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The study identifies behaviors associated with weight loss maintenance six months after completing an online weight management program. The findings have potential to inform the promotion and ongoing support of behaviors that foster weight loss maintenance. Methods: A retrospective cohort design was employed for responses submitted between October 2013 and July 2014 to a follow-up survey of participants in an online weight management program. Participants’ weights at the start of the program (W1), at the end of the program (W2) and six months after the program (W3) were used to create three outcome subgroups: Maintenance (W3 ≤ W2 ≤ W1), Post-program loss (W3<W2 ≤ W1) and Clinically significant maintenance (W3 ≤ W2 ≤ W1 where W3 ≤ 0.95W1). Chi-squared tests were used to determine associations (p<.05) between these outcome subgroups and behaviors adopted and continued as a result of the program. Results: Eight of 15 weight management behaviors assessed were associated with one or more outcome subgroups while four behaviors (limiting portion sizes, eating vegetables, and mindfulness of healthy eating and physical activity) were associated with all three outcome subgroups. Conclusion: Study findings identify behaviors that should be fostered as part of a sustained response to overweight and obesity. The identified mindfulness and healthy eating behaviors should be emphasized throughout a weight management curriculum to encourage participants to adopt behaviors that will contribute to their sustained success.

Behaviors Predictive of Weight Loss Maintenance: Six-Month Follow up of an Online Weight Management Program