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Journal of Environmental and Public Health
Volume 2017, Article ID 4372048, 6 pages
Research Article

Long-Term Body Weight Maintenance among StrongWomen–Healthy Hearts Program Participants

1College of Human Ecology, Division of Nutritional Sciences, Cornell University, 412 Savage Hall, Ithaca, NY 14853, USA
2Friedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Avenue, Boston, MA 02111, USA
3Sustainability Institute, University of New Hampshire, 107 Nesmith Hall, Durham, NH 03824, USA
4College of Human Ecology, Division of Nutritional Sciences, Cornell University, 231 Savage Hall, Ithaca, NY 14853, USA
5Family Medicine and Public Health, University of California, San Diego, 9500 Gilman Drive No. 0725, La Jolla, CA 92093, USA

Correspondence should be addressed to Rebecca A. Seguin; ude.llenroc@649sr

Received 15 December 2016; Accepted 12 February 2017; Published 2 March 2017

Academic Editor: Ike S. Okosun

Copyright © 2017 Rebecca A. Seguin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. The repeated loss and regain of body weight, referred to as weight cycling, may be associated with negative health complications. Given today’s obesity epidemic and related interventions to address obesity, it is increasingly important to understand contexts and factors associated with weight loss maintenance. This study examined BMI among individuals who had previously participated in a 12-week, evidence-based, nationally disseminated nutrition and physical activity program designed for overweight and obese middle-aged and older women. Methods. Data were collected using follow-up surveys. Complete height and weight data were available for baseline, 12-week program completion (post-program) and follow-up (approximately 3 years later) for 154 women (response rate = 27.5%; BMI characteristics did not differ between responders and nonresponders). Results. Mean BMI decreased significantly from baseline to post-program (−0.5, ) and post-program to follow-up (−0.7, ). Seventy-five percent of survey respondents maintained or decreased BMI post-program to follow-up. Self-efficacy and social support for healthy eating behaviors (but not physical activity) were associated with BMI maintenance or additional weight loss. Conclusions. These findings support the durability of weight loss following participation in a relatively short-term intervention.