TY - JOUR
T1 - Predictors of weight loss outcomes in obesity care
T2 - results of the national ACTION study
AU - ACTION Steering Group
AU - Dhurandhar, Nikhil V.
AU - Kyle, Theodore
AU - Stevenin, Boris
AU - Tomaszewski, Kenneth
PY - 2019/10/30
Y1 - 2019/10/30
N2 - BACKGROUND: A key objective of this study was to examine obesity care attitudes and behaviors of people with obesity (PwO) and determine independent factors associated with a self-reported sustained weight loss success outcome. METHODS: An online survey was conducted in 2015 among 3008 U.S. adult PwO (BMI > 30 through self-reported height and weight). Multivariate logistic models explained variation in weight loss success, defined as ≥ 10% weight loss in previous 3 years and maintained for > 1 year. RESULTS: Controlling for weight changes over time, we found significant associations between self-reported weight history and weight loss success. PwO who had personal motivation to lose weight, were willing to talk to a diabetes educator about their weight, who had their weight loss attempts recognized by a healthcare provider, and were diagnosed with "obesity" or "overweight" were more likely to report having success losing weight. CONCLUSIONS: This study does not determine causality, but suggests motivation and engagement with PwO may impact weight loss, and presents a basis for assessing the mechanism involved. Determining such mechanisms may identify important targets to improve obesity treatment outcomes. TRIAL REGISTRATION: This study is registered with ClinicalTrials.gov , number NCT03223493, https://clinicaltrials.gov/ct2/show/NCT03223493 . Registered July 17, 2017 (retrospectively registered).
AB - BACKGROUND: A key objective of this study was to examine obesity care attitudes and behaviors of people with obesity (PwO) and determine independent factors associated with a self-reported sustained weight loss success outcome. METHODS: An online survey was conducted in 2015 among 3008 U.S. adult PwO (BMI > 30 through self-reported height and weight). Multivariate logistic models explained variation in weight loss success, defined as ≥ 10% weight loss in previous 3 years and maintained for > 1 year. RESULTS: Controlling for weight changes over time, we found significant associations between self-reported weight history and weight loss success. PwO who had personal motivation to lose weight, were willing to talk to a diabetes educator about their weight, who had their weight loss attempts recognized by a healthcare provider, and were diagnosed with "obesity" or "overweight" were more likely to report having success losing weight. CONCLUSIONS: This study does not determine causality, but suggests motivation and engagement with PwO may impact weight loss, and presents a basis for assessing the mechanism involved. Determining such mechanisms may identify important targets to improve obesity treatment outcomes. TRIAL REGISTRATION: This study is registered with ClinicalTrials.gov , number NCT03223493, https://clinicaltrials.gov/ct2/show/NCT03223493 . Registered July 17, 2017 (retrospectively registered).
KW - Obesity attitudes, obesity management
KW - People with obesity
KW - Weight-loss success
UR - http://www.scopus.com/inward/record.url?scp=85074420019&partnerID=8YFLogxK
U2 - 10.1186/s12889-019-7669-1
DO - 10.1186/s12889-019-7669-1
M3 - Article
C2 - 31666040
SN - 1471-2458
VL - 19
JO - BMC public health
JF - BMC public health
IS - 1
ER -