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. 2017 Jul 4;2017:2085136. doi: 10.1155/2017/2085136

Table 2.

Studies evaluating the effect of the holiday period on body weight in adults attempting to lose weight or motivated self-monitoring people.

Author, year, and country Number of participants, age, sex, BMI, and prevalence of overweight/obesity Date of measurementsa Sample, masking of participants, retentionb Mean weight change
± SD
p valuec
Andersson and Rössner 
1992
Sweden
46 adults
20–70 years

Men = 28%
Women = 72%
BMI = 36.8 ± 6.6 kg/m2
Obese = 100%

76 adults
20–70 years

Men = 28%
Women = 72%
BMI = 22.9 ± 2.6 kg/m2
Obesity not reported
Initial measurement: before Christmas.

Final measurement: after January 6th.

(3 weeks between data collected).
Subjects participating in a maintenance program for obesity. Masking only in this group.


Subjects from the hospital staff who participated as control group (not attempting to lose weight).


Yes.

Retention not reported.
0.6 ± 2.4 kg



0.4 ± 0.8 kg
NS



p < 0.001

Boutelle et al.
1999
United States
57 adults
44.5 ± 10.0 years

Men = 28%
Women = 72%

BMI = 35.5 ± 7.3 kg/m2

Obese = 100%
(initial BMI 35.5 ± 7.3 kg/m2 and a mean weight loss of 15.1 ± 12.4 kg)
Specific dates not reported, but describe changes during 8 weeks of holiday season (early December to last days of January). Subjects participating in long-term cognitive-behavioral treatment program, assigned to receive an intervention for improving consistency of self-monitoring.

Subjects participating in long-term cognitive-behavioral treatment program without receiving the intervention for improving consistency of self-monitoring.

No.

Retention 88%.
−0.9 ± 2.45 kg







0.9 ± 3.49 kg
p = 0.007 (between groups comparisons)

Watras et al.
2007
United States
22 adults
18–44 years

Men = 23%
Women = 77%
BMI = 27.6 ± 1.8 kg/m2
Overweight = 100%


18 adults
18–44 years

Men = 17%
Women = 83%
BMI = 28.0 ± 2.2 kg/m2
Overweight = 100%
Specific dates of measurements not described, but reported the increase in kg/month during holiday season (November and December). Subjects who participated in a randomized trial evaluating conjugated linoleic acid for fat loss


Subjects from the placebo control group.

No.

Retention 83%.
−0.1 kgd  







0.6 kgd
p = 0.01 (between groups comparisons)

Squires

2007

United States
217 adults

Age, sex, BMI, and prevalence of overweight/obesity not reported
Initial measurement: at the beginning of the challenge.

Final measurement: at the end of the challenge.

(data collected between Thanksgiving and New Year).
Subjects participating in a weight maintenance challenge.

No.

Retention 75%.
−1.0 kgd NR

Phelan et al.
2008
United States
167 adults
47.5 ± 11.5 years

Men = 25%
Women = 75%
BMI = 25.5 ± 6.4 kg/m2

Obese = 100%, (maximum BMI = 37.4 ± 9.4 kg/m2 and a mean weight loss of 34.9 ± 16.5 kg)

90 adults
45.5 ± 13.9 years

Men = 25%
Women = 75%
BMI = 21.8 ± 1.9 kg/m2
Normal weight = 100%
Initial measurement: early November.


After holiday measurement: early January.
Successful weight losers from the National Weight Control Registry.



Normal weight individuals not attempting to lose weight.

No.

Retention 94% and 89%.
0.7 ± 1.8 kg






0.2 ± 1.0 kg
NS






NS

García et al.
2013.
Spain
215 adults

14–70 years

Men = 37%
Women = 63%

BMI = 28.0 ± 2.22 kg/m2

Overweight or obese = 100%
Initial measurement: a couple of days before December 25th.

Final measurement: a couple of days after January 5th.

(2 weeks between measurements).
Individuals receiving treatment for obesity

No.

From 258 patients, 215 were measured on both occasions.
0.29 ± 1.33 kg p < 0.05

Helander et al. 2016.

United States, Germany and Japan
United States: 1781 adults
Age = 42.2 years

Men = 66%
Women = 34%
BMI = 27 ± 5.2 kg/m2
Obese = 24%

Germany: 760 adults
Age = 42.9 years

Men = 66%
Women = 34%
BMI = 26.6 ± 4.9 kg/m2
Obese = 19%

Japan: 383 adults
Age = 41.6 years

Men = 74%
Women = 26%
BMI = 24.7 ± 4.7 kg/m2
Obese = 11%
Initial measurement: ten days before Christmas.


Final measurement: ten days after Christmas.
From a random sample of 10,000 Withings weight scale users, 2924 subjects were analyzed after the exclusion criteria were applied.



Yes.
United States: 0.4%  kgd,e


Germany: 0.6% kgd,e




Japan: 0.5% kgd,e
p < 0.001 




p < 0.001





p = 0.005

aWeight of participants in all studies was measured as part of the study, except for Andersson and Rössner 1992 (self-report in individual charts), Phelan et al. 2008 (self-report via questionnaire), and Helander et al. 2016 (scale saves the weight of the individual and sends it to network servers). bMasking: the participants did not know that the study objective was to evaluate the effect of holidays on obesity parameters; cp value derived from comparisons before and after analysis, except when specified; dSD not reported. eWeight reported by percent of weight, because authors of the study did not report kilograms; BMI: body mass index. NS: not significant. NR: not reported.