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Published in: Translational Behavioral Medicine 3/2016

01-09-2016 | Original Research

Effects on cardiovascular risk factors of weight losses limited to 5–10 %

Authors: Joshua D. Brown, Ph.D., Joanna Buscemi, Ph.D., Vanessa Milsom, Ph.D., Robert Malcolm, M.D., Patrick M. O’Neil, Ph.D.

Published in: Translational Behavioral Medicine | Issue 3/2016

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Abstract

Little is known about the cardiovascular effects of modest weight loss. To determine whether weight losses limited to 5–10 % are sufficient to produce cardiovascular health benefits, data from 401 overweight and obese adults who enrolled in a behavioral weight loss program from 2003 to 2011 were analyzed. Primary outcomes were changes in fasting glucose, triglycerides, and cholesterol. Patients who lost 5–10 % showed significant reductions in triglycerides, total cholesterol, and low-density lipoprotein (LDL) cholesterol. Patients who lost >10 % experienced significantly greater improvements in triglycerides, total cholesterol, and LDL cholesterol than patients losing less. For higher-risk patients, those who lost 5–10 % significantly reduced fasting glucose, triglycerides, and total cholesterol; those who lost >10 % improved on all risk factors (except HDL cholesterol) and to a significantly greater degree than those losing less. Five to 10 % weight losses produced improvements in cardiovascular risk factors, but greater weight losses were associated with even greater improvement.
Literature
5.
go back to reference Wing RR. Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes mellitus: four-year results of the Look AHEAD trial. Arch Intern Med. 2010; 170: 1566-1575. doi:10.1016/j.yane.2011.01.029.PubMed Wing RR. Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes mellitus: four-year results of the Look AHEAD trial. Arch Intern Med. 2010; 170: 1566-1575. doi:10.​1016/​j.​yane.​2011.​01.​029.PubMed
6.
go back to reference Goldstein DJ. Beneficial health effects of modest weight loss. Int J Obes Relat Metab Disord. 1992; 16: 397-415.PubMed Goldstein DJ. Beneficial health effects of modest weight loss. Int J Obes Relat Metab Disord. 1992; 16: 397-415.PubMed
12.
go back to reference Klein S, Burke LE, Bray GA, et al. Clinical implications of obesity with specific focus on cardiovascular disease: a statement for professionals from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Found. Circulation. 2004; 110(18): 2952-2967. doi:10.1161/01.CIR.0000145546.97738.1E.CrossRefPubMed Klein S, Burke LE, Bray GA, et al. Clinical implications of obesity with specific focus on cardiovascular disease: a statement for professionals from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Found. Circulation. 2004; 110(18): 2952-2967. doi:10.​1161/​01.​CIR.​0000145546.​97738.​1E.CrossRefPubMed
14.
go back to reference Mancini M, Di Biase G, Contaldo F, Fischetti A, Grasso L, Mattioli PL. Medical complications of severe obesity: importance of treatment by very-low-calorie diets: intermediate and long-term effects. Int J Obes. 1981; 5(3): 341-352.PubMed Mancini M, Di Biase G, Contaldo F, Fischetti A, Grasso L, Mattioli PL. Medical complications of severe obesity: importance of treatment by very-low-calorie diets: intermediate and long-term effects. Int J Obes. 1981; 5(3): 341-352.PubMed
16.
go back to reference Wadden TA, Anderson DA, Foster GD. Two-year changes in lipids and lipoproteins associated with the maintenance of a 5 % to 10 % reduction in initial weight: some findings and some questions. Obes Res. 1999; 7: 170-178.CrossRefPubMed Wadden TA, Anderson DA, Foster GD. Two-year changes in lipids and lipoproteins associated with the maintenance of a 5 % to 10 % reduction in initial weight: some findings and some questions. Obes Res. 1999; 7: 170-178.CrossRefPubMed
18.
go back to reference Lundgren JD, Malcolm R, Binks M, O’Neil PM. Remission of metabolic syndrome following a 15-week low-calorie lifestyle change program for weight loss. Int J Obes. 2009; 33(1): 144-150. doi:10.1038/ijo.2008.225.CrossRef Lundgren JD, Malcolm R, Binks M, O’Neil PM. Remission of metabolic syndrome following a 15-week low-calorie lifestyle change program for weight loss. Int J Obes. 2009; 33(1): 144-150. doi:10.​1038/​ijo.​2008.​225.CrossRef
20.
go back to reference Ferguson CJ. An effect size primer: a guide for clinicians and researchers. Prof Psychol: Res Pract. 2009; 40(5): 532-538.CrossRef Ferguson CJ. An effect size primer: a guide for clinicians and researchers. Prof Psychol: Res Pract. 2009; 40(5): 532-538.CrossRef
21.
go back to reference Cholesterol N, Program E. Third report of the National Cholesterol Education Program (NCEP) expert panel on Detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation. 2002; 106(25): 3143-3421. Cholesterol N, Program E. Third report of the National Cholesterol Education Program (NCEP) expert panel on Detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation. 2002; 106(25): 3143-3421.
25.
go back to reference Wing RR, Jeffery RW. Effect of modest weight loss on changes in cardiovascular risk factors: are there differences between men and women or between weight loss and maintenance? Int J Obes Relat Metab Disord. 1995; 19(1): 67-73.PubMed Wing RR, Jeffery RW. Effect of modest weight loss on changes in cardiovascular risk factors: are there differences between men and women or between weight loss and maintenance? Int J Obes Relat Metab Disord. 1995; 19(1): 67-73.PubMed
26.
go back to reference Wing RR, Venditti E, Jakicic JM, Polley BA, Lang W. Lifestyle intervention in overweight individuals with a family history of diabetes. Diabetes Care. 1998; 21(3): 350-359.CrossRefPubMed Wing RR, Venditti E, Jakicic JM, Polley BA, Lang W. Lifestyle intervention in overweight individuals with a family history of diabetes. Diabetes Care. 1998; 21(3): 350-359.CrossRefPubMed
27.
go back to reference Ewbank PP, Darga LL, Lucas CP. Physical activity as a predictor of weight maintenance in previously obese subjects. Obes Res. 1995; 3(3): 257-263.CrossRefPubMed Ewbank PP, Darga LL, Lucas CP. Physical activity as a predictor of weight maintenance in previously obese subjects. Obes Res. 1995; 3(3): 257-263.CrossRefPubMed
28.
go back to reference Thompson PD, Jeffery RW, Wing RR, Wood PD. Unexpected decrease in plasma high density lipoprotein cholesterol with weight loss. Am J Clin Nutr. 1979; 32: 2016-2021.PubMed Thompson PD, Jeffery RW, Wing RR, Wood PD. Unexpected decrease in plasma high density lipoprotein cholesterol with weight loss. Am J Clin Nutr. 1979; 32: 2016-2021.PubMed
29.
go back to reference Gudzune KA, Doshi RS, Mehta AK, et al. Efficacy of commercial weight loss programs: an updated systematic review. Ann Intern Med. 2015; 162(7): 501-512.CrossRefPubMedPubMedCentral Gudzune KA, Doshi RS, Mehta AK, et al. Efficacy of commercial weight loss programs: an updated systematic review. Ann Intern Med. 2015; 162(7): 501-512.CrossRefPubMedPubMedCentral
30.
go back to reference Hills AP, Byrne NM, Lindstrom R, Hill JO. “Small changes” to diet and physical activity behaviors for weight management. Obes Facts. 2013; 6: 228-238.CrossRefPubMed Hills AP, Byrne NM, Lindstrom R, Hill JO. “Small changes” to diet and physical activity behaviors for weight management. Obes Facts. 2013; 6: 228-238.CrossRefPubMed
Metadata
Title
Effects on cardiovascular risk factors of weight losses limited to 5–10 %
Authors
Joshua D. Brown, Ph.D.
Joanna Buscemi, Ph.D.
Vanessa Milsom, Ph.D.
Robert Malcolm, M.D.
Patrick M. O’Neil, Ph.D.
Publication date
01-09-2016
Publisher
Springer US
Published in
Translational Behavioral Medicine / Issue 3/2016
Print ISSN: 1869-6716
Electronic ISSN: 1613-9860
DOI
https://doi.org/10.1007/s13142-015-0353-9

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