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American Journal of Public Health logoLink to American Journal of Public Health
. 1999 May;89(5):747–751. doi: 10.2105/ajph.89.5.747

Preventing weight gain in adults: the pound of prevention study.

R W Jeffery 1, S A French 1
PMCID: PMC1508711  PMID: 10224988

Abstract

OBJECTIVES: This study examined whether weight gain with age could be prevented through the use of a low-intensity intervention. METHODS: Participants, 228 men and 998 women recruited from diverse sources, were randomized to one of the following groups: (1) no-contact control, (2) education through monthly newsletters, or (3) education plus incentives for participation. All participants were weighed and completed questionnaires about behaviors and attitudes related to weight at baseline and annually for 3 years thereafter. RESULTS: Individuals in intervention groups reported favorable changes over time in frequency of weighting and healthy dieting practices relative to those in the control group. These behavior changes were in turn related to a reduced rate of weight gain over time. However, weight gain over 3 years did not differ significantly by treatment group. CONCLUSIONS: This low-intensity educational approach to weight gain prevention sustained interest over a lengthy time period and was associated positively with behavior change, but it was not strong enough to significantly reduce weight gain with age.

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Selected References

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  1. Block G., Hartman A. M., Dresser C. M., Carroll M. D., Gannon J., Gardner L. A data-based approach to diet questionnaire design and testing. Am J Epidemiol. 1986 Sep;124(3):453–469. doi: 10.1093/oxfordjournals.aje.a114416. [DOI] [PubMed] [Google Scholar]
  2. Colditz G. A., Willett W. C., Stampfer M. J., Manson J. E., Hennekens C. H., Arky R. A., Speizer F. E. Weight as a risk factor for clinical diabetes in women. Am J Epidemiol. 1990 Sep;132(3):501–513. doi: 10.1093/oxfordjournals.aje.a115686. [DOI] [PubMed] [Google Scholar]
  3. Forster J. L., Jeffery R. W., Schmid T. L., Kramer F. M. Preventing weight gain in adults: a pound of prevention. Health Psychol. 1988;7(6):515–525. doi: 10.1037//0278-6133.7.6.515. [DOI] [PubMed] [Google Scholar]
  4. French S. A., Jeffery R. W. Consequences of dieting to lose weight: effects on physical and mental health. Health Psychol. 1994 May;13(3):195–212. doi: 10.1037//0278-6133.13.3.195. [DOI] [PubMed] [Google Scholar]
  5. Garfinkel L. Overweight and cancer. Ann Intern Med. 1985 Dec;103(6 ):1034–1036. doi: 10.7326/0003-4819-103-6-1034. [DOI] [PubMed] [Google Scholar]
  6. Jeffery R. W., Gerber W. M., Rosenthal B. S., Lindquist R. A. Monetary contracts in weight control: effectiveness of group and individual contracts of varying size. J Consult Clin Psychol. 1983 Apr;51(2):242–248. doi: 10.1037//0022-006x.51.2.242. [DOI] [PubMed] [Google Scholar]
  7. Jeffery R. W., Wing R. R., Thorson C., Burton L. R., Raether C., Harvey J., Mullen M. Strengthening behavioral interventions for weight loss: a randomized trial of food provision and monetary incentives. J Consult Clin Psychol. 1993 Dec;61(6):1038–1045. doi: 10.1037//0022-006x.61.6.1038. [DOI] [PubMed] [Google Scholar]
  8. Kuczmarski R. J., Flegal K. M., Campbell S. M., Johnson C. L. Increasing prevalence of overweight among US adults. The National Health and Nutrition Examination Surveys, 1960 to 1991. JAMA. 1994 Jul 20;272(3):205–211. doi: 10.1001/jama.272.3.205. [DOI] [PubMed] [Google Scholar]
  9. MacMahon S., Cutler J., Brittain E., Higgins M. Obesity and hypertension: epidemiological and clinical issues. Eur Heart J. 1987 May;8 (Suppl B):57–70. doi: 10.1093/eurheartj/8.suppl_b.57. [DOI] [PubMed] [Google Scholar]
  10. Manson J. E., Willett W. C., Stampfer M. J., Colditz G. A., Hunter D. J., Hankinson S. E., Hennekens C. H., Speizer F. E. Body weight and mortality among women. N Engl J Med. 1995 Sep 14;333(11):677–685. doi: 10.1056/NEJM199509143331101. [DOI] [PubMed] [Google Scholar]
  11. Sherwood N. E., Morton N., Jeffery R. W., French S. A., Neumark-Sztainer D., Falkner N. H. Consumer preferences in format and type of community-based weight control programs. Am J Health Promot. 1998 Sep-Oct;13(1):12–18. doi: 10.4278/0890-1171-13.1.12. [DOI] [PubMed] [Google Scholar]
  12. Sobal J., Stunkard A. J. Socioeconomic status and obesity: a review of the literature. Psychol Bull. 1989 Mar;105(2):260–275. doi: 10.1037/0033-2909.105.2.260. [DOI] [PubMed] [Google Scholar]
  13. Taylor H. L., Jacobs D. R., Jr, Schucker B., Knudsen J., Leon A. S., Debacker G. A questionnaire for the assessment of leisure time physical activities. J Chronic Dis. 1978;31(12):741–755. doi: 10.1016/0021-9681(78)90058-9. [DOI] [PubMed] [Google Scholar]
  14. Williamson D. F., Kahn H. S., Byers T. The 10-y incidence of obesity and major weight gain in black and white US women aged 30-55 y. Am J Clin Nutr. 1991 Jun;53(6 Suppl):1515S–1518S. doi: 10.1093/ajcn/53.6.1515S. [DOI] [PubMed] [Google Scholar]

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