Skip to main content

Lessons Learned From the National Weight Control Registry

  • Chapter
Treatment of the Obese Patient

Part of the book series: Contemporary Endocrinology ((COE))

Abstract

The National Weight Control Registry (NWCR) is a registry of more than 6000 individual s who have succeeded in long-term weight loss. This is the largest group of successful weight loss maintainers that has ever been studied. Over the past decade, we have identified many similarities in how these individuals are managing their body weight. We think this information can be useful in helping more people succeed at long-term weight management. We have eight recommendations for weight management based on our research: (1) treat weight-loss maintenance differently from weight loss; (2) make sure you are physically active during weight loss; (3) low-fat diets are best for preventing weight regain; (4) eat breakfast every day; (5) weigh yourself regularly and periodically keep diet and physical activity diaries; (6) get at least 1 h each day of physical activity; (7) maintain a consistent eating pattern; and (8) limit television viewing.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Dansinger ML, Gleason JA, Griffith JL, et al. Comparison of the Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction: a randomized trial. JAMA 2005;293:43–53.

    Article  PubMed  CAS  Google Scholar 

  2. Foster GD, Wyatt HR, Hill JO, et al. A multi-center, randomized, controlled clinical trial of the Atkins diet. N Engl JMed 2003;348:282–290.

    Article  Google Scholar 

  3. Klem ML, Wing RR, McGuire MT, et al. A descriptive study of individuals successful at long-term maintenance of substantial weight loss. Am J Clin Nutr 1997;66:239–246.

    PubMed  CAS  Google Scholar 

  4. Shick SM, Wing RR, Klem ML, et al. Persons successful at long-term weight loss and maintenance continue to consume a low calorie, low fat diet. J Am Dietetic Assn 1998;98:408–413.

    Article  CAS  Google Scholar 

  5. McGuire MT, Wing RR, Klem ML, et al. Long-term maintenance of weight loss: Do people who lose weight through various weight loss methods use different behaviors to maintain their weight? Int J Obes 1998:22:572–577.

    Article  CAS  Google Scholar 

  6. Klem ML, Wing RR, McGuire MT, et al. Psychological symptoms in individuals successful at long-term maintenance of weight loss. Health Psych 1998;17:336–345.

    Article  CAS  Google Scholar 

  7. Wyatt HR, Grunwald GK, Seagle HM, et al. Resting energy expenditure in reduced-obese subjects in the National Weight Control Registry. Am J Clin Nutr 1999;69:1189–1193.

    PubMed  CAS  Google Scholar 

  8. McGuire MT, Wing RR, Klem ML, et al. What predicts weight regain among a group of successful weight losers? J Consul Clin Psych 1999;67:177–185.

    Article  CAS  Google Scholar 

  9. McGuire MT, Wing RR, Hill JO. The prevalence of weight loss maintenance among American adults. Int J Obes 1999; 12:1314–1319.

    Google Scholar 

  10. McGuire MT, Wing RR, Klem ML, et al. The behavioral characteristics of individuals who lose weight unintentionally. Obes Res 1999;7:485–490.

    PubMed  CAS  Google Scholar 

  11. McGuire MT, Wing RR, Klem ML, et al. Behavioral strategies of individuals who have maintained long-term weight losses. Obes Res 1999;7:334–341.

    PubMed  CAS  Google Scholar 

  12. Klem ML, Wing RR, Chang CH, et al. A case-control study of successful maintenance of a substantial weight loss: Individuals who lost weight through surgery versus those who lost weight through non-surgical means. Int J Obes 2000;24:573–579.

    Article  CAS  Google Scholar 

  13. Klem ML, Wing RR, Lang W, et al. Does weight loss maintenance become easier over time? Obes Res 2000;8:438–442.

    Article  PubMed  CAS  Google Scholar 

  14. Wing R, Hill JO. Successful weight maintenance. Annual Rev Nutr 2001;21(33):323–341.

    Article  CAS  Google Scholar 

  15. Wyatt HR, Grunwald GK, Mosca CL, et al. Long-term weight loss and breakfast in subjects in the National Weight Control Registry. Obes Res 2002;10:78–82.

    PubMed  Google Scholar 

  16. Phelan S, Hill JO, Lang W, et al. Recovery from relapse among successful weight maintainers. Am J Clin Nutr 2003;78:1079–1084.

    PubMed  CAS  Google Scholar 

  17. Gorin AA, Phelan S, Hill JO, et al. Medical triggers are associated with better short-and long-term weight loss outcomes. Prev Med 2004;39:612–616.

    Article  PubMed  Google Scholar 

  18. Gorin AA, Phelan S, Wing RR, et al. Promoting long-term weight control: does dieting consistency matter? Int J Obes 2004;28:278–281.

    CAS  Google Scholar 

  19. DelParigi A, Chen K, Salbe AD, et al. Persistence of abnorm al neural responses to a meal inpostobese individuals. Int J Obes 2004;28:370–377.

    Article  CAS  Google Scholar 

  20. Raynor HA, Jeffery RW, Phelan S, et al. Amount of food group variety consumed in the diet and longterm weight loss maintenance. Obes Res 2005; 13:883–890.

    PubMed  Google Scholar 

  21. Wing RR. Physical activity in the treatment of the adulthood overweight and obesity: current evidence and research issues. Med Sci Sports Exerc 1999;31(Suppl.):S547–S552.

