Maintenance of Lost Weight and Long-Term Management of Obesity

Med Clin North Am. 2018 Jan;102(1):183-197. doi: 10.1016/j.mcna.2017.08.012.


Weight loss can be achieved through a variety of modalities, but long-term maintenance of lost weight is much more challenging. Obesity interventions typically result in early weight loss followed by a weight plateau and progressive regain. This review describes current understanding of the biological, behavioral, and environmental factors driving this near-ubiquitous body weight trajectory and the implications for long-term weight management. Treatment of obesity requires ongoing clinical attention and weight maintenance-specific counseling to support sustainable healthful behaviors and positive weight regulation.

Keywords: Appetite; Behavioral counseling; Obesity treatment; Physiology; Weight loss; Weight maintenance.

Publication types

  • Review

MeSH terms

  • Adaptation, Physiological
  • Diet, Reducing*
  • Energy Metabolism
  • Health Promotion / methods*
  • Humans
  • Obesity / rehabilitation*
  • Risk Reduction Behavior*
  • Self Care
  • Weight Gain