Evidence map›Paper›PMID 26991814›Full record

Trial reportObesity (Silver Spring, Md.)2016

The impact of continued intervention on weight: Five-year results from the weight loss maintenance trial.

Janelle W Coughlin, Phillip J Brantley, Catherine M Champagne, William M Vollmer, Victor J Stevens, Kristine Funk, Arlene T Dalcin, Gerald J Jerome, Valerie H Myers, Crystal Tyson and 8 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
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  6. Trial
  7. Review
  8. Article
  9. Article
  10. Review
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  12. Article
  13. Article
  14. The limits and challenges of antiobesity pharmacotherapy.Expert opinion on pharmacotherapy · 2020
    Review
  15. Article
  16. The Effect of Bariatric Surgery on Weight Loss and Metabolic Changes in Adults with Obesity.International journal of environmental research and public health · 2020
    Article
  17. Article
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

18 authors.

Janelle W CoughlinDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Phillip J BrantleyPennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana, USA.
Catherine M ChampagnePennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana, USA.
William M VollmerThe Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA.
Victor J StevensThe Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA.
Kristine FunkThe Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA.
Arlene T DalcinWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Maryland, USA.
Gerald J JeromeDivision of General Internal Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Valerie H MyersKlein Buendel, Inc, Golden, Colorado, USA.
Crystal TysonDivision of Nephrology/Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA.
Bryan C BatchDuke Hypertension Center and Sarah W. Stedman Nutrition and Metabolism Center, Duke University Medical Center, Durham, North Carolina, USA.
Jeanne CharlestonWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Maryland, USA.
Catherine M LoriaNational Heart, Lung, and Blood Institute, Bethesda, Maryland, USA.
Alan BauckThe Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA.
Jack F HollisThe Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA.
Laura P SvetkeyDivision of Nephrology/Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA.
Lawrence J AppelWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Maryland, USA.
Weight Loss Maintenance Collaborative Research Group

Funding

Research BaseP30DK072488 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI MITCHELL, BRAXTON D, TAYLOR, SIMEON I. · 2005 to 2019
$17.3M
WEIGHT LOSS MAINTENANCE TRIALU01HL068676 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI STEVENS, VICTOR J · 2003 to 2009
$7.4M
WEIGHT LOSS MAINTENANCE TRIALU01HL068734 · NHLBI · DUKE UNIVERSITY · PI SVETKEY, LAURA P · 2003 to 2007
$3.1M
WEIGHT LOSS MAINTENANCE TRIALU01HL068790 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI HOLLIS, JACK F · 2003 to 2007
$2.4M
WEIGHT LOSS MAINTENANCE TRIALU01HL068920 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI APPEL, LAWRENCE JOHN · 2003 to 2007
$2.4M
WEIGHT LOSS MAINTENANCE TRIALU01HL068955 · NHLBI · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI BRANTLEY, PHILLIP J · 2003 to 2007
$2.3M
Analysis of five year follow-up data from the Weight Loss Maintenance TrialRC1HL099437 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI STEVENS, VICTOR J · 2009 to 2010
$997k
NHLBI NIH HHS RC1 HL099437NHLBI NIH HHS U01 HL068676NHLBI NIH HHS U01 HL068734NHLBI NIH HHS U01 HL068790NHLBI NIH HHS U01 HL068920NHLBI NIH HHS U01 HL068955NIDDK NIH HHS P30 DK072488
6 · The paper itself

Abstract

objectiveIn the Weight Loss Maintenance (WLM) Trial, a personal contact (PC) intervention sustained greater weight loss relative to a self-directed (SD) group over 30 months. This study investigated the effects of continued intervention over an additional 30 months and overall weight change across the entire WLM Trial.

methodsWLM had 3 phases. Phase 1 was a 6-month weight loss program. In Phase 2, those who lost ≥4 kg were randomized to a 30-month maintenance trial. In Phase 3, PC participants (n = 196, three sites) were re-randomized to no further intervention (PC-Control) or continued intervention (PC-Active) for 30 more months; 218 SD participants were also followed.

resultsDuring Phase 3, weight increased 1.0 kg in PC-Active and 0.5 kg in PC-Control (mean difference 0.6 kg; 95% CI:-1.4 to 2.7; P = 0.54). Mean weight change over the entire study was -3.2 kg in those originally assigned to PC (PC-Combined) and -1.6 kg in SD (mean difference -1.6 kg; 95% CI:-3.0 to -0.1; P = 0.04).

conclusionsAfter 30 months of the PC maintenance intervention, continuation for another 30 months provided no additional benefit. However, across the entire study, weight loss was slightly greater in those originally assigned to PC.

Indexed as

Weight LossAdultBehavior TherapyBody Mass IndexFemaleHumansMaleMiddle AgedObesityWeight Reduction Programs

Identifiers

PMID26991814
PMCPMC4896740

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.