Obesity

Does weighted vest use during weight loss influence long-term weight loss maintenance? A pilot study in older adults living with obesity and osteoarthritis

Int J Obes (Lond)Published Pilot follow-up study of a weight-loss intervention

Authors' conclusion

Pilot data signal weighted vest use during caloric restriction may be associated with reduced weight regain via preserved RMR.

Study context

Population
Older adults with obesity (70.4 ± 3.1 years, 83% women, 78% white) who completed a 6-month weight loss (WL) intervention and returned for 24-month follow-upconvenience sample
Participants
18 adults
Comparison
Caloric restriction plus weighted vest vs caloric restriction only
  • WL+VESTn = 9
  • WL Onlyn = 9reference
Outcome
Weight regain after intentional WL (BW change from baseline)
Follow-up
24 months
Methodological detailsconvenience sample, 24-month follow-up
  • Convenience sample
  • 24-month follow-up

Main finding

As reported in the abstract

BW change from baseline

WL+VEST

−4.8

95% CI −9.6–0.1 · kg

WL Only

+0.9

95% CI −3.9–5.8 · kg

P = 0.10

Further findings

OutcomeWL+VESTWL OnlyP value
BW change from baseline · 6 monthsSignificant and similar BW loss in both groups−11.2 (95% CI −14.6–-7.7) kg−10.3 (95% CI −13.7–-6.8) kgP = 0.71
RMR change · baseline to 6 months−16.3 (95% CI −100.8–68.2) kcal/day−237.5 (95% CI −321.9–-153.0) kcal/dayP < 0.01

Association of resting metabolic rate (RMR) change (baseline to 6 months) with body weight (BW) change (6 to 24 months)

Modest inverse correlation, r
−0.39
p
P = 0.11

Original publication

Does weighted vest use during weight loss influence long-term weight loss maintenance? A pilot study in older adults living with obesity and osteoarthritis. Int J Obes (Lond). Published 11 May 2025. doi:10.1038/s41366-025-01795-5

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