{"id":40878,"date":"2009-04-01T00:00:00","date_gmt":"2018-12-04T01:23:29","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/adherence-and-success-in-long-term-weight-loss-diets-the-dietary\/"},"modified":"2018-12-04T02:23:29","modified_gmt":"2018-12-04T01:23:29","slug":"adherence-and-success-in-long-term-weight-loss-diets-the-dietary","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/adherence-and-success-in-long-term-weight-loss-diets-the-dietary\/","title":{"rendered":"Adherence and success in long-term weight loss diets: the dietary intervention randomized controlled trial (DIRECT)."},"content":{"rendered":"<p style=\"text-align: justify\"><strong>BACKGROUND:<\/strong><br \/>\nData are limited as to whether participants in diet trials truly adhere to their assigned diet and the factors that affect their adherence.<\/p>\n<p style=\"text-align: justify\"><strong>METHODS:<\/strong><br \/>\nWe evaluated success and adherence in a two-year dietary intervention randomized controlled trial (DIRECT) in which 322 moderately obese participants (mean age 52 yrs, mean body-mass-index (BMI) 31 kg\/m(2), 86% men) were randomized to one of three groups: low-fat, Mediterranean, or low-carbohydrate diets.<\/p>\n<p style=\"text-align: justify\"><strong>RESULTS:<\/strong><br \/>\nOverall compliance at month-24 was 85%, with 90% in low-fat, 85% in Mediterranean, and 78% in low-carbohydrate diet (p = .042 between groups). Attrition was higher in women (29% vs. 14% men, p = .001) and current smokers (25% vs. 14% among maintainers, p = 0.04). In a multivariate model, independent predictors of dropping-out were: higher baseline BMI (OR = 1.11; CI: 1.03-1.21) and less weight loss at month-6 (OR = 1.20; CI: 1.1-1.3). In a multivariate model, greater weight loss achieved at month-6 was the main predictor associated with success in weight loss (&gt; 5%) over 2 years (OR = 1.5; CI: 1.35-1.67). Self-reported complete adherence score to diet was greater on low-carbohydrate diet (p &lt; .05 compared to low-fat) until month-6, but dropped overall from 81% at month-1 to 57% at month-24. Holidays were a trigger to a significant decrease in adherence followed by a partial rebound. Changes in diet composition from month-1 to month-12 were more pronounced in the multi-stage low-carbohydrate diet-group (p &lt; .05). Generally, the most irresistible restricted food items were cookies (45% of dieters) and fruits (30%). Among the physically active (n = 107), 44% reported a tendency to eat less after exercising compared to 10% who tended to eat more.<\/p>\n<p style=\"text-align: justify\"><strong>CONCLUSION:<\/strong><br \/>\nInitial 6-month reduction in weight is the main predictor of both long-term retention and success in weight loss. Special attention is needed for women, current smokers, and during holidays. Physical activity is associated with subsequent reduction in energy intake.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-40878","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"S. Daniel Abraham International Center for Health and Nutrition, Department of Epidemiology and Health Systems Evaluation, Ben-Gurion University of the Negev, P.O. Box 653, Beer-Sheva 84105, ISRAEL.","annee":"2009","mois":"4","numero":"28:2","page":"159-68","auteurs":[{"ID":26627,"post_author":"0","post_date":"2018-12-03 22:41:11","post_date_gmt":"2018-12-03 21:41:11","post_content":"","post_title":"M J Stampfer","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"m-j-stampfer","to_ping":"","pinged":"","post_modified":"2018-12-03 22:41:11","post_modified_gmt":"2018-12-03 21:41:11","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/m-j-stampfer\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":29604,"post_author":"0","post_date":"2018-12-03 23:21:08","post_date_gmt":"2018-12-03 22:21:08","post_content":"","post_title":"Dan Schwarzfuchs","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"dan-schwarzfuchs","to_ping":"","pinged":"","post_modified":"2018-12-03 23:21:08","post_modified_gmt":"2018-12-03 22:21:08","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/dan-schwarzfuchs\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":40877,"post_author":"0","post_date":"2018-12-04 02:23:28","post_date_gmt":"2018-12-04 01:23:28","post_content":"","post_title":"Greenberg","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"greenberg","to_ping":"","pinged":"","post_modified":"2018-12-04 02:23:28","post_modified_gmt":"2018-12-04 01:23:28","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/greenberg\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":32368,"post_author":"0","post_date":"2018-12-03 23:58:08","post_date_gmt":"2018-12-03 22:58:08","post_content":"","post_title":"J AM COLL NUTR","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"j-am-coll-nutr-2","to_ping":"","pinged":"","post_modified":"2018-12-03 23:58:08","post_modified_gmt":"2018-12-03 22:58:08","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/j-am-coll-nutr-2\/","menu_order":0,"post_type":"source","post_mime_type":"","comment_count":"0","filter":"raw"}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.6 (Yoast SEO v23.6) - 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