BACKGROUND: Attrition is a problem among @entity1 who participate in commercial @entity353 programs. One possible explanation is that if @entity1 are unable to reach a weight that they expect to achieve, they may be more likely to drop out of treatment. This study investigated variables associated with @entity6661 among 30 @entity28 @entity1 who completed a liquid meal replacement program (LMR) and enrolled in a 52-week Small Changes Maintenance intervention (SCM). @entity1 lost a median 18% of body weight during LMR and completed assessments about weight expectations and weight satisfaction pre- and post-SCM. FINDINGS: Of the 30 @entity1 who started SCM, 8 (27%) were lost to @entity6661 . Odds of SCM @entity6661 were higher in @entity1 who lost    <=   18.2% of pre-LMR weight (OR: 12.25, P   =   0.035), had lower satisfaction ( <=7) pre-SCM (OR: 10.11, P   =   0.040), and who expected further @entity353 of 9.1  kg or more pre-SCM (OR: 10.11, P   =   0.040). SCM completers significantly increased @entity353 expectations by a median of 2.3  kg from pre-SCM to post-SCM (WSR P   =   0.049) that paralleled weight regained post-SCM (2.7  kg). CONCLUSIONS: After completion of a medically-supervised commercial @entity353 program, @entity1 with the greatest expectations for further @entity353 and the lowest weight satisfaction were more likely to drop out of SCM. Failure to participate in maintenance treatment may lead to regain of greater than half of lost weight over the next year. Among SCM completers, lower expectations for further @entity353 and greater weight satisfaction appeared to be associated with continued engagement in maintenance treatment.

Should providers encourage realistic weight expectations and satisfaction with lost weight in commercial XXXX programs? a preliminary study.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity6661 :: ('MESH:D019217', 'Disease') :: ['attrition'] @entity353 :: ('MESH:D015431', 'Disease') :: ['weight loss'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obese']
@entity353 :: (MESH:D015431,Disease) :: ['weight loss']
