Evidence map›Paper›PMID 32808209›Full record

Trial reportJournal of general internal medicine2020

Lifestyle Habits Associated with Weight Regain After Intentional Loss in Primary Care Patients Participating in a Randomized Trial.

Bethany Barone Gibbs, Dana Tudorascu, Cindy L Bryce, Diane Comer, Gary S Fischer, Rachel Hess, Kimberly A Huber, Kathleen M McTigue, Laurey R Simkin-Silverman, Molly B Conroy

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01946191 (Maintaining Activity and Nutrition Through Technology-Assisted Innovation in Primary Care), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 22% of its field
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.

NCT01946191 nacompletednot on this map

Maintaining Activity and Nutrition Through Technology-Assisted Innovation in Primary Care

TypeinterventionalSponsorUniversity of PittsburghRan2013 to 2017Enrolled194ConditionsBody Weight, Weight Loss, Motor ActivityArms24 months of personalized coaching through the EHR patient portal, with 24 scheduled contacts., Online self-monitoring, Real-time updates to Primary Care physicians
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Lifestyle strategies after intentional weight loss: results from the MAINTAIN-pc randomized trial.Translational journal of the American College of Sports Medicine · 2023
    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

10 authors at 2 institutions in 1 country.

Bethany Barone GibbsUniversity of Pittsburgh, 32 Oak Hill Court, Pittsburgh, PA, USA. bbarone@pitt.edu.ORCID 0000-0002-0732-6148
Dana TudorascuUniversity of Pittsburgh, 32 Oak Hill Court, Pittsburgh, PA, USA.
Cindy L BryceUniversity of Pittsburgh, 32 Oak Hill Court, Pittsburgh, PA, USA.
Diane ComerUniversity of Pittsburgh, 32 Oak Hill Court, Pittsburgh, PA, USA.
Gary S FischerUniversity of Pittsburgh, 32 Oak Hill Court, Pittsburgh, PA, USA.
Rachel HessUniversity of Utah, Salt Lake City, UT, USA.
Kimberly A HuberUniversity of Pittsburgh, 32 Oak Hill Court, Pittsburgh, PA, USA.
Kathleen M McTigueUniversity of Pittsburgh, 32 Oak Hill Court, Pittsburgh, PA, USA.
Laurey R Simkin-SilvermanUniversity of Pittsburgh, 32 Oak Hill Court, Pittsburgh, PA, USA.
Molly B ConroyUniversity of Utah, Salt Lake City, UT, USA.
University of Pittsburgh · USUniversity of Utah · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
Maintaining Activity and Nutrition through Technology-Assisted Innovation in PrimR18HS021162 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MCTIGUE, KATHLEEN · 2012 to 2016
$2.4M
AHRQ HHS R18 HS021162AHRQ HHS R18HS021162-01A1NCATS NIH HHS UL1 TR000005NIA NIH HHS P30 AG024827
6 · The paper itself

Abstract

backgroundThough long-term weight loss maintenance is the treatment goal for obesity, weight regain is typical and few studies have evaluated lifestyle habits associated with weight regain.

objectiveTo identify dietary and physical activity habits associated with 6- and 24-month weight regain among participants in a weight loss maintenance clinical trial.

designSecondary analysis of randomized clinical trial data.

participantsAdult primary care patients with recent, intentional weight loss of at least 5%. MAIN MEASURES: Lifestyle habits included consumption of low-fat foods, fish, desserts, sugary beverages, fruits, and vegetables and eating at restaurants from the Connor Diet Habit Survey; moderate-vigorous physical activity by self-report; steps recorded by a pedometer; and sedentary behavior by self-report. The outcome variable was weight change at 6 and 24 months. Linear regression models estimated adjusted associations between changes in weight and changes in dietary and physical activity habits. KEY

resultsOverall, participants (mean (SD): 53.4 (12.2) years old; 26% male; 88% white) maintained weight loss at 6 months (n = 178, mean (SD): - 0.02 (5.70)% change) but began to regain weight by 24 months (n = 157, mean (SD): 4.22 (9.15)% increase). When considered all together, more eating at restaurants, reduced fish consumption, and less physical activity were most consistently associated with weight regain in fully adjusted models at both 6 and 24 months of follow-up. In addition, more sedentary behavior was associated with weight regain at 6 months while reduced consumption of low-fat foods, and more desserts and sugary beverages were associated with weight regain at 24 months.

conclusionsConsuming less fish, fewer steps per day, and more frequent restaurant eating were most consistently associated with weight regain in primary care patients. Primary care providers may consider addressing specific lifestyle behaviors when counseling patients after successful weight loss.

trial registrationClinicalTrials.gov Identifier: NCT01946191.

Indexed as

Life StyleWeight LossAdultFemaleHabitsHumansMaleMiddle AgedPrimary Health CareWeight Gaindietphysical activityprimary careweight loss maintenance

Identifiers

PMID32808209
PMCPMC7661615
OpenAlexW3059726504

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.