef56
Tanja Marina Legenbauer, Martina de Zwaan, Barbara Mühlhans, Frank Petrak, Stephan Herpertz. (2010) Do mental disorders and eating patterns affect long-term weight loss maintenance?. General Hospital Psychiatry 32:2, 132-140
CrossRef57
E. Mattila, I. Korhonen, J.H. Salminen, A. Ahtinen, E. Koskinen, A. Sarela, J. Parkka, R. Lappalainen. (2010) Empowering Citizens for Well-being and Chronic Disease Management With Wellness Diary. IEEE Transactions on Information Technology in Biomedicine 14:2, 456-463
CrossRef58
Elizabeth A. Dennis, Ana Laura Dengo, Dana L. Comber, Kyle D. Flack, Jyoti Savla, Kevin P. Davy, Brenda M. Davy. (2010) Water Consumption Increases Weight Loss During a Hypocaloric Diet Intervention in Middle-aged and Older Adults. Obesity 18:2, 300-307
CrossRef59
Denise E. Wilfley, Dorothy J. Van Buren, Kelly R. Theim, Richard I. Stein, Brian E. Saelens, Farkad Ezzet, Angela C. Russian, Michael G. Perri, Leonard H. Epstein. (2010) The Use of Biosimulation in the Design of a Novel Multilevel Weight Loss Maintenance Program for Overweight Children. Obesity 18:n1s, S91-S98
CrossRef60
Meghan L. Butryn, Thomas A. Wadden, Margaret R. Rukstalis, Chanelle Bishop-Gilyard, Melissa S. Xanthopoulos, Delroy Louden, Robert I. Berkowitz. (2010) Maintenance of Weight Loss in Adolescents: Current Status and Future Directions. Journal of Obesity 2010, 1-12
CrossRef61
Victoria Salem, Stephen R Bloom. (2010) Approaches to the pharmacological treatment of obesity. Expert Review of Clinical Pharmacology 3:1, 73-88
CrossRef62
Lisa J. Moran, Renato Pasquali, Helena J. Teede, Kathleen M. Hoeger, Robert J. Norman. (2009) Treatment of obesity in polycystic ovary syndrome: a position statement of the Androgen Excess and Polycystic Ovary Syndrome Society. Fertility and Sterility 92:6, 1966-1982
CrossRef63
Irja Haapala, Noël C Barengo, Simon Biggs, Leena Surakka, Pirjo Manninen. (2009) Weight loss by mobile phone: a 1-year effectiveness study. Public Health Nutrition 12:12, 2382
CrossRef64
Kathleen M. McTigue, Molly B. Conroy, Rachel Hess, Cindy L. Bryce, Anthony B. Fiorillo, Gary S. Fischer, N. Carole Milas, Laurey R. Simkin-Silverman. (2009) Using the Internet to Translate an Evidence-Based Lifestyle Intervention into Practice. Telemedicine and e-Health 15:9, 851-858
CrossRef65
Robert W. Jeffery, Rona L. Levy, Shelby L. Langer, Ericka M. Welsh, Andrew P. Flood, Melanie A. Jaeb, Patricia S. Laqua, Annie M. Hotop, Emily A. Finch. (2009) A comparison of maintenance-tailored therapy (MTT) and standard behavior therapy (SBT) for the treatment of obesity. Preventive Medicine 49:5, 384-389
CrossRef66
Giovanna M. Stramiello. (2009) Weight Management Strategies for Women: A Review for Nurses. Nursing for Women's Health 13:5, 410-418
CrossRef67
David B Sarwer, Amy von Sydow Green, Marion L Vetter, Thomas A Wadden. (2009) Behavior therapy for obesity: where are we now?. Current Opinion in Endocrinology, Diabetes and Obesity 16:5, 347-352
CrossRef68
C Vázquez, C Montagna, F Alcaraz, J A Balsa, I Zamarrón, F Arrieta, J I Botella-Carretero. (2009) Meal replacement with a low-calorie diet formula in weight loss maintenance after weight loss induction with diet alone. European Journal of Clinical Nutrition 63:10, 1226-1232
CrossRef69
Suzanne Phelan, Tao Liu, Amy Gorin, Michael Lowe, Joseph Hogan, Joseph Fava, Rena R. Wing. (2009) What Distinguishes Weight-Loss Maintainers from the Treatment-Seeking Obese? Analysis of Environmental, Behavioral, and Psychosocial Variables in Diverse Populations. Annals of Behavioral Medicine 38:2, 94-104
