Research
Adherence
High early engagement with a commercial weight-loss program (defined as meeting weekly coach call and daily website login goals within the first 3 months) significantly increases the odds of long-term retention (6 and 12 months).
To stay in a commercial weight-loss program, focus heavily on the first three months. Make sure you are completing all scheduled coach calls and logging into the website daily. This early engagement is the strongest predictor of whether you will stick with the program long-term.
GoodSupportsHIGH confidence
Greater number of coach calls and website logins during the first 3 months significantly increased the odds of long-term retention... meeting the coach call goal (OR 3.27... P = 0.008) and meeting the website login goal (OR 1.48... P < 0.001) significantly increased the odds of 6-month retention.
Why this rating
Large sample size (n=4782), multivariate logistic regression controlling for clustering, but observational design limits causal inference.
Source
Long‐term retention in an employer‐based, commercial weight‐loss programme
Eleanore Alexander et al. · Clinical Obesity · 2018
DOI 10.1111/cob.12284
cohort · n=4782Cited 2×
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
More from this paper
- Achieving early weight-loss success (≥5% loss at 6 months) significantly increases the odds of long-term retention, while early weight-loss failure (≥0% change at 1 month) significantly decreases it.Good
- Having one or more chronic conditions (hypertension, dyslipidaemia, dysglycaemia, sleep apnoea, or depression) significantly decreases the odds of long-term retention in a commercial weight-loss program.Good
Related findings · Adherence
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- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →