J Korean Med Sci.  2010 Jan;25(1):49-53. 10.3346/jkms.2010.25.1.49.

Difference of Body Compositional Changes According to the Presence of Weight Cycling in a Community-based Weight Control Program

  • 1Department of Family Practice and Community Health, Ajou University School of Medicine, Suwon, Korea. jchcmc@hanmail.net
  • 2Dr. Park's Reset Clinic, Seoul, Korea.
  • 3Department of Family Medicine, Hallym University, Anyang, Korea.


Many obese people who try to control body weight experience weight cycling (WC). The present study evaluated the importance of WC in a community-based obesity intervention program. We analyzed the data of 109 Korean participants (86% women) among 177 subjects who had completed a 12-week intervention program at two public health centers in Korea from April to December, 2007. Completion of a self-administrated questionnaire at baseline was used to obtain anthropometric measurements, and laboratory testing was done before and after the program. Differences in body composition change and obesity-related life style between the two groups were compared with respect to WC and non-weight cycling (NWC). After 12 weeks, both groups showed reductions in weight, waist circumference, and body mass index. The group differences were not significant. However, significant differences were evident for the WC group compared to the NWC group in fat percent mass (WC vs. NWC, -3.49+/-2.31% vs. -4.65+/-2.59%, P=0.01), fat free mass (WC vs. NWC, -0.95+/-1.37 kg vs. -0.38+/-1.05 kg, P=0.01), and total cholesterol (WC vs. NWC, -3.32+/-14.63 vs. -16.54+/-32.39, P=0.005). In conducting a community-based weight control program that predominantly targets women, changes of body composition and total cholesterol may be less effective in weight cyclers than in non-weight cyclers.


Obesity; Community; Public Health Center; Weight Cycling

MeSH Terms

*Body Composition
Body Weight
Community-Based Participatory Research
Exercise Therapy
Middle Aged