CrossRef70
POLLY RYAN, NICHOLAS J. PUMILIA, BRANDON HENAK, TINA CHANG. (2009) Development and Performance Usability Testing of a Theory-Based, Computerized, Tailored Intervention. CIN: Computers, Informatics, Nursing 27:5, 288-298
CrossRef71
Rickie Brawer, Nancy Brisbon, James Plumb. (2009) Obesity and Cancer. Primary Care: Clinics in Office Practice 36:3, 509-531
CrossRef72
Gretchen E. Ames, Roshni H. Patel, Steven C. Ames, Scott A. Lynch. (2009) Weight Loss Surgery: Patients Who Regain. Obesity and Weight Management 5:4, 154-161
CrossRef73
Gian Mauro Manzoni, Francesco Pagnini, Alessandra Gorini, Alessandra Preziosa, Gianluca Castelnuovo, Enrico Molinari, Giuseppe Riva. (2009) Can Relaxation Training Reduce Emotional Eating in Women with Obesity? An Exploratory Study with 3 Months of Follow-Up. Journal of the American Dietetic Association 109:8, 1427-1432
CrossRef74
Anthony N. Fabricatore, Thomas A. Wadden, Reneé H. Moore, Meghan L. Butryn, Steven B. Heymsfield, Allison Martin Nguyen. (2009) Predictors of attrition and weight loss success: Results from a randomized controlled trial. Behaviour Research and Therapy 47:8, 685-691
CrossRef75
Richard T. Meenan, Victor J. Stevens, Kristine Funk, Alan Bauck, Gerald J. Jerome, Lillian F. Lien, Lawrence Appel, Jack F. Hollis, Phillip J. Brantley, Laura P. Svetkey. (2009) Development and implementation cost analysis of telephone- and Internet-based interventions for the maintenance of weight loss. International Journal of Technology Assessment in Health Care 25:03, 400
CrossRef76
J. M. Gabriele, P. M. Dubbert, R. R. Reeves. (2009) Efficacy of behavioural interventions in managing atypical antipsychotic weight gain. Obesity Reviews 10:4, 442-455
CrossRef77
MARY A. SEVICK, GARY D. MILLER, RICHARD F. LOESER, JEFF D. WILLIAMSON, STEPHEN P. MESSIER. (2009) Cost-Effectiveness of Exercise and Diet in Overweight and Obese Adults with Knee Osteoarthritis. Medicine & Science in Sports & Exercise 41:6, 1167-1174
CrossRef78
SANDRA K. JOHNSTON, HUONG Q. NGUYEN, SETH WOLPIN. (2009) Designing and Testing a Web-Based Interface for Self-monitoring of Exercise and Symptoms for Older Adults With Chronic Obstructive Pulmonary Disease. CIN: Computers, Informatics, Nursing 27:3, 166-174
CrossRef79
Mary E. Alm, Dianne Neumark-Sztainer, Mary Story, Kerri N. Boutelle. (2009) Self-Weighing and Weight Control Behaviors Among Adolescents with a History of Overweight. Journal of Adolescent Health 44:5, 424-430
CrossRef80
Efrain Reisin. (2009) Weight loss maintenance: An excellent approach to control hypertension but a difficult goal to reach. Current Hypertension Reports 11:2, 83-84
CrossRef81
Laura E. Shay, Jennifer L. Shobert, Diane Seibert, Lauren E. Thomas. (2009) Adult weight management: Translating research and guidelines into practice. Journal of the American Academy of Nurse Practitioners 21:4, 197-206
CrossRef82
Sacks, Frank M., Bray, George A., Carey, Vincent J., Smith, Steven R., Ryan, Donna H., Anton, Stephen D., McManus, Katherine, Champagne, Catherine M., Bishop, Louise M., Laranjo, Nancy, Leboff, Meryl S., Rood, Jennifer C., de Jonge, Lilian, Greenway, Frank L., Loria, Catherine M., Obarzanek, Eva, Williamson, Donald A., . (2009) Comparison of Weight-Loss Diets with Different Compositions of Fat, Protein, and Carbohydrates. New England Journal of Medicine 360:9, 859-873
