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Predicting dropout in dietary weight loss trials using demographic and early weight change characteristics: implications for trial design

Journal Article


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Abstract


  • Summary

    Attrition causes analytical and efficacy issues in weight loss trials. Consistent predictors of attrition in weight loss trials have not been identified. Trial design could be improved if factors predicting attrition are accounted for. The aim of this study is to quantify the effect of easily measured pre study and early study variables to determine their relationship with attrition in dietary weight loss trials.

    Methods

    Data was pooled from four previous dietary weight loss trials. Mixed effects logistic regression, Receiver Operator Curves and decision trees (classification and regression trees) were used to determine which of the variables (percent weight loss at 1 month, age, gender and baseline BMI) predicted dropout and to determine cutoffs useful for future trial design.

    Results

    The sample included 289 subjects, 73% female, with a mean age of 46.68 ± 9.27 years and average dropout of 25%. Percent weight loss at 1 month was the strongest predictor of dropout, those with a weight loss ≤2% were 4.99 times (95% CI 2.71, 9.18) more likely to drop out than those with a weight loss >2% in the first month (P < 0.001). When considering only data available at the beginning of a trial those ≤50 years old were 2.07 times (95% CI 1.2, 3.5) more likely to drop out than those >50 (P = 0.006).

    Discussion

    Early weight loss and age were identified as significant variables for predicting attrition in weight loss trials. Trial designs maybe improved by incorporating these variables and developing interventions targeting these factors may improve participant retention.

Publication Date


  • 2016

Citation


  • Batterham, M., Tapsell, L. C. & Charlton, K. E. (2016). Predicting dropout in dietary weight loss trials using demographic and early weight change characteristics: implications for trial design. Obesity Research and Clinical Practice, 10 (2), 189-196.

Scopus Eid


  • 2-s2.0-84930147390

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=6317&context=eispapers

Ro Metadata Url


  • http://ro.uow.edu.au/eispapers/5289

Has Global Citation Frequency


Number Of Pages


  • 7

Start Page


  • 189

End Page


  • 196

Volume


  • 10

Issue


  • 2

Place Of Publication


  • Netherlands

Abstract


  • Summary

    Attrition causes analytical and efficacy issues in weight loss trials. Consistent predictors of attrition in weight loss trials have not been identified. Trial design could be improved if factors predicting attrition are accounted for. The aim of this study is to quantify the effect of easily measured pre study and early study variables to determine their relationship with attrition in dietary weight loss trials.

    Methods

    Data was pooled from four previous dietary weight loss trials. Mixed effects logistic regression, Receiver Operator Curves and decision trees (classification and regression trees) were used to determine which of the variables (percent weight loss at 1 month, age, gender and baseline BMI) predicted dropout and to determine cutoffs useful for future trial design.

    Results

    The sample included 289 subjects, 73% female, with a mean age of 46.68 ± 9.27 years and average dropout of 25%. Percent weight loss at 1 month was the strongest predictor of dropout, those with a weight loss ≤2% were 4.99 times (95% CI 2.71, 9.18) more likely to drop out than those with a weight loss >2% in the first month (P < 0.001). When considering only data available at the beginning of a trial those ≤50 years old were 2.07 times (95% CI 1.2, 3.5) more likely to drop out than those >50 (P = 0.006).

    Discussion

    Early weight loss and age were identified as significant variables for predicting attrition in weight loss trials. Trial designs maybe improved by incorporating these variables and developing interventions targeting these factors may improve participant retention.

Publication Date


  • 2016

Citation


  • Batterham, M., Tapsell, L. C. & Charlton, K. E. (2016). Predicting dropout in dietary weight loss trials using demographic and early weight change characteristics: implications for trial design. Obesity Research and Clinical Practice, 10 (2), 189-196.

Scopus Eid


  • 2-s2.0-84930147390

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=6317&context=eispapers

Ro Metadata Url


  • http://ro.uow.edu.au/eispapers/5289

Has Global Citation Frequency


Number Of Pages


  • 7

Start Page


  • 189

End Page


  • 196

Volume


  • 10

Issue


  • 2

Place Of Publication


  • Netherlands