The association between weight maintenance and session-by-session diet adherence, weight loss and weight-loss satisfaction

  • Simona CalugiEmail author
  • Giulio Marchesini
  • Marwan El Ghoch
  • Ilaria Gavasso
  • Riccardo Dalle Grave
Original Article



The aim of this study was to assess the association between weight-loss maintenance and weight-loss satisfaction, adherence to diet and weight loss, all measured session-by-session during the weight-loss phase of cognitive behavioral therapy.


The present exploratory study examined a subgroup of fifty-eight patients who participated in a randomized controlled trial and who lost at least the 10% of their baseline weight. Patients were grouped into weight-loss ‘Maintainers’ (i.e., those who maintained a weight loss of ≥ 10% of baseline body weight at 6 months after the weight-loss phase) and ‘Regainers’ (i.e., those who did not maintain > 10% weight loss at 6 months after the weight-loss phase). Body weight, adherence to diet and weight-loss satisfaction were measured session-by-session during the weight-loss phase.


Thirteen patients (22.4%) were classified as ‘Regainers’, and 45 (77.6%) as ‘Maintainers’. Compared to ‘Maintainers’, ‘Regainers’ had a lower adherence to diet after the initial 11 weeks, and a progressively declining weight loss and weight-loss satisfaction from week 15 or 19 of the weight-loss phase. 11-week dietary adherence and 15-week weight loss were significantly associated with weight maintenance. Similar results were obtained using the amount of weight change as dependent variable.


Adherence to diet, weight loss and weight-loss satisfaction, measured during the late weight-loss phase, are associated with weight-loss maintenance.

Level of evidence

Level III, evidence obtained from well-designed cohort or case–control analytical studies.


Weight loss Adherence to diet Weight-loss satisfaction Weight maintenance Obesity 


Compliance with ethical standards

Conflict of interest

The authors declare that there is no conflict of interest regarding the publication of this article.

Ethical approval

The study was approved by the ethical committee of the 22-Bussolengo-Verona Local Health Unit (Study Protocol no. USL22#01/07-CEP31, approved 19/06/07).

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Eating and Weight DisordersVilla Garda HospitalGardaItaly
  2. 2.Unit of Metabolic Diseases, S. Orsola-Malpighi Hospital“Alma Mater Studiorum” UniversityBolognaItaly

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