Intermittent low-calorie regimen and booster sessions in the treatment of obesity

The present study investigated two new weight-control strategies: an intermittent low-calorie regimen and intermittent scheduling of booster sessions. A new approach to predicting patient weight loss, based on a pretreatment assessment with a highly-structured eating regimen, was also studied. Forty-eight obese patients were randomly assigned to either a Standard Behavioral weight-control condition or to an Intermittent Low-calorie Regimen (< 750 cal for 2 days/week) condition and to one of two maintenance schedules: a Spaced schedule in which the six booster sessions were held at monthly intervals, or a Massed schedule, in which four of the six meetings were held during the third month. Neither the intermittent low-calorie regimen nor the intermittent scheduling of booster sessions significantly affected weight loss. However, weight loss at 1 year was related to compliance to self-monitoring and to self-reported change in eating habits and exercise. In addition, weight loss at 1 year was related to weight loss during the initial pretreatment assessment period.