Article first published online: 22 DEC 2013
© 2013 John Wiley & Sons Ltd
International Journal of Clinical Practice
Volume 68, Issue 3, pages 379–387, March 2014
How to Cite
Rolland, C., Johnston, K. L., Lula, S., Macdonald, I. and Broom, J. (2014), Long-term weight loss maintenance and management following a VLCD: a 3-year outcome. International Journal of Clinical Practice, 68: 379–387. doi: 10.1111/ijcp.12300
CR has received lecture honoraria and has attended national/international meetings as a guest of LighterLife Ltd, UK. CR, JB have been involved with other companies with an interest in obesity. JB, KLJ, SL are employed by LighterLife Ltd, UK. IM has done consultancy work for LighterLife Ltd, UK.
- Issue published online: 20 FEB 2014
- Article first published online: 22 DEC 2013
- Manuscript Accepted: AUG 2013
- Manuscript Received: MAY 2013
- LighterLife Ltd
Effective weight loss treatment is important as obesity has severe health and socioeconomic repercussions. Emerging evidence suggests that rapid initial weight loss results in better long-term weight loss maintenance. This remains controversial and contradicts current recommendations for slower weight loss.
To determine the effect of a very low calorie diet (VLCD) with group-based behaviour therapy on weight loss and long-term weight management by means of a retrospective database analysis.
Data for this retrospective analysis included participants who embarked on the LighterLife Total VLCD programme between 2007 and 2010, and whose weights at baseline and at least 12 months were available (n = 5965).
Data were available for 5965 individuals at 1 year, 2044 at 2 years and 580 at 3 years. At baseline, the majority of individuals were Caucasian (n = 5155), female (n = 5419), ≥ 40 years old (n = 4272), 49% were within the body mass index (BMI) range of 30–35 kg/m2 while 51% had a BMI > 35 kg/m2. The average initial weight of the whole cohort was 99.1 kg (SD 16.6). Initial weight and BMI at entry onto programme, as well as numbers of weeks of weight loss were all significantly associated with weight loss achieved on the first weight loss attempt. Weight lost during the initial weight loss phase was the only factor, which was significantly associated with percentage weight loss maintenance for years 1, 2, and 3.
The findings of this retrospective analysis suggest that provided a longer term weight loss management programme is adhered to, large amounts of initial weight loss can result in important longer term weight loss maintenance in motivated individuals.