{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T05:03:37Z","timestamp":1780549417738,"version":"3.54.1"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T00:00:00Z","timestamp":1644364800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015519","name":"WW International","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015519","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to identify major themes of a large cohort experiencing long\u2010term weight\u2010loss maintenance who answered open\u2010ended questions about weight\u2010loss triggers, current motivations, strategies, and experiences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Machine learning and topic modeling were used to analyze responses to six open\u2010ended questions among 6,139 WW International, Inc., (formerly Weight Watchers) members with weight\u2010loss maintenance; inclusion criteria included \u22659.1\u2010kg loss with weight\u2010loss maintenance for \u22651 year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants (mean age = 53.6 years; 94.3% White; mean BMI = 27.8 kg\/m<jats:sup>2<\/jats:sup>) had lost 24.5 kg and maintained the loss for 3.4 years. Descriptions of factors triggering weight loss coalesced into five topics: medical status, appearance, mobility, social prompts, and change needed. Factors currently motivating weight\u2010loss maintenance yielded two topics: looking back at experiences at higher weight and health\/appearance concerns. Advice for others to succeed in weight\u2010loss maintenance coalesced on two recommendations: perseverance in the face of setbacks and consistency in tracking. Rewards for weight management included improved confidence, pain, mobility, fitness, body image, medical status, and affect. Two thematic negative consequences were clothing costs and sagging skin.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Future weight\u2010maintenance research should include more diverse populations and investigate weight\u2010loss maintenance as a journey with highs and lows, perseverance in the face of setbacks, sustained tracking, and making changes in medical status more salient during the weight\u2010maintenance journey.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oby.23372","type":"journal-article","created":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T08:04:40Z","timestamp":1644393880000},"page":"751-761","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["In their own words: Topic analysis of the motivations and strategies of over 6,000 long\u2010term weight\u2010loss maintainers"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2260-0499","authenticated-orcid":false,"given":"Suzanne","family":"Phelan","sequence":"first","affiliation":[{"name":"Department of Kinesiology and Public Health Center for Health Research California Polytechnic State University  San Luis Obispo California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Roake","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Public Health Center for Health Research California Polytechnic State University  San Luis Obispo California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noemi","family":"Alarcon","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Public Health Center for Health Research California Polytechnic State University  San Luis Obispo California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah M.","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Public Health Center for Health Research California Polytechnic State University  San Luis Obispo California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hunter","family":"Glanz","sequence":"additional","affiliation":[{"name":"Department of Statistics Center for Health Research California Polytechnic State University  San Luis Obispo California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle I.","family":"Cardel","sequence":"additional","affiliation":[{"name":"WW International, Inc.  New York New York USA"},{"name":"Department of Health Outcomes and Biomedical Informatics University of Florida College of Medicine  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary D.","family":"Foster","sequence":"additional","affiliation":[{"name":"WW International, Inc.  New York New York USA"},{"name":"Center for Weight and Eating Disorders Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/82.1.222S"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0801643"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2007.02.040"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-016-9786-y"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.22270"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2013.08.019"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/66.2.239"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23148"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.22685"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11123046"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010015\u20100323\u20106"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa061883"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/85.4.954"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0026959"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2017.1299583"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d6500"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.14.1792"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.7326\/M14-2238"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)30647-5"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.67.2.177"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102105\u201015\u2010S11\u2010S11"},{"key":"e_1_2_8_23_1","first-page":"100","volume-title":"Human Language Technologies: The 2010 Annual Conference of the North American Chapter of the Association for Computional Linguistics. 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