Systematic review of long-term lifestyle interventions to prevent weight gain and morbidity in adults

Tamara Joanne Brown, Alison Avenell, E Edmunds, H Moore, V Whittaker, L Avery, C Summerbell, Mandy Elaine Ryan, Luke David Vale, PROGRESS team

Research output: Contribution to journalArticle

125 Citations (Scopus)
4 Downloads (Pure)

Abstract

P>The aim of this article is to determine the effectiveness of long-term lifestyle interventions for the prevention of weight gain and morbidity in adults. Prevention of weight gain is important in adults who are of normal weight, overweight and obese. A systematic review of controlled trials of lifestyle interventions in adults with a body mass index of less than 35 kg m-2 with at least 2 years of follow-up was carried out. Eleven of 39 comparisons produced significant improvement in weight between groups at 2 years or longer with mean difference weight change ranging from -0.5 to -11.5 kg. Effective interventions included a 600 kcal/day deficit diet deficit/low-fat diet (with and without meal replacements), low-calorie diet, Weight Watchers diet, low-fat non-reducing diet, diet with behaviour therapy, diet with exercise, diet with exercise and behaviour therapy. Adding meal replacements to a low-fat diet (with and without exercise and behaviour therapy) produced significant improvement in weight. Head-to-head interventions failed to show significant effect on weight with the exception of a Mediterranean diet with behaviour therapy compared with low-fat diet. Diet with exercise and/or behaviour therapy demonstrated significant reduction in hypertension and improvement in risk of metabolic syndrome and diabetes compared with no treatment control. Lifestyle interventions demonstrated significant improvement in weight, reduction in hypertension and reduction in risk of type 2 diabetes and the metabolic syndrome.

Original languageEnglish
Pages (from-to)627-638
Number of pages12
JournalObesity Reviews
Volume10
Issue number6
Early online date14 Sep 2009
DOIs
Publication statusPublished - Nov 2009

Keywords

  • Adults
  • Obesity
  • Prevention
  • Systematic review
  • Impaired glucose-tolerance
  • Fat dietary pattern
  • Antihypertensive medication requirements
  • Randomized-controlled-trial
  • Finnish-diabetes-prevention
  • Metabolic syndrome
  • Breast-cancer
  • Physical-activity
  • High-fruit
  • Hypertension prevention

Cite this

Systematic review of long-term lifestyle interventions to prevent weight gain and morbidity in adults. / Brown, Tamara Joanne; Avenell, Alison; Edmunds, E; Moore, H; Whittaker, V; Avery, L; Summerbell, C; Ryan, Mandy Elaine; Vale, Luke David; PROGRESS team.

In: Obesity Reviews, Vol. 10, No. 6, 11.2009, p. 627-638.

Research output: Contribution to journalArticle

Brown, TJ, Avenell, A, Edmunds, E, Moore, H, Whittaker, V, Avery, L, Summerbell, C, Ryan, ME, Vale, LD & PROGRESS team 2009, 'Systematic review of long-term lifestyle interventions to prevent weight gain and morbidity in adults', Obesity Reviews, vol. 10, no. 6, pp. 627-638. https://doi.org/10.1111/j.1467-789X.2009.00641.x
Brown, Tamara Joanne ; Avenell, Alison ; Edmunds, E ; Moore, H ; Whittaker, V ; Avery, L ; Summerbell, C ; Ryan, Mandy Elaine ; Vale, Luke David ; PROGRESS team. / Systematic review of long-term lifestyle interventions to prevent weight gain and morbidity in adults. In: Obesity Reviews. 2009 ; Vol. 10, No. 6. pp. 627-638.
@article{4860bcae725747a4b732830a74fa01f1,
title = "Systematic review of long-term lifestyle interventions to prevent weight gain and morbidity in adults",
abstract = "P>The aim of this article is to determine the effectiveness of long-term lifestyle interventions for the prevention of weight gain and morbidity in adults. Prevention of weight gain is important in adults who are of normal weight, overweight and obese. A systematic review of controlled trials of lifestyle interventions in adults with a body mass index of less than 35 kg m-2 with at least 2 years of follow-up was carried out. Eleven of 39 comparisons produced significant improvement in weight between groups at 2 years or longer with mean difference weight change ranging from -0.5 to -11.5 kg. Effective interventions included a 600 kcal/day deficit diet deficit/low-fat diet (with and without meal replacements), low-calorie diet, Weight Watchers diet, low-fat non-reducing diet, diet with behaviour therapy, diet with exercise, diet with exercise and behaviour therapy. Adding meal replacements to a low-fat diet (with and without exercise and behaviour therapy) produced significant improvement in weight. Head-to-head interventions failed to show significant effect on weight with the exception of a Mediterranean diet with behaviour therapy compared with low-fat diet. Diet with exercise and/or behaviour therapy demonstrated significant reduction in hypertension and improvement in risk of metabolic syndrome and diabetes compared with no treatment control. Lifestyle interventions demonstrated significant improvement in weight, reduction in hypertension and reduction in risk of type 2 diabetes and the metabolic syndrome.",
keywords = "Adults, Obesity, Prevention, Systematic review, Impaired glucose-tolerance, Fat dietary pattern, Antihypertensive medication requirements, Randomized-controlled-trial, Finnish-diabetes-prevention, Metabolic syndrome, Breast-cancer, Physical-activity, High-fruit, Hypertension prevention",
author = "Brown, {Tamara Joanne} and Alison Avenell and E Edmunds and H Moore and V Whittaker and L Avery and C Summerbell and Ryan, {Mandy Elaine} and Vale, {Luke David} and {PROGRESS team}",
note = "The definitive version is available at www3.interscience.wiley.com.",
year = "2009",
month = "11",
doi = "10.1111/j.1467-789X.2009.00641.x",
language = "English",
volume = "10",
pages = "627--638",
journal = "Obesity Reviews",
issn = "1467-7881",
publisher = "Wiley-Blackwell",
number = "6",

