Research
Adherence
When inequalities in behavioral weight management interventions do exist, they tend to favor 'more advantaged' groups (e.g., older, higher SES, employed) in terms of trial uptake, intervention adherence, and trial attrition.
If you are from a 'less advantaged' background (e.g., lower income, rural, younger), you may face higher barriers to starting or sticking with a weight loss program. This is not a reflection of your ability but of the program's design requiring high personal agency. Seek programs that reduce these barriers.
GoodSupportsHIGH confidence
If a gradient was observed for trial uptake, intervention adherence, and trial attrition, those considered 'more advantaged' did best.
Why this rating
Based on narrative synthesis of 103 RCTs, with specific subgroup analyses.
Source
A systematic review of inequalities in the uptake of, adherence to, and effectiveness of behavioral weight management interventions in adults
Jack M Birch et al. · Obesity Reviews · 2022
systematic_review · n=36805Cited 60×
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