Analysis of the Factors Affecting the Success of Weight Reduction Programs
Jungsun Kim,1,*Sue Kyung Park,2,*
and Yun Jeong Lim3
1Center for Health Promotion, Samsung Medical Center, Seoul, Korea.
2Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.
3Department of Internal Medicine, Dongguk University International Hospital, Dongguk University College of Medicine, Goyang, Korea.
Reprint address: requests to Dr. Yun Jeong Lim, Department of Internal Medicine, Dongguk University International Hospital, Dongguk University College of Medicine, 814 Shicsa-dong, Ilsan-gu, Goyang-si, Kyunggi-do 411-773, Korea. Tel: 82-31-961-7133, Fax: 82-31-961-7141, Email: yunjeongl@dongguk.ac.kr
*These two authors equally contributed to this work.
Received July 27, 2006; Accepted September 07, 2006.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Obesity is a risk factor for numerous health problems. Behavior therapy is important for obesity treatment. The aim of the present study was to identify the parameters that are associated with successful weight reduction. A database of 123 subjects who underwent weight reduction programs at the Center for Health Promotion, Samsung Medical Center from June 2001 through November 2004 was retrospectively analyzed. The goal of the program was to reduce the body weight by more than 5% during the follow-up period. The study population was divided into 2 categories (the success group and the failure group) based on the outcome of weight reduction. We analyzed the demographic, laboratory and clinical parameters to determine the predictors of successful weight reduction. The prevalence of success group was 36.6% (45/123). Significant correlations for successful weight reduction were found for the follow up period and the frequency of medical visits. Our results suggest that strong motivation was the most important factor for successful weight reduction.
Keywords: Obesity, weight loss, behavior therapy.
References
1.
Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA 2004;291:2847–2850.
2.
Pi-Sunyer FX. Medical hazards of obesity. Ann Intern Med 1993;119:655–660.
3.
Eckel RH. Obesity and heart disease: a statement for healthcare professionals from the Nutrition Committee, American Heart Association. Circulation 1997;96:3248–3250.
4.
Must A, Spadano J, Coakley EH, Field AE, Colditz G, Dietz WH. The disease burden associated with overweight and obesity. JAMA 1999;282:1523–1529.
5.
Zachwieja JJ. Exercise as treatment for obesity. Endocrinol Metab Clin North Am 1996;25:965–988.
6.
Wadden TA, Foster GD, Letizia KA, Stunkard AJ. A multicenter evaluation of a proprietary weight reduction program for the treatment of marked obesity. Arch Intern Med 1992;152:961–966.
7.
Flechtner-Mors M, Ditschuneit HH, Johnson TD, Suchard MA, Adler G. Metabolic and weight loss effects of long-term dietary intervention in obese patients: four-year results. Obes Res 2000;8:399–402.
8.
James WP, Astrup A, Finer N, Hilsted J, Kopelman P, Rossner S, et al. Effect of sibutramine on weight maintenance after weight loss: a randomised trial. STORM Study Group. Sibutramine Trial of Obesity Reduction and Maintenance. Lancet 2000;356:2119–2125.
9.
Davidson MH, Hauptman J, DiGirolamo M, Foreyt JP, Halsted CH, Heber D, et al. Weight control and risk factor reduction in obese subjects treated for 2 years with orlistat: a randomized controlled trial. JAMA 1999;281:235–242.
10.
Whatley JE, Gillespie WJ, Honig J, Walsh MJ, Blackburn AL, Blackburn GL. Does the amount of endurance exercise in combination with weight training and a very-low-energy diet affect resting metabolic rate and body composition?. Am J Clin Nutr 1994;59:1088–1092.
11.
Pasman WJ, Saris WH, Westerterp-Plantenga MS. Predictors of weight maintenance. Obes Res 1999;7:43–50.
12.
Binks M, O'Neil MP. Referral sources to a weight management program: relation to outcome. J Gen Intern Med 2002;17:596–603.
13.
Grodstein F, Levine R, Troy L, Spencer T, Colditz GA, Stampfer MJ. Three-year follow-up of participants in a commercial weight loss program. Can you keep it off?. Arch Intern Med 1996;156:1302–1306.
14.
Ballor DL, Keesey RE. A meta-analysis of the factors affecting exercise-induced changes in body mass, fat mass and fat-free mass in males and females. Int J Obes 1991;15:717–726.
15.
Foster GD, Wadden TA, Vogt RA, Brewer G. What is a reasonable weight loss? Patients' expectations and evaluations of obesity treatment outcomes. J Consult Clin Psychol 1997;65:79–85.
16.
Esposito K, Pontillo A, Di Palo C, Giugliano G, Masella M, Marfella R, et al. Effect of weight loss and lifestyle changes on vascular inflammatory markers in obese women: a randomized trial. JAMA 2003;289:1799–1804.
17.
Visser M, Bouter LM, McQuillan GM, Wener MH, Harris TB. Elevated C-reactive protein levels in overweight and obese adults. JAMA 1999;282:2131–2135.
18.
Oh HS, Seo WS. The Compound Relationship of Smoking and Alcohol Consumption with Obesity. Yonsei Med J 2001;42:480–487.
19.
Moon YI, Park HR, Koo HY, Kim HS. Effects of behavior modification on body image, depression and body fat in obese Korean elementary school children. Yonsei Med J 2004;45:61–67.
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