Adherence
A structured weight loss program providing free prepared meals and incentivized counseling significantly increases weight loss and maintenance compared to usual care in overweight/obese women.
To achieve significant and sustained weight loss, consider a structured program that provides prepackaged meals and regular counseling. This study shows that removing the burden of meal planning and providing financial incentives for attendance can lead to nearly 8% body weight loss over two years, far exceeding standard self-directed efforts. While commercial programs have costs, the structural support (food + counseling) is key to adherence.
Compared with usual care, this structured weight loss program resulted in greater weight loss over 2 years.
Why this rating
Randomized controlled trial with high retention (92.1%) and intent-to-treat analysis.
Source
Effect of a Free Prepared Meal and Incentivized Weight Loss Program on Weight Loss and Weight Loss Maintenance in Obese and Overweight Women
Cheryl L. Rock et al. · JAMA · 2010
DOI 10.1001/jama.2010.1503
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