Full Text83
Jeffrey J. VanWormer, Anna M. Martinez, Brian C. Martinson, A.L. Crain, Gretchen A. Benson, Daniel L. Cosentino, Nicolaas P. Pronk. (2009) Self-Weighing Promotes Weight Loss for Obese Adults. American Journal of Preventive Medicine 36:1, 70-73
CrossRef84
RIRIKO KOGA, MISUZU TANAKA, HIROKO TSUDA, KATSUMI IMAI, SHIMAKO ABE, TAKASHI MASUDA, MASAKO IWAMOTO, ERI NAKAZONO, TOMOKO KAMOHARA, TOSHIIE SAKATA. (2008) Daily Exercise Fluctuations and Dietary Patterns During Training Predict Visceral Fat Regain in Obese Women. The American Journal of the Medical Sciences 336:6, 450-457
CrossRef85
Bonnie J Brehm, David A DʼAlessio. (2008) Benefits of high-protein weight loss diets: enough evidence for practice?. Current Opinion in Internal Medicine 7:6, 566-571
CrossRef86
Brent Van Dorsten, Emily M. Lindley. (2008) Cognitive and Behavioral Approaches in the Treatment of Obesity. Endocrinology & Metabolism Clinics of North America 37:4, 905-922
CrossRef87
Angela Marinilli Pinto, Amy A. Gorin, Hollie A. Raynor, Deborah F. Tate, Joseph L. Fava, Rena R. Wing. (2008) Successful Weight-loss Maintenance in Relation to Method of Weight Loss. Obesity 16:11, 2456-2461
CrossRef88
Bonnie J Brehm, David A DʼAlessio. (2008) Benefits of high-protein weight loss diets: enough evidence for practice?. Current Opinion in Endocrinology, Diabetes and Obesity 15:5, 416-421
CrossRef89
Sheng-Hui Hung, Shiow-Li Hwang, Mei-Ju Su, Shih-Ho Lue, Chien-Yeh Hsu, Hsiao-Lien Chen, Heng-Shuen Chen. (2008) An Evaluation of a Weight-Loss Program Incorporating E-Learning for Obese Junior High School Students. Telemedicine and e-Health 14:8, 783-792
CrossRef90
E M Venditti, G A Bray, M L Carrion-Petersen, L M Delahanty, S L Edelstein, R F Hamman, M A Hoskin, W C Knowler, Y Ma.. (2008) First versus repeat treatment with a lifestyle intervention program: attendance and weight loss outcomes. International Journal of Obesity 32:10, 1537-1544
CrossRef91
Kelly H. Webber, Deborah F. Tate, J. Michael Bowling. (2008) A randomized comparison of two motivationally enhanced Internet behavioral weight loss programs. Behaviour Research and Therapy 46:9, 1090-1095
CrossRef92
Jack F. Hollis, Christina M. Gullion, Victor J. Stevens, Phillip J. Brantley, Lawrence J. Appel, Jamy D. Ard, Catherine M. Champagne, Arlene Dalcin, Thomas P. Erlinger, Kristine Funk, Daniel Laferriere, Pao-Hwa Lin, Catherine M. Loria, Carmen Samuel-Hodge, William M. Vollmer, Laura P. Svetkey. (2008) Weight Loss During the Intensive Intervention Phase of the Weight-Loss Maintenance Trial. American Journal of Preventive Medicine 35:2, 118-126
CrossRef93
E. Mattila, J. Parkka, M. Hermersdorf, J. Kaasinen, J. Vainio, K. Samposalo, J. Merilahti, J. Kolari, M. Kulju, R. Lappalainen, I. Korhonen. (2008) Mobile Diary for Wellness Management—Results on Usage and Usability in Two User Studies. IEEE Transactions on Information Technology in Biomedicine 12:4, 501-512
CrossRef94
David B. Portnoy, Lori A.J. Scott-Sheldon, Blair T. Johnson, Michael P. Carey. (2008) Computer-delivered interventions for health promotion and behavioral risk reduction: A meta-analysis of 75 randomized controlled trials, 1988–2007. Preventive Medicine 47:1, 3-16
CrossRef95
Kelly H. Webber, Deborah F. Tate, Lisa M. Quintiliani. (2008) Motivational Interviewing in Internet Groups: A Pilot Study for Weight Loss. Journal of the American Dietetic Association 108:6, 1029-1032
