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Randomized Clinical Trials of Weight Loss Maintenance:A Review

Turk, MW and Yang, K and Hravnak, M and Sereika, SM and Ewing, LJ and Burke, LE (2009) Randomized Clinical Trials of Weight Loss Maintenance:A Review. Journal of Cardiovascular Nursing, 24 (1). 58 - 80. ISSN 0889-4655

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The problem of overweight and obesity has reached epidemic proportions in the United States and globally, and the high prevalence is due in part to the recidivism associated with weight loss treatment. Approximately one-third of lost weight is often regained in the first year after treatment and, at times, continues. Because a plethora of comorbid diseases are associated with obesity, in particular, cardiovascular disease, hypertension, and hyperlipidemia, clinicians and researchers have attempted to find useful strategies for maintaining weight loss. This review presents the findings from 42 randomized clinical trials of weight loss maintenance from 1984 through 2007 using interventions that include (1) the Internet, (2) strategies after a very low calorie diet, (3) pharmacotherapy, (4) behavioral strategies, (5) physical activity, and (6) alternative strategies. The results of the reviewed trials revealed that treatment with orlistat or sibutramine combined with dietary modification, caffeine or protein supplementation, consuming a diet lower in fat, adherence to physical activity routines, prolonged contact with participants, problem-solving therapy, and the alternative treatment of acupressure were efficacious in reducing weight regain after weight loss treatment. The limitations of some studies may reduce the robustness of their findings, and future studies are necessary to replicate and support these results so that individuals are able to maintain weight loss and retain the health benefits associated with a lower weight. © 2009 Lippincott Williams & Wilkins, Inc.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Turk, MW
Yang, K
Hravnak, Mmhra@pitt.eduMHRA
Sereika, SMssereika@pitt.eduSSEREIKA
Ewing, LJlje1@pitt.eduLJE1
Burke, LElbu100@pitt.eduLBU1000000-0003-2434-9867
Date: 1 January 2009
Date Type: Publication
Journal or Publication Title: Journal of Cardiovascular Nursing
Volume: 24
Number: 1
Page Range: 58 - 80
DOI or Unique Handle: 10.1097/01.jcn.0000317471.58048.32
Schools and Programs: School of Nursing > Nursing
Refereed: Yes
ISSN: 0889-4655
MeSH Headings: Anti-Obesity Agents--therapeutic use; Behavior Therapy; Caloric Restriction; Combined Modality Therapy; Diet, Fat-Restricted; Diet, Reducing; Exercise Therapy; Humans; Internet; Nurse's Role; Obesity--therapy; Patient Education as Topic; Psychotherapy, Group; Randomized Controlled Trials as Topic; Recurrence; Research Design; Treatment Outcome; Weight Loss
Other ID: NLM NIHMS100183, NLM PMC2676575
PubMed Central ID: PMC2676575
PubMed ID: 19114803
Date Deposited: 24 Sep 2012 19:55
Last Modified: 26 Jan 2022 12:55


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