Evidence map›Paper›PMID 42432828›Full record

SynthesisObesity reviews : an official journal of the International Association for the Study of Obesity2026

Effective Behavior Change Techniques for Successful Weight Loss and Weight Loss Maintenance Among Adults With Overweight and Obesity: A Systematic Review and Meta-Analysis.

Katharina Preuhs, Iris Eekhout, Rosa Andree, Hilde van Keulen, Pepijn van Empelen

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Katharina PreuhsDepartment of Child Health, Netherlands Organisation for Applied Scientific Research (TNO), Leiden, the Netherlands.
Iris EekhoutDepartment of Child Health, Netherlands Organisation for Applied Scientific Research (TNO), Leiden, the Netherlands.
Rosa AndreeTrimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands.
Hilde van KeulenDepartment of Child Health, Netherlands Organisation for Applied Scientific Research (TNO), Leiden, the Netherlands.
Pepijn van EmpelenDepartment of Child Health, Netherlands Organisation for Applied Scientific Research (TNO), Leiden, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Achieving and maintaining weight loss are challenging and require sustained lifestyle changes. This study examined which behavior change techniques (BCTs) support long-term weight outcomes among adults with overweight or obesity. We synthesized evidence from randomized controlled trials of behavioral interventions versus control or alternative interventions, focusing on nonclinical adults (BMI > 25) with ≥ 6-month follow-up, published between 2010 and 2025, that reported weight outcomes. Sixty-five studies (approximately 10,000 participants) evaluating 87 behavioral interventions targeting physical activity, diet, or both were included. BCTs were coded using the BCT Taxonomy v1. Meta-analysis estimated pooled effects on total weight loss (baseline to follow-up) and weight maintenance (posttreatment to follow-up). Behavioral interventions produced a mean effect size for total weight loss of Hedges' g = -0.19 (95% CI = -0.30 to -0.13), equating to an average additional weight loss of approximately 3.25 kg compared to controls. No significant effect was found for weight maintenance after initial loss, indicating no statistically significant difference in weight change between intervention and control groups during follow-up. Meta-regression examined the number of BCTs, intervention type, and follow-up duration, but none significantly moderated effects. Subgroup analyses identified the following effective BCTs: goal setting, feedback on behavior and outcome(s) of behavior, self-monitoring of behavior and outcome(s) of behavior, instruction on how to perform the behavior, demonstration of the behavior, conserving mental resources and incentives. These BCTs appear to support relative long-term weight outcomes and warrant further investigation.

Indexed as

Behavior TherapyBody Weight MaintenanceObesityOverweightWeight LossAdultExerciseHumansRandomized Controlled Trials as TopicBCTsbehavioral interventionsbehavior change techniquesweight lossweight maintenance

Identifiers

PMID42432828
PMCPMC13460769

What OpenQuestion holds

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Registered trials

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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.