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. 2016 Aug 12;10:1547-59.
doi: 10.2147/PPA.S103649. eCollection 2016.

Weight Loss Intervention Adherence and Factors Promoting Adherence: A Meta-Analysis

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Free PMC article

Weight Loss Intervention Adherence and Factors Promoting Adherence: A Meta-Analysis

Mark Lemstra et al. Patient Prefer Adherence. .
Free PMC article

Abstract

Background: Adhering to weight loss interventions is difficult for many people. The majority of those who are overweight or obese and attempt to lose weight are simply not successful. The objectives of this study were 1) to quantify overall adherence rates for various weight loss interventions and 2) to provide pooled estimates for factors associated with improved adherence to weight loss interventions.

Methods: We performed a systematic literature review and meta-analysis of all studies published between January 2004 and August 2015 that reviewed weight loss intervention adherence.

Results: After applying inclusion and exclusion criteria and checking the methodological quality, 27 studies were included in the meta-analysis. The overall adherence rate was 60.5% (95% confidence interval [CI] 53.6-67.2). The following three main variables were found to impact adherence: 1) supervised attendance programs had higher adherence rates than those with no supervision (rate ratio [RR] 1.65; 95% CI 1.54-1.77); 2) interventions that offered social support had higher adherence than those without social support (RR 1.29; 95% CI 1.24-1.34); and 3) dietary intervention alone had higher adherence than exercise programs alone (RR 1.27; 95% CI 1.19-1.35).

Conclusion: A substantial proportion of people do not adhere to weight loss interventions. Programs supervising attendance, offering social support, and focusing on dietary modification have better adherence than interventions not supervising attendance, not offering social support, and focusing exclusively on exercise.

Keywords: community based; obesity; program adherence; social support.

Figures

Figure 1
Figure 1
Flow diagram for included studies.

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References

    1. National Institutes of Health . Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. Bethesda, MD: National Institutes of Health; 1998. NIH Publication No. 98-4083. - PubMed
    1. Kruger J, Galusk DA, Serdula MK, Jones DA. Attempting to lose weight: specific practices among U.S. adults. Am J Prev Med. 2004;26(5):402–406. - PubMed
    1. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA. 2014;311(8):806–814. - PMC - PubMed
    1. Fildes A, Charlton J, Rudisill C, Littlejohns T, Gulliford MC, Prevost AT. Probability of an obese person attaining normal body weight: cohort study using electronic health records. Am J Pub Health. 2015;105(9):e54–e59. - PMC - PubMed
    1. Nicklas JM, Huskey K, Davis RB, Wee CC. Successful weight loss among obese U.S. adults. Am J Prev Med. 2012;42(5):481–485. - PMC - PubMed

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