Greater weight loss with increasing age in the weight loss maintenance trial.

Obesity (Silver Spring)

Division of Nephrology/Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA; Duke Hypertension Center and Sarah W. Stedman Nutrition and Metabolism Center, Duke University Medical Center, Durham, North Carolina, USA.

Published: January 2014

AI Article Synopsis

  • The study aimed to investigate how age affects weight loss and its maintenance among participants in the Weight Loss Maintenance trial.
  • The research involved 1,685 overweight/obese adults, with a focus on those who lost at least 4kg during a 6-month intervention, and how different maintenance strategies (self-directed, personal counseling, internet-based) impacted their weight.
  • Findings showed participants aged 60 and above initially lost more weight and maintained it better over three years, especially with personal counseling or internet support, suggesting a need for further study on weight loss strategies for older adults.

Article Abstract

Objective: To determine the effect of age on weight loss and weight loss maintenance in participants in the Weight Loss Maintenance trial (WLM).

Design And Methods: Secondary analysis of a randomized controlled trial of overweight/obese adults with CVD risk factors was conducted. Participants were 1685 adults with baseline BMI 25-45 kg m(2) with hypertension and/or dyslipidemia. Those who lost at least 4kg in an initial 6-month behavioral weight loss intervention (N = 1,032) were randomly assigned to a 30-month maintenance phase of self-directed control (SD), monthly personal counseling (PC), or unlimited access to an internet-based intervention (IT). Age groups were defined post-hoc and weight change was compared among age groups.

Results: Participants ≥60 years old initially lost more weight than younger individuals, and sustained greater weight loss in IT and PC but not in SD (P value for trend 0.024, 0.002, and 0.36, respectively).

Conclusions: In WLM, adults age ≥60 years had greater initial weight loss and greater sustained weight loss over 3 years, compared to younger adults. Older adults had greater weight loss maintenance with either personal counseling or internet-based intervention. Future research should determine optimal implementation strategies and effects of weight loss on health outcomes in older adults.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3849225PMC
http://dx.doi.org/10.1002/oby.20506DOI Listing

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