Adherence

A self-regulation program emphasizing daily self-weighing and behavioral adjustment significantly reduces the risk of regaining 2.3 kg or more over 18 months compared to standard newsletters, with face-to-face delivery being superior to internet delivery for minimizing total weight regain.

To maintain weight loss, you must actively monitor your weight daily and adjust your diet or exercise if you gain more than 1.4 kg. Use a self-regulation system: stay in the 'green zone' (maintain), solve problems in the 'yellow zone' (1.4-2.2 kg gain), and restart active weight loss efforts if you enter the 'red zone' (>=2.3 kg gain). Face-to-face support is more effective than internet-only support for minimizing total weight regain, but both are superior to doing nothing.