Behavioral, psychological, and environmental predictors of weight regain in a group of successful weight losers in a widely available weight‐management program
Authors' conclusion
Future interventions to prevent regain should consider targeting overeating in response to internal and external food cues and declines in self-monitoring and body image.
Study context
- Population
- Weight-loss maintainers in WeightWatchers who had maintained weight loss ≥9.1 kg for ≥1 year (average 25.5 kg for 3.5 years; BMI = 26.7 kg/m²)
- Participants
- 2,843 participants
- Exposure
- Gainers vs maintainers
- Outcome
- Predictors (behavioral, psychosocial, home environmental) discriminating gainers from maintainers
- Follow-up
- 1 year
Methodological detailsdiscriminant analysis, 1-year follow-up
- Discriminant analysis
- 1-year follow-up
Main finding
As reported in the abstract
Weight change and 1-year changes discriminating gainers from maintainers
| Group | Value | Mean weight gain | Mean weight change |
|---|---|---|---|
| Gainers | 43% | 7.2 [5.4] kg (mean [SD]) | |
| Maintainers | 57% | 0.4 [1.2] kg |
Value
Gainers43%
Maintainers57%
Mean weight gain
Gainers7.2 [5.4] kg (mean [SD])
Maintainers— not stated in the abstract
Mean weight change
Gainers— not stated in the abstract
Maintainers0.4 [1.2] kg
- Standardized canonical coefficient: greater decrease in ability to accept food cravings, urges and desires to overeat
- 0.232
- Standardized canonical coefficient: greater decrease in self-monitoring
- 0.166
- Standardized canonical coefficient: greater decrease in body image
- 0.363
- Standardized canonical coefficient: greater decrease in body satisfaction
- 0.194
- Standardized canonical coefficient: greater increase in disinhibition
- 0.309
- Standardized canonical coefficient: greater increase in bodily pain
- 0.147
- Canonical correlation
- 0.505 (p < 0.001)
Observational data: associations, not effects.
Further findings
Baseline characteristics
- Compared with maintainers, gainers were younger and had higher initial weight, more recent weight losses, and larger initial weight losses
Original publication
Behavioral, psychological, and environmental predictors of weight regain in a group of successful weight losers in a widely available weight‐management program. Obesity (Silver Spring). Published 16 October 2023. doi:10.
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