CrossRef96
Lesley D. Lutes, Richard A. Winett, Steven D. Barger, Janet R. Wojcik, William G. Herbert, Sharon M. Nickols-Richardson, Eileen S. Anderson. (2008) Small Changes in Nutrition and Physical Activity Promote Weight Loss and Maintenance: 3-Month Evidence from the ASPIRE Randomized Trial. Annals of Behavioral Medicine 35:3, 351-357
CrossRef97
Ellen C. Cussler, Pedro J. Teixeira, Scott B. Going, Linda B. Houtkooper, Lauve L. Metcalfe, Robert M. Blew, Jennifer R. Ricketts, J'Fleur Lohman, Vanessa A. Stanford, Timothy G. Lohman. (2008) Maintenance of Weight Loss in Overweight Middle-aged Women Through the Internet. Obesity 16:5, 1052-1060
CrossRef98
Eckel, Robert H., . (2008) Nonsurgical Management of Obesity in Adults. New England Journal of Medicine 358:18, 1941-1950
Full Text99
P Lally, A Chipperfield, J Wardle. (2008) Healthy habits: efficacy of simple advice on weight control based on a habit-formation model. International Journal of Obesity 32:4, 700-707
CrossRef100
Frank W. Booth, Matthew J. Laye, Simon J. Lees, R. Scott Rector, John P. Thyfault. (2008) Reduced physical activity and risk of chronic disease: the biology behind the consequences. European Journal of Applied Physiology 102:4, 381-390
CrossRef101
Janet D. Latner. (2008) Body checking and avoidance among behavioral weight-loss participants. Body Image 5:1, 91-98
CrossRef102
C A Befort, E E Stewart, B K Smith, C A Gibson, D K Sullivan, J E Donnelly. (2008) Weight maintenance, behaviors and barriers among previous participants of a university-based weight control program. International Journal of Obesity 32:3, 519-526
CrossRef103
David Levitsky. 2008. The Control of Food Intake and the Regulation of Body Weight in Humans. , 21-42.
CrossRef104
Abby C. King, David K. Ahn, Brian M. Oliveira, Audie A. Atienza, Cynthia M. Castro, Christopher D. Gardner. (2008) Promoting Physical Activity Through Hand-Held Computer Technology. American Journal of Preventive Medicine 34:2, 138-142
CrossRef105
Christine M. Hunter, Alan L. Peterson, Lisa M. Alvarez, Walker C. Poston, Antoinette R. Brundige, C. Keith Haddock, David L. Van Brunt, John P. Foreyt. (2008) Weight Management Using the Internet. American Journal of Preventive Medicine 34:2, 119-126
CrossRef106
(2008) Guías de práctica clínica sobre prevención de la enfermedad cardiovascular: versión resumida. Revista Española de Cardiología 61:1, 82.e1-82.e49
CrossRef107
James E Rohrer, Harvey D Cassidy, Diane Dressel, Barbara Cramer. (2008) Effectiveness of a Structured Intensive Weight Loss Program Using Health Educators. Disease Management & Health Outcomes 16:6, 449-454
CrossRef108
Huong Q Nguyen, DorAnne Donesky-Cuenco, Seth Wolpin, Lynn F Reinke, Joshua O Benditt, Steven M Paul, Virginia Carrieri-Kohlman. (2008) Randomized Controlled Trial of an Internet-Based Versus Face-to-Face Dyspnea Self-Management Program for Patients With Chronic Obstructive Pulmonary Disease: Pilot Study. Journal of Medical Internet Research 10:2, e9
CrossRef109
Victor J Stevens, Kristine L Funk, Phillip J Brantley, Thomas P Erlinger, Valerie H Myers, Catherine M Champagne, Alan Bauck, Carmen D Samuel-Hodge, Jack F Hollis. (2008) Design and Implementation of an Interactive Website to Support Long-Term Maintenance of Weight Loss. Journal of Medical Internet Research 10:1, e1
CrossRef110
Peter Clifton. 2007. Obesity and Weight Management. .
