Open AccessInitial weight loss goals: have they changed and do they matter?
Author(s) -
Lent M. R.,
Vander Veur S. S.,
Peters J. C.,
Herring S. J.,
Wyatt H. R.,
Tewksbury C.,
Wojtanowski A. C.,
Hill J. O.,
Foster G. D.
Publication year - 2016
Publication title -
obesity science and practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.654
H-Index - 14
ISSN - 2055-2238
DOI - 10.1002/osp4.45
Subject(s) - weight loss , attrition , medicine , psychosocial , weight management , obesity , body weight , gerontology , physical therapy , psychiatry , dentistry
Summary Objective Nearly 20 years ago, participants in behavioural weight loss programmes reported goals that greatly exceeded the amount of weight typically produced by these programmes. Whether having unrealistic weight loss goals impacts weight loss or attrition is unclear. The intent of the current study was to revisit current weight loss goals and examine whether goals impact outcomes. Methods Adults ( N = 308, BMI = 33.7 ± 4.2 kg/m 2 ) participated in a 12‐month behavioural weight management programme and completed questionnaires about their goals. Results Participants' weight loss goal was 19.8 ± 7.9% of their body weight, and 90.4% selected a goal ≥10%. Weight goals were not associated with weight loss at 3 ( p = 0.75) or 12 months ( p = 0.47), or from 3 to 12 months ( p = 0.55). Weight loss goals were not related to attrition at 3 ( p = 0.91) or 12 months ( p = 0.86). Participants believed that weight reduction would positively impact their health and psychosocial functioning. Conclusion Weight loss goals have decreased, but still greatly exceed what can be expected by most. Unrealistic goals, however, had no impact on weight loss or attrition. These results question the utility of counseling people with obesity to set more realistic weight loss goals, which is typically practiced in behavioural weight management.