Predictors of drop-out in overweight and obese outpatients

Int J Obes (Lond). 2005 Jan;29(1):122-8. doi: 10.1038/sj.ijo.0802846.

Abstract

Objective: To investigate the impact on drop-out rates of several baseline clinical characteristics of a sample of overweight and obese outpatients.

Design: Retrospective clinical trial.

Subjects: The charts of 383 patients aged 15-82 y attending an outpatient clinic for the treatment of obesity were examined from the first clinical evaluation until 1 y of diet ambulatory treatment.

Measurements: We characterised the participants at baseline on the basis of their somatic characteristics, socioeconomic status, obesity-related diseases and dietary habits. The most significant factors resulting in univariate statistical analysis (waist, body mass index (BMI), full-time job, depressive syndrome, number of obesity-related diseases, daily frequency of fruit consumption) were then examined as independent variables in direct multiple logistic regression with the dependent variable drop-out.

Results: The 1-y drop-out rate was 77.3%. A total of 87 patients completed the follow-up study. The noncompleter patients had slightly lower BMI and waist circumference mean values, and they were further regularly employed in full-time jobs, while the completer patients were principally pensioners and housewives. Drop-outs had a lower number of obesity-related diseases and as a result were less depressed. By the logistic regression, full-time job is the best predictor of premature withdrawal (odds ratio=2.40). Age, gender, anthropometric measurements, lifestyle and dietary habits did not result as significant predictors of drop-out.

Conclusion: The overweight and obese outpatients at higher risk of ambulatory treatment drop-out are more likely to work full hours, have less obesity-related complications and be less depressed. In our study, the full-time job condition seems to be the strongest predictor of premature withdrawal.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Body Constitution
  • Body Mass Index
  • Depression / complications
  • Diet
  • Employment
  • Exercise
  • Female
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Obesity / diet therapy*
  • Obesity / psychology
  • Outpatient Clinics, Hospital
  • Patient Dropouts*
  • Retrospective Studies