Obesity

Initial weight loss and early intervention adherence predict long‐term weight loss during the Promoting Successful Weight Loss in Primary Care in Louisiana lifestyle intervention

Obesity (Silver Spring)Published Secondary analysis of the Promoting Successful Weight Loss in Primary Care in Louisiana trial

Authors' conclusion

These results highlight the importance of initial WC for predicting long-term WC and show that self-weighing and adherence to the expected WC trajectory can improve WC prediction.

Study context

Population
Underserved primary-care population with obesity; 88% women, 74% Black, BMI 37.3 kg/m² (SD 4.6)intervention group
Participants
452 participants
Primary endpoint
Percentage WC at 6, 12 and 24 months predicted by initial WC, self-weighing and adherence to expected WC trajectory
Follow-up
6, 12 and 24 months
Methodological detailsintervention group only, linear mixed-effects models
  • Intervention group only
  • Linear mixed-effects models

Primary result

As reported in the abstract

Prediction of percentage WC by initial (2-, 4-, 8-week) percentage WC
Initial 2, 4, 8 wk weight change (WC) predicting WC at 6 months (R2)
0.15, 0.28, 0.50
Initial 2, 4, 8 wk WC predicting WC at 12 months (R2)
0.11, 0.19, 0.32
Initial 2, 4, 8 wk WC predicting WC at 24 months (R2)
0.09, 0.11, 0.16
All predictions
p < 0.01

Further findings

Initial daily and adherent weights

Significantly associated with WC as individual predictors, but only marginally improved predictions beyond initial weight loss alone in multivariable models

Original publication

Initial weight loss and early intervention adherence predict long‐term weight loss during the Promoting Successful Weight Loss in Primary Care in Louisiana lifestyle intervention. Obesity (Silver Spring). Published 8 August 2023. doi:10.1002/oby.23854

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