    PubMed  CAS  Google Scholar 

  22. Phelan S, Wyatt HR, Hill JO, and Wing R. Are the eating and exercise habits of successful weight losers changing? Obesity 2006;14:710–716.

    PubMed  Google Scholar 

  23. Wyatt HR, Donahoo WT, Grunwald GK, et al. Average steps per day for long-term weight loss in the National Weight Control Registry. Obes Res 2001;9:192s (Abstract)

    Google Scholar 

  24. Raynor DA, Phelan S, Hill DO, and Wing RR. Television viewing and long-term maintenance: results from the National Weight Control Registry. Obesity 2006; in press.

    Google Scholar 

  25. 25. Nielson Media Research 2000. Nielson Report on Television. Nielson Media Research New York: 2000.

    Google Scholar 

  26. Stern L, Iqbal N, Seshadri P, et al. The effects of a low-carbohydrate versus conventional weight loss in severely obese adults: one-year follow-up of a randomized trial. Ann Intern Med 2004;140:778–785.

    PubMed  Google Scholar 

  27. Heska S, Anderson JW, Atkinson RL, et al. Self help weight loss vs a structured commercial program: a randomized, controlled two-year trial. JAMA 2003;289:1799–1805.

    Article  Google Scholar 

  28. Bailor DL, Keesey RE. A meta-analysis of the factors affecting exercise-induced changes in body mass, fat mass, and fat-free mass in males and females. Int J Obes 1991;15:717–726.

    Google Scholar 

  29. Lissner L, Levitsky DA, Strupp BJ, et al. Dietary fat and the regulation of energy intake in human subjects. Am J Clin Nutr 1987;46(6):886–892.

    PubMed  CAS  Google Scholar 

  30. Stubbs RJ, Harbron CG, Murgatroyd PR, et al. Covert manipulation of dietary fat and energy density:effect on substrate flux and food intake in men eating ad libitum. Am J Clin Nutr 1995; 62(2): 316–329.

    PubMed  CAS  Google Scholar 

  31. Thomas CD, Peters JC, Reed GW, et al. Nutrient balance and energy expenditure during ad libitum feeding of high-fat and high-carbohydrate diets in humans. Am J Clin Nutr 1992;55(5):934–942.

    PubMed  CAS  Google Scholar 

  32. Rolls BJ, Bell EA. Intake of fat and carbohydrate: role of energy density. Eur J Clin Nutr 1999;53(suppl. 1):S166–S173.

    Article  PubMed  Google Scholar 

  33. Cho S, Dietrich M, Brown CJP, et al. The effect of breakfast type on total daily energy intake and body mass index: results from the third National Health and Nutrition Examination Survey (NHANES III). J Am Coll Nutr 2003;22:296–302.

    PubMed  Google Scholar 

  34. Affenito SG, Thompson DR, Barton BA, et al. Breakfast consumption by African-american and white adolescent girls correlates positively with calcium and fiber intake and negatively with body mass index. J Am Diet Assn 2005; 105:938–945.

    Article  CAS  Google Scholar 

  35. deCastro JM. The time of day of food intake infl uences overal 1 intake in humans. J Nutr 2004; 134:104–111.

    CAS  Google Scholar 

  36. Linde JA, Jeffery JW, French SA, et al. Self weighing in weight gain prevention and weight loss trials. Ann Behav Med 2005;30:210–216.

    Article  PubMed  Google Scholar 

  37. Baker RC, Kirschenbaum DS. Self-monitoring may be necessary for successful weight control. Behav Ther 1993;24:377–394.

    Article  Google Scholar 

  38. Saris WHM, Blair SN, van Baak MA, et al. How much physical activity is enough to prevent unhealthy weight gain? Outcome of the IASO 1st Stock Conference and consensus statement. Obes Rev 2003;4:101–114.

    Article  PubMed  CAS  Google Scholar 

  39. Jakicic JM, Marcus BH, Gallagher Kl, et al. Effect of exercise duration and intensity on weight loss in overweight, sedentary women. A randomized trial. JAMA 2003;290:1323–1330.

    CAS  Google Scholar 

  40. Mayer J, Purnima R, Mitra KP. Relation between caloric intake, body weight and physical work: studies in an industrial male population in West Bengal. Am J Clin Nutr 1956;4:169–175.

    PubMed  CAS  Google Scholar 

  41. Cameron AJ, Welborn TA, Zimmet PZ, et al. Overweight and obesity in Australia: The 1999-2000 Australian diabetes, obesity, and lifestyle study. Med J Aus 2003; 178:427–432.

    Google Scholar 

  42. Hu FB, Li TY, Colditz GA, et al. Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. JAMA 2003;290:1785–1791.

    Article  Google Scholar 

  43. Jakes RW, Day NE, Khaw KT, et al. Television viewing and low participation in vigorous recreation are independently associated with obesity and markers of cardiovascular disease risk: EPIC-Norfolk population-based study. Eur J Clin Nutr 2003;57:1089–1096.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Humana Press Inc., Totowa, NJ

About this chapter

Cite this chapter

Hill, J.O., Wyatt, H.R., Phelan, S., Wing, R.R. (2007). Lessons Learned From the National Weight Control Registry. In: Kushner, R.F., Bessesen, D.H. (eds) Treatment of the Obese Patient. Contemporary Endocrinology. Humana Press. https://doi.org/10.1007/978-1-59745-400-1_21

Download citation

  • DOI: https://doi.org/10.1007/978-1-59745-400-1_21

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-735-8

  • Online ISBN: 978-1-59745-400-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics