Research

Adherence

Higher treatment attendance, greater physical activity, and lower calorie intake are associated with the maintenance of ≥10% weight loss over 4 years.

To maintain weight loss, prioritize regular attendance at counseling sessions, engage in at least 175 minutes of moderate physical activity per week, and maintain a calorie-controlled diet. These behaviors are strongly linked to long-term success.

WeakSupportsHIGH confidence
Participants who maintained the loss, compared with those who did not, attended more treatment sessions and reported more favorable physical activity and food intake at year 4.
Thomas A. Wadden et al. · Obesity · 2011

Why this rating

Based on RCT data with detailed behavioral measures.

Source

Four‐Year Weight Losses in the Look AHEAD Study: Factors Associated With Long‐Term Success

Thomas A. Wadden et al. · Obesity · 2011

DOI 10.1038/oby.2011.230

rct · n=5145Cited 463×
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DOI resolved against Crossref · corpus check 2026-06-10

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