1. Korean Ministry of Health and Welfare. Report on National Health and Nutrition Survey 2005. 2006. Seoul: Korean Ministry of Health and Welfare.
2. Thompson D, Edelsberg J, Colditz GA, Bird AP, Oster G. Lifetime health and economic consequences of obesity. Arch Intern Med. 1999. 159:2177–2183.
3. National Task Force on the Prevention and Treatment of Obesity. Overweight, obesity, and health Risk. Arch Intern Med. 2000. 160:898–904.
4. Pischon N, Heng N, Bernimoulin JP, Kleber BM, Willich SN, Pischon T. Obesity, inflammation, and periodontal disease. J Dent Res. 2007. 86:400–409.
5. Dunai A, Mucsi I, Juhász J, Novák M. Obstructive sleep apnea and cardiovascular disease. Orv Hetil. 2006. 147:2303–2311.
6. Hach I, Ruhl UE, Klose M, Klotsche J, Kirch W, Jacobi F. Obesity and the risk for mental disorders in a representative German adult sample. Eur J Public Health. 2007. 17:297–305.
7. Wyshak G. Weight change, obesity, mental health, and health perception: self-reports of college-educated women. Prim Care Companion J Clin Psychiatry. 2007. 9:48–54.
8. Petroni ML, Villanova N, Avagnina S, Fusco MA, Fatati G, Compare A, Marchesini G. QUOVADIS Study Group. Psychological distress in morbid obesity in relation to weight history. Obes Surg. 2007. 17:391–399.
9. Adams KF, Schatzkin A, Harris TB, Kipnis V, Mouw T, Ballard-Barbash R, Hollenbenk A, Leitzmann MF. Overweight, obesity, and mortality in a large prospective cohort of persons 50 to 71 years old. N Engl J Med. 2006. 355:763–778.
10. Gu D, He J, Duan X, Reynolds K, Wu X, Chen J, Huang G, Chen CS, Whelton PK. Body weight and mortality among men and women in China. JAMA. 2006. 295:776–783.
11. Corrada MM, Kawas CH, Mozaffar F, Paganini-Hill A. Association of body mass index and weight change with all-cause mortality in the elderly. Am J Epidemiol. 2006. 163:938–949.
12. Perman JA, Young TL, Stines E, Hamon J, Turner LM, Rowe MG. A community-driven obesity prevention and intervention in an elementary school. J Ky Med Assoc. 2008. 106:104–108.
13. Roux L, Kuntz KM, Donaldson C, Goldie SJ. Economic evaluation of weight loss interventions in overweight and obese women. Obesity. 2006. 14:1093–1106.
14. Lee JS, Kawakubo K, Kobayashi Y, Mori K, Kashihara H, Tamura M. Effects of ten year body weight variability on cardiovascular risk factors in Japanese middle-aged men and women. Int J Obes Relat Metab Disord. 2001. 25:1063–1067.
15. Gibson AL, Holmes JC, Desautels RL, Edmonds LB, Nuudi L. Ability of new octapolar bioimpedance spectroscopy analyzers to predict 4-component-model percentage body fat in Hispanic, black, and white adults. Am J Clin Nutr. 2008. 87:332–338.
16. Benini ZL, Camilloni MA, Scordato C, Lezzi G, Oriani G, Bertoli S, Balzola F, Liuzzi A, Petroni ML. Contribution of weight cycling to serum leptin in human obesity. Int J Obes Relat Metab Disord. 2001. 25:721–726.
17. Field AE, Manson JE, Taylor CB, Willett WC, Colditz GA. Association of weight change, weight control practices, and weight cycling among women in the Nurses' Health Study II. Int J Obes Relat Metab Disord. 2004. 28:1134–1142.
18. Kroke A, Liese AD, Schulz M, Bergmann MM, Klipstein-Grobusch K, Hoffmann K, Boeing H. Recent weight changes and weight cycling as predictors of subsequent two year weight change in a middle-aged cohort. Int J Obes Relat Metab Disord. 2002. 26:403–409.
19. Field AE, Byers T, Hunter DJ, Laird NM, Manson JE, Williamson DF, Colditz GA. Weight cycling, weight gain, and risk of hypertension in women. Am J Epidemiol. 1999. 150:573–579.
20. Wallner SJ, Luschnigg N, Schnedl WJ, Lahousen T, Sudi K, Crailsheim K, Möller R, Tafeit E, Horejsi R. Body fat distribution of overweight females with a history of weight cycling. Int J Obes Relat Metab Disord. 2004. 28:1143–1148.
21. Marchesini G, Cuzzolaro M, Mannucci E, Dalle Grave R, Gennaro M, Tomasi F, Barantani EG, Melchionda N. QUOVADIS Study Group. Weight cycling in treatment-seeking obese persons: data from the QUOVADIS study. Int J Obes Relat Metab Disord. 2004. 28:1456–1462.
22. Lissner L, Odell PM, D'Agostino RB, Stokes J 3rd, Kreger BE, Belanger AJ, Brownell KD. Variability of body weight and health outcomes in the Framingham population. N Engl J Med. 1991. 324:1839–1844.
23. Blair SN, Shaten J, Brownell K, Collins G, Lissner L. Body weight change, all-cause mortality, and cause-specific mortality in the Multiple Risk Factor Intervention Trial. Ann Intern Med. 1993. 119:749–757.
24. Rzehak P, Meisinger C, Woelke G, Brasche S, Strube G, Heinrich J. Weight change, weight cycling and mortality in the ERFORT Male Cohort Study. Eur J Epidemiol. 2007. 22:665–673.
25. Sullivan DH, Liu L, Roberson PK, Bopp MM, Rees JC. Body weight change and mortality in a cohort of elderly patients recently discharged from the hospital. J Am Geriatr Soc. 2004. 52:1696–1701.
26. Wannamethee SG, Shaper AG, Walker M. Weight change, weight fluctuation, and mortality. Arch Intern Med. 2002. 162:2575–2580.
27. Gregg EW, Gerzoff RB, Thompson TJ, Williamson DF. Intentional weight loss and death in overweight and obese U.S. adults 35 years of age and older. Ann Intern Med. 2003. 138:383–389.
28. Rebuffe-Serive M, Hendler R, Bracero N, Cummunings N, McCarthy S, Rodin J. Biobehavioral effects of weight cycling. Int J Obes Relat Metab disord. 1994. 18:651–658.
29. Richelsen B, Vrang N. Why is weight loss so often followed by weight regain? Basal biological response as a possible explanation. Ugeskr Laeger. 2006. 168:159–163.
30. Horswill CA. Weight loss and weight cycling in amateur wrestlers: implications for performance and resting metabolic rate. Int J Sport Nutr. 1993. 3:245–260.
Full Text Links
  • JKMS
export Copy
  • Twitter
  • Facebook
Similar articles
Copyright © 2022 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr