Prevalence of Attempting Weight Loss and Strategies for Controlling Weight | Lifestyle Behaviors | JAMA | JAMA Network
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1.
Cleland R, Graybill DC, Hubbard V.  et al.  Commercial Weight Loss Products and Programs: What Consumers Stand to Gain and Lose. Washington, DC: Federal Trade Commission, Bureau of Consumer Protection; 1998.
2.
Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL. Increasing prevalence of overweight among US adults.  JAMA.1994;272:205-211.Google Scholar
3.
Centers for Disease Control and Prevention.  Update: prevalence of overweight among children, adolescents, and adults—United States, 1988-1994.  MMWR Morb Mortal Wkly Rep.1997;46:199-202.Google Scholar
4.
King AC, Tribble DL. The role of exercise in weight regulation of nonathletes.  Sports Med.1991;11:331-349.Google Scholar
5.
Pronk NP, Wing RR. Physical activity and long-term maintenance of weight loss.  Obes Res.1994;2:587-599.Google Scholar
6.
National Institutes of Health, National Heart, Lung, and Blood Institute, Obesity Education Initiative.  Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in AdultsBethesda, Md: National Institutes of Health; June 1998.
7.
Dietary Guidelines Advisory Committee.  Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, 1995. Washington, DC: US Dept of Agriculture, Agricultural Research Services; 1995.
8.
Schulman J. Can BRFSS data be pooled for national estimates? Paper presented at: the 16th Annual BRFSS Conference; May 16, 1999; Minneapolis, Minn.
9.
Nelson DE, Holtzman D, Waller M, Leutzinger CL, Condon K. Objectives and design of the Behavioral Risk Factor Surveillance System. In: Proceedings of the Section on Survey Methods, American Statistical Association National Meeting; August 9-13, 1998; Dallas, Tex.
10.
Shah BV, Barnwell BG, Bieler GS. SUDAAN Users' Manual, Release 7.5. Research Triangle Park, NC: Research Triangle Institute; 1997.
11.
Serdula MK, Williamson DF, Anda RF, Levy A, Heaton A, Byers T. Weight control practices in adults.  Am J Public Health.1994;84:1821-1824.Google Scholar
12.
Horm J, Anderson K. Who in America is trying to lose weight?  Ann Intern Med.1993;119(7 pt 2):672-676.Google Scholar
13.
Levy AS, Heaton AW. Weight control practices of US adults trying to lose weight.  Ann Intern Med.1993;119(7 pt 2):661-666.Google Scholar
14.
Rowland ML. Self-reported weight and height.  Am J Clin Nutr.1990;52:1125-1133.Google Scholar
15.
Allred JB. Too much of a good thing?  J Am Diet Assoc.1995;95:417-418.Google Scholar
16.
Caputo FA, Mattes RD. Human dietary responses to perceived manipulation of fat content in a midday meal.  Int J Obes Relat Metab Disord.1993;17:237-240.Google Scholar
17.
Shide DJ, Rolls BJ. Information about the fat content of preloads influences energy intake in healthy women.  J Am Diet Assoc.1995;95:993-998.Google Scholar
18.
Bouchard C, Depres JP, Tremblay A. Exercise and obesity.  Obes Res.1993;1:133-147.Google Scholar
19.
Brownell KD. Exercise and obesity treatment: psychological aspects.  Int J Obes Relat Metab Disord.1995;(19 suppl 4):S122-S125.Google Scholar
20.
Jakicic JM, Wing RR, Butler BA, Robertson RJ. Prescribing exercise in multiple short bouts versus one continuous bout.  Int J Obes Relat Metab Disord.1995;19:893-901.Google Scholar
21.
US Department of Health and Human Services.  Physical Activity and Health: A Report of the Surgeon General. Atlanta, Ga: US Dept of Health and Human Services; 1996.
22.
Jeffery RW. Community programs for obesity prevention: the Minnesota Heart Health Program.  Obes Res.1995;(suppl 2):283S-288S.Google Scholar
Original Contribution
October 13, 1999

Prevalence of Attempting Weight Loss and Strategies for Controlling Weight

Author Affiliations

Author Affiliations: Divisions of Nutrition and Physical Activity (Drs Serdula, Mokdad, Galuska, and Mendlein), Diabetes Translation (Dr Williamson), and Adult and Community Health (Dr Heath), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga.

JAMA. 1999;282(14):1353-1358. doi:10.1001/jama.282.14.1353
Abstract

Context Overweight and obesity are increasing in the United States. Changes in diet and physical activity are important for weight control.

Objectives To examine the prevalence of attempting to lose or to maintain weight and to describe weight control strategies among US adults.

Design The Behavioral Risk Factor Surveillance System, a random-digit telephone survey conducted in 1996 by state health departments.

Setting The 49 states (and the District of Columbia) that participated in the survey.

Participants Adults aged 18 years and older (N=107,804).

Main Outcome Measures Reported current weights and goal weights, prevalence of weight loss or maintenance attempts, and strategies used to control weight (eating fewer calories, eating less fat, or using physical activity) by population subgroup.

Results The prevalence of attempting to lose and maintain weight was 28.8% and 35.1% among men and 43.6% and 34.4% among women, respectively. Among those attempting to lose weight, a common strategy was to consume less fat but not fewer calories (34.9% of men and 40.0% of women); only 21.5% of men and 19.4% of women reported using the recommended combination of eating fewer calories and engaging in at least 150 minutes of leisure-time physical activity per week. Among men trying to lose weight, the median weight was 90.4 kg with a goal weight of 81.4 kg. Among women, the median weight was 70.3 kg with a goal weight of 59.0 kg.

Conclusions Weight loss and weight maintenance are common concerns for US men and women. Most persons trying to lose weight are not using the recommended combination of reducing calorie intake and engaging in leisure-time physical activity 150 minutes or more per week.

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