}

TY - JOUR

T1 - Systematic review of long-term lifestyle interventions to prevent weight gain and morbidity in adults

AU - Brown, Tamara Joanne

AU - Avenell, Alison

AU - Edmunds, E

AU - Moore, H

AU - Whittaker, V

AU - Avery, L

AU - Summerbell, C

AU - Ryan, Mandy Elaine

AU - Vale, Luke David

AU - PROGRESS team

N1 - The definitive version is available at www3.interscience.wiley.com.

PY - 2009/11

Y1 - 2009/11

N2 - P>The aim of this article is to determine the effectiveness of long-term lifestyle interventions for the prevention of weight gain and morbidity in adults. Prevention of weight gain is important in adults who are of normal weight, overweight and obese. A systematic review of controlled trials of lifestyle interventions in adults with a body mass index of less than 35 kg m-2 with at least 2 years of follow-up was carried out. Eleven of 39 comparisons produced significant improvement in weight between groups at 2 years or longer with mean difference weight change ranging from -0.5 to -11.5 kg. Effective interventions included a 600 kcal/day deficit diet deficit/low-fat diet (with and without meal replacements), low-calorie diet, Weight Watchers diet, low-fat non-reducing diet, diet with behaviour therapy, diet with exercise, diet with exercise and behaviour therapy. Adding meal replacements to a low-fat diet (with and without exercise and behaviour therapy) produced significant improvement in weight. Head-to-head interventions failed to show significant effect on weight with the exception of a Mediterranean diet with behaviour therapy compared with low-fat diet. Diet with exercise and/or behaviour therapy demonstrated significant reduction in hypertension and improvement in risk of metabolic syndrome and diabetes compared with no treatment control. Lifestyle interventions demonstrated significant improvement in weight, reduction in hypertension and reduction in risk of type 2 diabetes and the metabolic syndrome.

AB - P>The aim of this article is to determine the effectiveness of long-term lifestyle interventions for the prevention of weight gain and morbidity in adults. Prevention of weight gain is important in adults who are of normal weight, overweight and obese. A systematic review of controlled trials of lifestyle interventions in adults with a body mass index of less than 35 kg m-2 with at least 2 years of follow-up was carried out. Eleven of 39 comparisons produced significant improvement in weight between groups at 2 years or longer with mean difference weight change ranging from -0.5 to -11.5 kg. Effective interventions included a 600 kcal/day deficit diet deficit/low-fat diet (with and without meal replacements), low-calorie diet, Weight Watchers diet, low-fat non-reducing diet, diet with behaviour therapy, diet with exercise, diet with exercise and behaviour therapy. Adding meal replacements to a low-fat diet (with and without exercise and behaviour therapy) produced significant improvement in weight. Head-to-head interventions failed to show significant effect on weight with the exception of a Mediterranean diet with behaviour therapy compared with low-fat diet. Diet with exercise and/or behaviour therapy demonstrated significant reduction in hypertension and improvement in risk of metabolic syndrome and diabetes compared with no treatment control. Lifestyle interventions demonstrated significant improvement in weight, reduction in hypertension and reduction in risk of type 2 diabetes and the metabolic syndrome.

KW - Adults

KW - Obesity

KW - Prevention

KW - Systematic review

KW - Impaired glucose-tolerance

KW - Fat dietary pattern

KW - Antihypertensive medication requirements

KW - Randomized-controlled-trial

KW - Finnish-diabetes-prevention

KW - Metabolic syndrome

KW - Breast-cancer

KW - Physical-activity

KW - High-fruit

KW - Hypertension prevention

U2 - 10.1111/j.1467-789X.2009.00641.x

DO - 10.1111/j.1467-789X.2009.00641.x

M3 - Article

VL - 10

SP - 627

EP - 638

JO - Obesity Reviews

JF - Obesity Reviews

SN - 1467-7881

IS - 6

ER -