CrossRef111
Amy A. Gorin, Angela Marinilli Pinto, Deborah F. Tate, Hollie A. Raynor, Joseph L. Fava, Rena R. Wing. (2007) Failure to Meet Weight Loss Expectations Does Not Impact Maintenance in Successful Weight Losers**. Obesity 15:12, 3086-3090
CrossRef112
Meghan L. Butryn, Suzanne Phelan, James O. Hill, Rena R. Wing. (2007) Consistent Self-monitoring of Weight: A Key Component of Successful Weight Loss Maintenance**. Obesity 15:12, 3091-3096
CrossRef113
Heather A. Haugen, Zung V. Tran, Holly R. Wyatt, Mary J. Barry, James O. Hill. (2007) Using Telehealth to Increase Participation in Weight Maintenance Programs**. Obesity 15:12, 3067-3077
CrossRef114
Craig A. Johnston, Chermaine Tyler, John P. Foreyt. (2007) Behavioral management of obesity. Current Atherosclerosis Reports 9:6, 448-453
CrossRef115
Rona L. Levy, Emily A. Finch, Michael D. Crowell, Nicholas J. Talley, Robert W. Jeffery. (2007) Behavioral Intervention for the Treatment of Obesity: Strategies and Effectiveness Data. The American Journal of Gastroenterology 102:10, 2314-2321
CrossRef116
Marion J. Franz, Jeffrey J. VanWormer, A. Lauren Crain, Jackie L. Boucher, Trina Histon, William Caplan, Jill D. Bowman, Nicolas P. Pronk. (2007) Weight-Loss Outcomes: A Systematic Review and Meta-Analysis of Weight-Loss Clinical Trials with a Minimum 1-Year Follow-Up. Journal of the American Dietetic Association 107:10, 1755-1767
CrossRef117
&NA;. (2007) FULL TEXT Chapter 1: Introduction. European Journal of Cardiovascular Prevention & Rehabilitation 14:Supplement 2, S2-S113
CrossRef118
Ian Graham. (2007) European guidelines on cardiovascular disease prevention in clinical practice: Executive summary. Atherosclerosis 194:1, 1-45
CrossRef119
Wendy M Miller, Katherine E Nori Janosz, Kerstyn C Zalesin, Peter A McCullough. (2007) Nutraceutical meal replacements: more effective than all-food diets in the treatment of obesity. Therapy 4:5, 623-639
CrossRef120
Andrea T. Kozak, Cheryl Rucker-Whitaker, Sanjib Basu, Carlos F. Mendes de Leon, James E. Calvin, Kathleen L. Grady, DeJuran Richardson, Lynda H. Powell. (2007) Elements of Nonpharmacologic Interventions That Prevent Progression of Heart Failure: A Meta-Analysis. Congestive Heart Failure 13:5, 280-287
CrossRef121
M. Toeller, W.A. Scherbaum. (2007) Beratung zur gesunden Ernährung und Nahrungsergänzungsmitteln. Der Gynäkologe 40:8, 604-610
CrossRef122
Elizabeth M. Venditti. (2007) Efficacy of lifestyle behavior change programs in diabetes. Current Diabetes Reports 7:2, 123-127
CrossRef123
Thomas A. Wadden, Meghan L. Butryn, Christopher Wilson. (2007) Lifestyle Modification for the Management of Obesity. Gastroenterology 132:6, 2226-2238
CrossRef124
Angela Marinilli Pinto, Jessica Gokee-LaRose, Rena R Wing. (2007) Behavioral approaches to weight control: a review of current research. Women's Health 3:3, 341-353
CrossRef125
Lee M Kaplan, Mark J Gorman. (2007) Addressing the big challenge of obesity: how to prevent regain of lost weight. Nature Clinical Practice Gastroenterology & Hepatology 4:5, 254-255
CrossRef126
P. Couzigou. (2007) Comment, en Afrique, gérer les comorbidités en hépatologie?. Journal Africain d’Hépato-Gastroentérologie 1:1, 63-70
CrossRef127
Patrice Couzigou. (2007) Drug treatments for obesity. The Lancet 369:9568, 1163-1164
CrossRef128
Marion J. Franz. (2007) The role of nutrition therapy and dietitians in the management of the metabolic syndrome. Current Diabetes Reports 7:1, 60-65
CrossRef
