Technical skills for weight loss: 2-y follow-up results of a randomized trial

Int J Obes Relat Metab Disord. 2003 Dec;27(12):1500-6. doi: 10.1038/sj.ijo.0802430.


Objective: To investigate the sustained effectiveness of a novel skill-based intervention for weight loss.

Design: Randomized, controlled trial.

Subjects: A total of 80 overweight/obese women living in Connecticut.

Measurements: Absolute weight difference measured in pounds and absolute change in body mass index (BMI). Secondary outcomes included changes in food frequency questionnaire (FFQ) data and waist-to-hip ratio.

Results: In all 61, 35, and 34% of study participants completed the 6-, 12-, and 24-month assessments, respectively. At 6 months postintervention, both counseling-based (CBI) and skill-based (SBI) intervention groups had statistically significant decreases in absolute weight (4.0+/-3.6 and 1.7+/-3.0 kg, respectively). Compared to their baseline values, both CBI and SBI groups still maintained weight losses at 24 months (1.1+/-5.8 and 0.59+/-3.3 kg, respectively); however, the differences were not statistically significant. FFQ results showed that, within the SBI group, there was a significant decrease (P<0.05) in percent fat from baseline to 12 months and a nearly significant decrease in saturated fat from baseline to 24 months (P=0.07).

Conclusions: Both the novel SBI and conventional dietary counseling demonstrated some residual weight loss benefit at 2 y. Effects of the SBI on dietary intake patterns are encouraging, and warrant further study.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Anthropometry
  • Behavior Therapy / methods*
  • Body Mass Index
  • Counseling
  • Diet
  • Feeding Behavior
  • Female
  • Follow-Up Studies
  • Humans
  • Middle Aged
  • Obesity / physiopathology
  • Obesity / therapy*
  • Patient Education as Topic / methods*
  • Treatment Refusal
  • Weight Loss*