Adherence
Self-selection of behavioral weight loss programs (DPP vs. HWL) in adults with obesity results in balanced enrollment (approx. 50/50 split) without significant bias from BMI, age, or baseline health conditions, though race, income, education, and prior weight loss history do influence program preference.
If you are designing or choosing a weight loss program, offering a choice between different behavioral models (e.g., strict logging vs. biological focus) does not inherently break the study or skew results. However, be aware that race, income, education, and past weight loss history may influence which program a participant prefers. Matching the program to these factors may improve initial engagement.
The estimated probability of choosing either program was not significantly different from .5 (N = 1005, 50.8% DPP and 49.2% HWL, p = .61)... Non-White participants (p = .040) and those with monthly income greater than $4999 (p = .002) were less likely to choose DPP. Participants who had post-graduate education (p = .007), did not report high serum cholesterol (p = .028), and reported not having tried losing weight before (p = .025) were more likely to choose DPP.
Why this rating
Cross-sectional survey via MTurk; measures stated preference, not actual adherence or weight loss outcomes.
Source
Factors associated with choice of behavioural weight loss program by adults with obesity
Yasaman Jamshidi‐Naeini et al. · Clinical Obesity · 2023
DOI 10.1111/cob.12591
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- 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 →