Table 3.
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 |
Follow-up assessments are post-baseline.
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
Results reported are for all treatment groups collapsed (when applicable) unless otherwise specified.