What Distinguishes Weight-Loss Maintainers from the Treatment-Seeking Obese? Analysis of Environmental, Behavioral, and Psychosocial Variables in Diverse Populations
- Suzanne PhelanAffiliated withDepartment of Kinesiology, California Polytechnic State UniversityDepartment of Psychiatry and Human Behavior, Brown University Email author
- , Tao LiuAffiliated withDepartment of Community Health, Center for Statistical Sciences, Brown University
- , Amy GorinAffiliated withDepartment of Psychology, University of Connecticut
- , Michael LoweAffiliated withDepartment of Psychology, Drexel University
- , Joseph HoganAffiliated withDepartment of Community Health, Center for Statistical Sciences, Brown University
- , Joseph FavaAffiliated withThe Miriam Hospital, Weight Control and Diabetes Research Center
- , Rena R. WingAffiliated withDepartment of Psychiatry and Human Behavior, Brown UniversityThe Miriam Hospital, Weight Control and Diabetes Research Center
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Understanding the factors that influence successful weight control is critical for developing interventions.
The purpose of the study was to provide a comprehensive understanding of the role of psychosocial, environmental, and behavioral variables in distinguishing weight-loss maintainers (WLM) from treatment-seeking obese (TSO).
WLM (n = 167) had lost ≥10% of their maximum body weight, had kept the weight off for ≥5 years, and were now of normal weight. TSO-1 and TSO-2 had a history of dieting and body mass index ≥25. TSO-1 was predominantly Caucasian; TSO-2 was predominantly African-American. Bayesian model averaging was used to identify the variables that distinguished WLM from TSO-1 and TSO-2.
The variables that most consistently discriminated WLM from TSO were more physical activity (ORs = 3.95 and 2.85), more dietary restraint (ORs = 1.63 and 1.41), and less dietary disinhibition (ORs = 0.69 and 0.83). Environmental variables, including the availability of physical activity equipment, TVs, and high-fat foods in the home, also distinguished WLM from TSO.
Obesity treatment should focus on increasing conscious control over eating, engaging in physical activity, and reducing disinhibition. Changes in the home environment may help facilitate these behavioral changes.
KeywordsMultiple health behaviors Weight control Successful weight losers Diverse populations
- What Distinguishes Weight-Loss Maintainers from the Treatment-Seeking Obese? Analysis of Environmental, Behavioral, and Psychosocial Variables in Diverse Populations
Annals of Behavioral Medicine
Volume 38, Issue 2 , pp 94-104
- Cover Date
- Print ISSN
- Online ISSN
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- Multiple health behaviors
- Weight control
- Successful weight losers
- Diverse populations
- Industry Sectors
- Author Affiliations
- 1. Department of Kinesiology, California Polytechnic State University, 1 Grand Avenue, San Luis Obispo, CA, 93401, USA
- 2. Department of Psychiatry and Human Behavior, Brown University, Providence, RI, USA
- 3. Department of Community Health, Center for Statistical Sciences, Brown University, Providence, RI, USA
- 4. Department of Psychology, University of Connecticut, Storrs, CT, USA
- 5. Department of Psychology, Drexel University, Philadelphia, PA, USA
- 6. The Miriam Hospital, Weight Control and Diabetes Research Center, Providence, RI, USA