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Identification and prediction of latent classes of weight-loss strategies among women.

ABSTRACT: We apply latent class analysis (LCA) to quantify multidimensional patterns of weight-loss strategies in a sample of 197 women, and explore the degree to which dietary restraint, disinhibition, and other individual characteristics predict membership in latent classes of weight-loss strategies. Latent class models were fit to a set of 14 healthy and unhealthy weight-loss strategies. BMI, weight concern, body satisfaction, depression, dietary disinhibition and restraint, and the interaction of disinhibition and restraint were included as predictors of latent class membership. All analyses were conducted with PROC LCA, a recently developed SAS procedure available for download. Results revealed four subgroups of women based on their history of weight-loss strategies: No Weight Loss Strategy (10.0%), Dietary Guidelines (26.5%), Guidelines+Macronutrients (39.4%), and Guidelines+Macronutrients+Restrictive (24.2%). BMI, weight concerns, the desire to be thinner, disinhibition, and dietary restraint were all significantly related to weight-control strategy latent class. Among women with low dietary restraint, disinhibition increases the odds of engaging in any set of weight-loss strategies vs. none, whereas among medium- and high-restraint women disinhibition increases the odds of use of unhealthy vs. healthy strategies. LCA was an effective tool for organizing multiple weight-loss strategies in order to identify subgroups of individuals who have engaged in particular sets of strategies over time. This person-centered approach provides a measure weight-control status, where the different statuses are characterized by particular combinations of healthy and unhealthy weight-loss strategies.

SUBMITTER: Lanza ST

PROVIDER: S-EPMC2847025 | biostudies-literature | 2010 Apr

REPOSITORIES: biostudies-literature

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Identification and prediction of latent classes of weight-loss strategies among women.

Lanza Stephanie T ST Savage Jennifer S JS Birch Leann L LL

Obesity (Silver Spring, Md.) 20090820 4

We apply latent class analysis (LCA) to quantify multidimensional patterns of weight-loss strategies in a sample of 197 women, and explore the degree to which dietary restraint, disinhibition, and other individual characteristics predict membership in latent classes of weight-loss strategies. Latent class models were fit to a set of 14 healthy and unhealthy weight-loss strategies. BMI, weight concern, body satisfaction, depression, dietary disinhibition and restraint, and the interaction of disi ...[more]

PMID: 19696754

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Project description:Importance:The self-perception of weight and weight loss attempts might promote weight loss and maintenance. Objective:To examine trends in current measured body mass index (BMI) and weight, self-reported weight, self-perceived weight status, weight loss attempts, and weight loss strategies among adults in the United States. Design, Setting, and Participants:This national cross-sectional study used data from continuous National Health and Nutrition Examination Survey (NHANES) data sets (1999-2000 to 2015-2016). Participants were US residents older than 20 years. Data were analyzed from January 2018 to December 2018. Main Outcomes and Measures:Current measured BMI and weight, self-reported weight, self-perceived weight status, weight loss attempts, and applied weight loss strategies. Adjusted, self-reported, prior-year weight was calculated using correction equations that considered age, sex, race/ethnicity, and quartile of self-reported prior-year weight. Results:Data were collected from 48?026 participants (19?792 [41.2%] aged 40-64 years; 24?255 [50.5%] women; 21?725 [45.2%] white) through 9 surveys from 1999-2000 to 2015-2016. Increasing trends were observed in current measured BMI (difference, 1.20; 95% CI, 0.92-1.47; P for trend?<?.001), current measured weight (difference 2.77 kg; 95% CI, 1.92-3.61 kg; P for trend?<?.001), adjusted, self-reported, prior-year weight (difference, 2.36 kg; 95% CI, 1.52-3.21 kg; P for trend?<?.001), and the difference between measured and adjusted self-reported weight (difference 0.70 kg; 95% CI, 0.34-1.07 kg; P for trend?<?.001). During this period, the proportion of overall participants who had attempted to lose weight increased from 34.3% to 42.2% (difference, 8.0%; 95% CI, 4.1%-10.5%; P for trend?<?.001). The most commonly reported weight loss strategies with the most rapidly increasing prevalence during the study period were reduced food consumption (21.2%-31.9%; difference, 11.1%; 95% CI, 8.2%-13.3%; P for trend?<?.001), exercise (18.2%-31.5%; difference, 14.4%; 95% CI, 11.3%-16.9%; P for trend?<?.001), and frequent water intake (0.2%-26.3%; difference, 26.2%; 95% CI, 24.1%-29.0%; P for trend?<?.001). Between 2005-2006 and 2015-2016, increases were also observed for the reported consumption of more fruits, vegetables, and salads (0.1%-29.4%; difference, 30.3%; 95% CI, 28.1%-31.2%; P for trend?<?.001), changing eating habits (0.3%-20.5%; difference, 20.2%; 95% CI, 19.1%-22.3%; P for trend?<?.001), and the consumption of less sugar, candy, and sweets (0.2%-20.9%; difference, 21.7%; 95% CI, 19.3%-22.6%; P for trend?<?.001). Conclusions and Relevance:In this cross-sectional study, our data indicated an increasing trend in the proportion of participants who attempted to lose weight and a parallel increasing trend in current measured BMI and weight among adults in the United States.

Dataset Information

Identification and prediction of latent classes of weight-loss strategies among women.

Publications

Identification and prediction of latent classes of weight-loss strategies among women.

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