Evidence map›Paper›PMID 19050676›Full record

ArticleInternational journal of obesity (2005)2009

Weight-loss maintenance in successful weight losers: surgical vs non-surgical methods.

D S Bond, S Phelan, T M Leahey, J O Hill, R R Wing

Abstract readComparative Study
In one paragraph

Article in International journal of obesity (2005), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Successful weight loss maintenance: A systematic review of weight control registries.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2020
    Pooled it
  2. Pooled it
  3. Surgery for weight loss in adults.The Cochrane database of systematic reviews · 2014
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Cognitive function is linked to adherence to bariatric postoperative guidelines.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
    Trial
  10. Optimizing long-term weight control after bariatric surgery: a pilot study.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
    Trial
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Article
  16. Endoscopic therapy of weight regain after bariatric surgery.World journal of gastrointestinal surgery · 2021
    Review
  17. Article
  18. Review
  19. Review
  20. Personality psychopathology: Longitudinal prediction of change in body mass index and weight post-bariatric surgery.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2020
    Article

5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

D S BondDepartment of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University/The Miriam Hospital, Providence, RI, USA. dbond@lifespan.org
S Phelan
T M Leahey
J O Hill
R R Wing

Funding

Long-Term Weight Loss Maintenance (RMI)R01DK066787 · NIDDK · MIRIAM HOSPITAL · PI WING, RENA R · 2004 to 2007
$1.6M
NIDDK NIH HHS DK 066787NIDDK NIH HHS R01 DK066787
6 · The paper itself

Abstract

objectiveAs large weight losses are rarely achieved through any method except bariatric surgery, there have been no studies comparing individuals who initially lost large amounts of weight through bariatric surgery or non-surgical means. The National Weight Control Registry (NWCR) provides a resource for making such unique comparisons. This study compared the amount of weight regain, behaviors and psychological characteristics in NWCR participants who were equally successful in losing and maintaining large amounts of weight through either bariatric surgery or non-surgical methods.

designSurgical participants (n=105) were matched with two non-surgical participants (n=210) on gender, entry weight, maximum weight loss and weight-maintenance duration, and compared prospectively over 1 year.

resultsParticipants in the surgical and non-surgical groups reported having lost approximately 56 kg and keeping > or =13.6 kg off for 5.5+/-7.1 years. Both groups gained small but significant amounts of weight from registry entry to 1 year (P=0.034), but did not significantly differ in magnitude of weight regain (1.8+/-7.5 and 1.7+/-7.0 kg for surgical and non-surgical groups, respectively; P=0.369). Surgical participants reported less physical activity, more fast food and fat consumption, less dietary restraint, and higher depression and stress at entry and 1 year. Higher levels of disinhibition at entry and increased disinhibition over 1 year were related to weight regain in both groups.

conclusionsDespite marked behavioral differences between the groups, significant differences in weight regain were not observed. The findings suggest that weight-loss maintenance comparable with that after bariatric surgery can be accomplished through non-surgical methods with more intensive behavioral efforts. Increased susceptibility to cues that trigger overeating may increase risk of weight regain regardless of initial weight-loss method.

Indexed as

Bariatric SurgeryWeight LossAdultAgedAnti-Obesity AgentsBody Mass IndexCaloric RestrictionExerciseFeeding BehaviorFemaleHumansMaleMiddle AgedObesityProspective StudiesRegression AnalysisAnti-Obesity Agents

Identifiers

PMID19050676
PMCPMC2624545

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.