Obesity

Pretreatment predictors of weight loss in a 12‐month behavioral obesity treatment: a signal detection analysis of Diet Intervention Examining The Factors Interacting with Treatment Success (DIETFITS)

Obesity (Silver Spring)Published Secondary analysis of the DIETFITS randomised trial

Authors' conclusion

We found that psychosocial and clinical factors, along with race and ethnicity, successfully differentiated subgroups that varied in their 12-month weight loss. Given the heterogeneity in response to behavioral obesity treatment, these results can help generate hypotheses to move intervention science toward a precision medicine approach by matching individuals to their most suitable obesity treatments.

Study context

Population
Adults with overweight or obesity in a 12-month behavioral obesity treatment restricting fat or carbohydrates (DIETFITS trial)
Participants
436 adults
Comparison
Healthy low-fat vs healthy low-carbohydrate diet; 51 pretreatment variables as predictors
Primary endpoint
Achieving at least 5% weight loss
Follow-up
12 months
Methodological detailssignal detection analysis
  • Signal detection analysis

Primary result

As reported in the abstract

At least 5% weight loss

Participants achieving at least 5% weight loss, overall

51%

Subgroups identified through signal detection

8

Original publication

Pretreatment predictors of weight loss in a 12‐month behavioral obesity treatment: a signal detection analysis of DIETFITS. Obesity (Silver Spring). Published 13 February 2025. doi:10.1002/oby.24226

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