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“95% of All Diets Fail”: The Evidence for Weight Loss Maintenance

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  1. Caplan W, Bowman JD, Pronk NP. Weight-Loss Outcomes: A Systematic Review and Meta-Analysis of Weight-Loss Clinical Trials with a Minimum 1-Year Follow-Up. 2007;67(2):177-185.
  2. Wing RR, Hill JO. Successful weight loss maintenance. Annu Rev Nutr 2001;21:323–41.
  3. Wing RR, Phelan S. Long-term weight loss maintenance. Am J Clin Nutr. 2005;82(1):222S–225S.
  4. Mcguire MT, Wing RR, Klem ML, Lang W, Hill JO. What Predicts Weight Regain in a Group of Successful Weight Losers? J Consult Clin Psychol.1999;67(2):177–85.
  5. Wadden TA, Neiberg RH, Wing RR, Clark JM, Delahanty LM, Hill JO, et al. Four-year weight losses in the look AHEAD study: Factors associated with long-term success. Obesity [Internet]. 2011;19(10):1987–98.
  6. The Look AHEAD Research Group. Eight-Year Weight Losses with an Intensive Lifestyle Intervention: The Look AHEAD Study. Obesity. 2014;22(1):5–13.
  7. Hall KD, Kahan S. Maintenance of Lost Weight and Long-Term Management of Obesity. Med Clin North Am. 2018 Jan;102(1):183-197.
  8. Anderson JW, Konz EC, Frederich RC, Wood CL. Long-term weight-loss maintenance: a meta-analysis of US studies. Am J Clin Nutr. 2001;74(5):579–584.
  9. Westenhoefer J, Falck B Von, Stellfeldt A, Fintelmann S. Behavioural correlates of successful weight reduction over 3 y. Results from the Lean Habits Study. Int J Obes Relat Metab Disord. 2004;334–5.
  10. Wing RR, Papandonatos G, Fava JL, Gorin AA, Phelan S, Mccaffery J, et al. Maintaining Large Weight Losses : The Role of Behavioral and Psychological Factors. J Consult Clin Psychol. 2008;76(6):1015–21.
  11. Hamman, R., Wing, R., Edelstein, S., Lachin, J., Bray, G., Delahanty, L., Hoskin, M., Kriska, A., Mayer-Davis, E., Pi-Sunyer, X., Regensteiner, J., Venditti, B. and Wylie-Rosett, J. Effect of Weight Loss With Lifestyle Intervention on Risk of Diabetes. Diabetes Care. 2006;29(9):2102-2107.
  12. Lindstrom, J. (2003). Prevention of Diabetes Mellitus in Subjects with Impaired Glucose Tolerance in the Finnish Diabetes Prevention Study: Results From a Randomized Clinical Trial. J Am Soc Nephrol. 2003;14(90002):108S-113.
  13. The Look AHEAD Research Group. (2006). The Look AHEAD Study: A Description of the Lifestyle Intervention and the Evidence Supporting It. Obesity. 2006;14(5):737–752
  14. Casazza K, Fontaine KR, Astrup A, Birch LL, Brown AW, Bohan Brown MM, et al. Myths, Presumptions, and Facts about Obesity. N Engl J Med. 2013;368(5):446–54.
  15. Astrup A, Rossner S. Lessons from obesity management programmes: greater initial weight loss improves long-term maintenance. Int J Dermatol. 2000;53(8):952–5.
  16. Toubro S, Astrup A. Randomised comparison of diets for maintaining obese subjects’ weight after major weight loss: ad lib, low fat, high carbohydrate diet v fixed energy intake. Br Med J. 1997;314(7073):13–8.
  17. Nackers LM, Perri MG. The Association Between Rate of Initial Weight Loss and Long-Term Success in Obesity Treatment: Does Slow and Steady Win the Race? Int J Behav Med. 2010;17(3):161–7.
  18. Purcell K, Sumithran P, Prendergast LA, Bouniu CJ, Delbridge E, Proietto J. The effect of rate of weight loss on long-term weight management: A randomised controlled trial. Lancet Diabetes Endocrinol. 2014;2(12):954–62.
  19. Palascha A, Van Kleef E, Van Trijp HCM. How does thinking in Black and White terms relate to eating behavior and weight regain? J Health Psychol. 2015;20(5):638–48.
  20. Ayyad C, Andersen T. Long-term efficacy of dietary treatment of obesity: a systematic review of studies published between 1931 and 1999. Obes Rev. 2000;1:113–9.
  21. Svetkey L, Stevens VJ, Brantley PJ, Appel LJ, Hollis JF, Loria CM, et al. Comparison of Strategies for Sustaining Weight Loss. JAMA. 2008;299(10):1139–48.
  22. Wadden TA, Foster GD, Letizia KA. One-Year Behavioral Treatment of Obesity : Comparison of Moderate and Severe Caloric Restriction and the Effects of Weight Maintenance Therapy. 1994;62(1):165–71.
  23. Weiss, E. C., Galuska, D. A., Kettel Khan, L., Gillespie, C., & Serdula, M. K. Weight Regain in U.S. Adults Who Experienced Substantial Weight Loss, 1999-2002. American Journal of Preventive Medicine. 2007;33(1):34–40.
  24. Lazzeretti L. Assessment of psychological predictors of weight loss: How and what for? World J Psychiatry [Internet]. 2015;5(1):56.
  25. Daniali, S. Azadbakht, L. Mostafavi, F. Relationship between body satisfaction with self-esteem and unhealthy body weight management. J Educ Health Promot. 2013;2:29.
  26. Byrne S, Cooper Z, Fairburn C. Weight maintenance and relapse in obesity: a qualitative study. Int J Obes Relat Metab Disord 2003;27:955-962.
  27. Pearl RL, Wadden TA, Hopkins CM, Shaw JA, Hayes MR, Bakizada ZM, et al. Association between weight bias internalization and metabolic syndrome among treatment-seeking individuals with obesity. Obesity. 2017;25(2):317–22.