Obesity

Effect of planned pauses versus continuous energy restriction on weight loss and attrition: a systematic review

Obesity (Silver Spring)Published Systematic review and meta-analysis of randomised trials

Pooled result · Weight changeResult — go to the resultMean difference −0.09 kg 95% CI −1.10 to 0.93

Authors' conclusion

Planned pauses were consistently found to be no more or less effective than CER for weight loss or attrition.

Study context

Population
Adults with overweight and/or obesity in RCTs; 77% female
Participants
796 adults9 intervention arms
Comparison
Planned pauses vs continuous energy restriction
Outcome
Weight change
Follow-up
End of active intervention, median 26 weeks
Methodological detailsrandom-effects meta-analyses, Five databases and two trial registries searched from inception to July 2023
  • Random-effects meta-analyses
  • Five databases and two trial registries searched from inception to July 2023

Pooled result

As reported in the abstract

end of active intervention (median 26 weeks)

Mean difference

−0.09 kg

95% CI −1.10 to 0.93

Change by group

Planned pauses

−7.09

mean · kg

Continuous energy restriction (CER)

−7.0

mean · kg

Planned pausesvs CER
mean difference −0.09 kg (95% CI −1.10 to 0.93)

Further pooled results

Mean, kg

OutcomePlanned pausesCERMean difference (kg) (95% CI)
Weight change at final follow-up · median 52 weeks−6.91−6.19−0.72 (−2.92 to 1.48)
OutcomeRR (95% CI)
Attrition at end of active intervention1.20 (0.82–1.75)
Attrition at final follow-up1.04 (0.89–1.22)

Original publication

Effect of planned pauses versus continuous energy restriction on weight loss and attrition: a systematic review. Obesity (Silver Spring). Published 21 January 2024. doi:10.1002/oby.23976

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