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Spouses Benefit from Partner's Weight Loss Program by Molly Walker, Staff Writer, MedPage Today This article is a collaboration between MedPage Today® and: Note that this study was published as an abstract and presented at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal. NEW ORLEANS -- Weight loss by one spouse, whether in a structured formal program or not, also frequently spread to spouses, according to results from a randomized trial reported here. Participants in the study were assigned to Weight Watchers or a self-guided weight loss intervention, but Amy Gorin, PhD , of the University of Connecticut, and colleagues found that BMI change trajectories were correlated for spouses in both study arms -- such that when one member of a couple lost weight, usually so did the other (r=0.47, P<0.001). Gorin cited a 2007 study from the New England Journal of Medicine , which showed that "obesity spreads across social networks," and wondered whether the same might be true for weight loss. Indeed, prior research had found a ripple effect for spouses of participants in the rigorous lifestyle intervention of the Look AHEAD study , but Gorin said her team wanted to test this theory in a "real world setting." "Most people who attempt weight loss do so through national commercially based programs or self-guided weight loss attempts," said Gorin at a presentation at Obesity Week. "This is the first test of a ripple effect in a nationally available weight loss program." Prior research had been limited by the fact that how many weight loss programs has oprah endorsed spousal weight loss was either self-reported or spouse-reported, she added. For this study, 130 married or cohabiting participants were randomized to receive 6 months free access to Weight Watchers meetings and online tools, while 65 participants received a brief handout describing a self-guided weight loss program (followed by 6 months of free Weight Watchers access after the study ended). Not surprisingly, participants in Weight Watchers were associated with steeper weight loss trajectories compared to participants who used self-guided interventions for their weight loss (β=-0.41, P=0.02). Participants were ages 25-70 years, and three quarters of both intervention group were obese (as opposed to overweight). Nearly 70% of participants in the intervention groups were women. Weight of the participant and the untreated spouse was measured at baseline, 3 months and 6 months. Both participants and untreated spouses were associated with a significant percentage of weight loss at 3 months and 6 months, and baseline BMIs of participants and spouses were significantly correlated (r=0.25, P<0.01). Weight loss by spouses was, on average, less than that among participants. At 6 months, participants in the Weight Watchers and self-guided programs lost about 4.5% and 3.2% of their initial weight, respectively; spouses lost about 2.3% and 2.1%, respectively, in the two arms. But she cautioned that there appeared to be a ceiling for this ripple effect.
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