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. Author manuscript; available in PMC: 2015 Mar 20.
Published in final edited form as: Obes Rev. 2013 Apr 18;14(7):532–540. doi: 10.1111/obr.12038

Table 3.

Descriptive information on the studies included.

Authors Baseline Sample
Characteristics
Design/Intervention Treatment
Duration/Follow-up
Assessmentsa
Weight Loss
Goals
Assessed
Relationship of
Weight Loss
Goal and Follow-
up BMIc
Perkins
(2001)58
N=79 (57 females)
Mean age 46 years
Mean BMI 42.1 kg/m2

Note: N breakdown was
calculated by
percentages ; the % of
that sample that was
female was 72.7
Retrospective study utilizing
survey/medical record extraction
among patients of an outpatient
endocrinology clinic who had
been diagnosed with obesity
Treatment: Varied
according to the individual
Follow-up: Non-time limited
program
Goal Weight:
Desired weight at
the end of treatment
(Weight individual
expects to achieve
at the end of the
intervention)
No association between
weight loss goal and
weight loss at the end of
the intervention.
Valenti
(2001)59
N=88 females
Mean age 48.0 years
Mean BMI 33.2 kg/m2
Three group randomized weight
loss trial consisting of varying
combinations of behavioral
therapy, resistance training, and
aerobic walking
Treatment: 6 months
Follow-up: 6 months
Goal Weight:
Weight individual
expects to achieve
at the end of the
intervention
Higher weight loss goal
associated with greater
weight loss at the end of
the intervention.
Teixeira
(2002)15
N=112 females
Mean age 47.8 years
Mean BMI 31.4 kg/m2
One group pre/post test design
evaluating the effects of a group-
based behavioral therapy weight
loss program
Treatment: 4 months
Follow-up: 4 months
Goals from Part II of
the GRWQ b
No association between
weight loss goal (happy
weight) and weight loss at
the end of the
intervention
(completers analysis;
used in meta analysis)

Lower weight loss goals
related to more weight
loss in the last
observation carried
forward method analysis
only
Foster
(2004)27
N=17 females
Mean age 46.5 years
Mean BMI 34 kg/m2
One-group pre-post design
assessing the effects of a
modified cognitive behavioral
therapy program promoting
modest weight goals and weight
loss
Treatment: 20 weeks
Follow-up : 40 weeks
Goals from Part II of
the GRWQ b
No association between
weight loss goal (happy
weight) and weight loss
at the end of the
intervention
Linde
(2004)12
N=302 (mostly female)
Mean age 46.7 years
Mean BMI 33.9 kg/m2
Randomized clinical trial of
cognitive interventions designed
to influence outcome
expectations associated with
weight loss
Treatment: 8 weeks
Follow-up: 8 weeks; 6, 18
months
Adapted goals from
the GRWQb
Goal Weight:
Weight expected at
the end of program
Dream Weight: A
weight you would
choose if you could
weigh whatever you
wanted
No association between
weight loss goal and
weight loss at the end of
the intervention

(Note: Higher dream
weight loss goals were
associated with greater
weight loss at 18 month
follow up)
Teixeira
(2004)21
N=140 females
Mean age 38.3
Mean BMI 30.3 kg/m2
One-group pre-post design
assessing the effects of a group-
based behavioral therapy weight
loss program
Treatment: 4 months
Follow-up: 4 months
Goals from Part II of
the GRWQb
No association between
weight loss goal (happy
weight) and weight loss
at the end of the
intervention
(completers analysis;
used in meta analysis)

Higher weight loss goals
associated with less
weight loss in the last
observation carried
forward method analysis
only
Grave (2005)14 N= 1785 (1393 females)
Median age 46.0 years
Median BMI 36.7 kg/m2
Observational study
investigating quality of life in
obese patients seeking treatment
in 25 Italian medical centers
Treatment: Duration varied
according to medical center;
Patients assessed at 12
months
Follow-up: N/A
Expected 1 year
weight loss(Goal
Weight): Weight
loss patients
expected to lose with
treatment after 12
months
Maximum
acceptable weight:
Heaviest weight that
patients could
accept and tolerate
to reach after
treatment
Dream weight:
Body weight that the
patient dreams of
achieving with
treatment
No association between
weight loss goal and
weight loss at the end of
the intervention

(Note: Higher dream
weight loss goals were
associated with less
weight loss at the end of
the intervention.)
Linde (2005)19 N=1801 (1293 females,
508 males)
Mean female age 49.97
years
Mean male age 54.14
years
Mean female BMI 33.86
kg/m2
Mean male BMI 33.10
kg/m2
Randomized control weight loss
trial (three groups: mail, phone,
usual care)
Treatment: 12 months
Follow-up: 12 months, 24
months
Goal Weight:
Weight individual
expects to achieve
at the end of the
Weigh to Be
Intervention
Ideal Weight:
Weight participants
would like to weigh
No association between
weight loss goal and
weight loss at the end of
the intervention for
males or females.

Higher weight loss goals
were associated with
greater weight loss at
24 month follow up in
women only
Fabricatore
(2007)18
N=180 (149 females, 31
men)
Mean age 43.8 years
Mean BMI 37.6 kg/m2
Four group randomized trial
consisting of varying
combinations of behavioral and
pharmacological therapies
Treatment: 52 weeks
Follow-up: 4, 12, 26 and
52 weeks
Expected Loss
(Goal weight):
Weight individual
expects to achieve
at the end of the
intervention
Ultimate Goal:
Weight expected to
lose in total, whether
or not it can be
achieved
No association between
weight loss goal and
weight loss at the end of
the e intervention in the
collapsed sample
White (2007)28 N=139 (123 females)
Mean age 42.4 years
Mean BMI 57.79 kg/m2
One-group pre-post design
among bariatric surgery
candidates
Treatment: Gastric bypass
surgery
Follow-up 6, 12 months
( For analyses, 12 month
period considered the “end
of the intervention”)
Goals from Part II of
the GRWQb
No association between
weight loss goal (happy
weight) and weight Loss
at the end of the
intervention

(Note: Lower acceptable
weight loss goals were
associated with greater
weight loss at 12
months)
White (2011)60 N=84 African American
females
Mean age 49 years
Mean BMI 37 kg/m2
One-group pre-post design
assessing the effects of group
behavioral weight loss
intervention
Treatment: 6 months.
Follow-up: 6 months
Goals from Part II of
the GRWQb:
No association
between weight loss goal(happy
weight) and weight loss
at the end of the
intervention
a

Follow-up assessments are post-baseline.

b

Part II of the Goals and Relative Weight Questionnaire (GRWQ); 7 assesses the following weight goals: Dream Weight: A weight you would choose if you could weigh whatever you wanted; Happy Weight: This weight is not as ideal as the first one [dream]. It is a weight, however, that you would be happy to achieve; Acceptable Weight: A weight that you would not be particularly happy with, but one that you could accept, since it is less that your current weight; Disappointed Weight: A weight that is less than your current weight, but one that you could not view as successful in any way. You would be disappointed if this were your final weight after the program

c

Results reported are for all treatment groups collapsed (when applicable) unless otherwise specified.