One year follow-up of overweight and obese hypertensive adults following intensive lifestyle therapy

Megan Jehn, M. R. Patt, L. J. Appel, E. R. Miller

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Objective: To examine the long-term effect on weight maintenance and dietary habits of participants in a clinical trial for weight loss. Setting: Community-based residents living in Maryland. Participants: Forty-four hypertensive, overweight adults who participated in a randomized clinical trial of weight loss. Participants were randomized to an intensive 'lifestyle' intervention or a 'monitoring' group. Main outcome measures: Weight, self-reported current intake of fat and fruit/fibre and self-reported barriers to maintain weight loss were assessed 1 year after the completion of the Diet, Exercise and Weight-loss Intervention Trial (DEW-IT) trial. Analysis: t-tests were used to compare groups for differences in continuous variables and chi-square tests were used to compare groups for categorical variables. Results: Fourty-two of the 44 DEW-IT subjects participated in the follow-up study. Overall, 55% (12/19) of the lifestyle intervention group remained at or below their baseline weight at 1 year, compared with 48% (11/23) of the monitoring group (P = 0.32). However, during that year, 95% (18/19) of the lifestyle intervention group and 52% (12/23) of the monitoring group gained weight from the end of the study. Both groups reported similar intake of fruits/vegetables (servings day-1), dietary fibre (g day-1) and fat (g day-1). Conclusions and implications: The majority of participants who lost weight during the trial regained weight during the course of 1 year. A successful intensive 2-month programme of lifestyle modification (DEW-IT) was ineffective for long-term maintenance of weight loss.

Original languageEnglish (US)
Pages (from-to)349-354
Number of pages6
JournalJournal of Human Nutrition and Dietetics
Volume19
Issue number5
DOIs
StatePublished - Oct 2006

Fingerprint

lifestyle
Life Style
weight loss
Reducing Diet
Weights and Measures
therapeutics
Weight Loss
Dietary Fiber
exercise
dietary fiber
fruit consumption
Fruit
Therapeutics
monitoring
diet
Dietary Fats
Feeding Behavior
Chi-Square Distribution
randomized clinical trials
Vegetables

Keywords

  • Feeding trial
  • Nutrition
  • Weight loss
  • Weight maintenance

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Food Science

Cite this

One year follow-up of overweight and obese hypertensive adults following intensive lifestyle therapy. / Jehn, Megan; Patt, M. R.; Appel, L. J.; Miller, E. R.

In: Journal of Human Nutrition and Dietetics, Vol. 19, No. 5, 10.2006, p. 349-354.

Research output: Contribution to journalArticle

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