Initial Response to Program, Program Participation, and Weight Reduction Among 375 MOVE! Participants, Augusta, Georgia, 2008–2010

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Garvin, Jane T. ; Hardy, Dale ; Xu, Hongyan
• Description:
  Introduction ; Obesity management guidelines specify initial goals for participation and weight reduction for the first 6 months of a weight-reduction intervention, but guidelines do not specify when to assess early response and make adjustments. We aimed to determine whether very early or early weight reduction in the weight-reduction program MOVE! predicted later participation or achievement of weight-reduction goals. ; Methods ; Using clinical data from 375 MOVE! participants enrolled from July 2008 through May 2010, we examined program participation and weight reduction. Very early response was defined as achieving a weight reduction of 0.5% or more at week 2, and early response was defined as achieving weight reduction of 1.0% or more at week 4. Success, or achievement of weight-reduction goal, at 6 months, 1 year, and 2 years was defined as a weight reduction of 5% or more. Participation was assessed according to the number of sessions attended within the first 6 months of program enrollment; attendance of 14 or more sessions was classified as high-intensity participation. ; Results ; Very early responders were more than 5 times as likely (odds ratio OR = 5.46; 95% confidence interval CI, 1.69–17.71; P = .005) and early responders were more than 10 times as likely (OR = 10.76; 95% CI, 2.64–43.80; P = .001) to achieve the 6-month weight-reduction goal as participants who were not very early responders or early responders, respectively. Early responders were almost 7 times as likely to achieve the 1-year weight-reduction goal (OR = 6.96; 95% CI, 1.85–26.13; P = .004). Neither very early nor early response predicted participation, high-intensity participation, or success at 2 years. ; Conclusion ; This research supports the predictive value of very early response and early response to MOVE! on weight-reduction success at 6 months; early response also predicted 1-year success, suggesting that the 2-week point may be an ideal time to assess initial response and make intervention adjustments.
• Subjects:
  • Aged
  • Female
  • Humans
  • Life Style
  • Linear Models
  • Male
  • Middle Aged
  • Obesity
  • Patient Participation
  • Weight Loss
  More +
• Source:
  Prev Chronic Dis. 13.
• DOI:
  http://dx.doi.org/10.5888/pcd13.150598
• ISSN:
  1545-1151
• Pubmed ID:
  27103265
• Pubmed Central ID:
  PMC4854664
• Document Type:
  Journal Article
• Corporate as Subject:
  MOVE! ; MOVE!
• Place as Subject:
  Georgia
• Volume:
  13
• Download URL:
  https://stacks.cdc.gov/view/cdc/39661/cdc_39661_DS1.pdf
• File Type:
  [PDF - 282.33 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:42b4ee6fd4854ae5612adf7f00fe079101a772e635e2e9e6503ee5627449231f6aebc720036ddf49fb37cc41a2ff818623ae5868ec3d18f1d797f665ac0085e5