A pilot study comparing two weight loss maintenance interventions among low-income, mid-life women Public Deposited

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Creator
  • Gizlice, Ziya
    • Other Affiliation: UNC Center for Health Promotion and Disease Prevention
  • Lindsley, Sara C.
    • Other Affiliation: UNC Center for Health Promotion and Disease Prevention
  • Gold, Alison D.
    • Other Affiliation: Hudson River Healthcare, Inc, Peekskill, NY, USA
  • Keyserling, Thomas
    • Affiliation: School of Medicine, Department of Medicine
    • Other Affiliation: UNC Center for Health Promotion and Disease Prevention
  • Garcia, Beverly A.
    • Other Affiliation: UNC Center for Health Promotion and Disease Prevention
  • Braxton, Danielle F.
    • Other Affiliation: UNC Center for Health Promotion and Disease Prevention
  • Samuel-Hodge, Carmen
    • Affiliation: Gillings School of Global Public Health, Department of Nutrition
    • Other Affiliation: UNC Center for Health Promotion and Disease Prevention
  • Johnston, Larry F.
    • Other Affiliation: UNC Center for Health Promotion and Disease Prevention
Abstract
  • Abstract: Background: Despite high obesity prevalence rates, few low-income midlife women participate in weight loss maintenance trials. This pilot study aims to assess the effectiveness of two weight loss maintenance interventions in this under-represented population. Methods: Low-income midlife women who completed a 16-week weight loss intervention and lost ≥ 8 lbs (3.6 kg) were eligible to enroll in one of two 12-month maintenance programs. The programs were similar in content and had the same number of total contacts, but were different in the contact modality (Phone + Face-to-Face vs. Face-to- Face Only). Two criteria were used to assess successful weight loss maintenance at 12 months: (1) retaining a loss of ≥ 5% of body weight from the start of the weight loss phase and (2) a change in body weight of < 3%, from the start to the end of the maintenance program. Outcome measures of changes in physiologic and psychosocial factors, and evaluations of process measures and program acceptability (measured at 12 months) are also reported. For categorical variables, likelihood ratio or Fisher’s Exact (for small samples) tests were used to evaluate statistically significant relationships; for continuous variables, t-tests or their equivalents were used to assess differences between means and also to identify correlates of weight loss maintenance. Results: Overall, during the 12-month maintenance period, 41% (24/58) of participants maintained a loss of ≥ 5% of initial weight and 43% (25/58) had a <3% change in weight. None of the comparisons between the two maintenance programs were statistically significant. However, improvements in blood pressure and dietary behaviors remained significant at the end of the 12-month maintenance period for participants in both programs. Participant attendance and acceptability were high for both programs. Conclusions: The effectiveness of two pilot 12-month maintenance interventions provides support for further research in weight loss maintenance among high-risk, low-income women. Trial registration ClinicalTrials.gov Identifier: NCT00288301
Date of publication
Identifier
  • doi:10.1186/1471-2458-13-653
  • 23855318
Resource type
  • Article
Rights statement
  • In Copyright
Rights holder
  • Carmen D Samuel-Hodge et al.; licensee BioMed Central Ltd.
License
Journal title
  • BMC Public Health
Journal volume
  • 13
Journal issue
  • 1
Page start
  • 653
Language
  • English
Is the article or chapter peer-reviewed?
  • Yes
ISSN
  • 1471-2458
Bibliographic citation
  • BMC Public Health. 2013 Jul 15;13(1):653
Access
  • Open Access
Publisher
  • BioMed Central Ltd
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