Effects of lifestyle interventions and long-term weight loss on lipid outcomes: a systematic review

L Aucott, D Gray, H Rothnie, M Thapa, C Waweru

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Weight and lipids are critical components of the metabolic syndrome, diabetes and cardiovascular disease. Past reviews considering weight loss on lipid profiles have been for =1 year follow-up and/or were for very overweight, obese or morbidly obese participants. This systematic review includes lifestyle interventions for adults (18-65 years), with a mean baseline BMI< 35 kg/m(2) , with weight and lipid differences over 2 years. Between 1990 and 2010, 14 studies were identified. Mean differences for weight and lipids were modest. However, weight loss at 2-3 years follow-up, produced significant beneficial lipid profile changes. These were similar to previous reviews conducted on heavier target groups and/or over shorter follow-up periods; cholesterol (1.3% decrease per kg lost) and triglycerides (1.6% fall per kg). Weight loss sustained longer than 3 years was not associated with beneficial lipid changes, suggesting that other lifestyle changes not just weight loss needs maintaining. Evidence linking lifestyle induced sustained weight loss with lipid profile changes in the long-term for this group is limited. Probable within-group differences (treatment vs prevention), would make further group separation prudent. Individual patient data analysis would facilitate this, uncover baseline, medication and confounding effects, and may identify successful program components enabling more effective obesity prevention and treatment strategies.

Original languageEnglish
Pages (from-to)e412-e425
Number of pages14
JournalObesity Reviews
Volume12
Issue number5
Early online date4 Mar 2011
DOIs
Publication statusPublished - May 2011

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Life Style
Weight Loss
Lipids
Weights and Measures
Metabolic Diseases
Triglycerides
Cardiovascular Diseases
Obesity
Cholesterol
Therapeutics

Keywords

  • Adolescent
  • Adult
  • Aged
  • Female
  • Follow-Up Studies
  • Humans
  • Life Style
  • Lipid Metabolism
  • Male
  • Middle Aged
  • Obesity
  • Weight Loss
  • Young Adult
  • Lipid Profile
  • Obesity Prevention

Cite this

Effects of lifestyle interventions and long-term weight loss on lipid outcomes : a systematic review. / Aucott, L; Gray, D; Rothnie, H; Thapa, M; Waweru, C.

In: Obesity Reviews, Vol. 12, No. 5, 05.2011, p. e412-e425.

Research output: Contribution to journalArticle

Aucott, L ; Gray, D ; Rothnie, H ; Thapa, M ; Waweru, C. / Effects of lifestyle interventions and long-term weight loss on lipid outcomes : a systematic review. In: Obesity Reviews. 2011 ; Vol. 12, No. 5. pp. e412-e425.
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