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Persistent metabolic adaptation 6 years after “The Biggest Loser” competition

Overview of attention for article published in Obesity, May 2016
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • One of the highest-scoring outputs from this source (#1 of 3,367)
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (98th percentile)

Mentioned by

news
227 news outlets
blogs
33 blogs
twitter
493 tweeters
facebook
80 Facebook pages
googleplus
10 Google+ users
reddit
1 Redditor
video
35 video uploaders

Citations

dimensions_citation
224 Dimensions

Readers on

mendeley
563 Mendeley
citeulike
1 CiteULike
Title
Persistent metabolic adaptation 6 years after “The Biggest Loser” competition
Published in
Obesity, May 2016
DOI 10.1002/oby.21538
Pubmed ID
Authors

Erin Fothergill, Juen Guo, Lilian Howard, Jennifer C. Kerns, Nicolas D. Knuth, Robert Brychta, Kong Y. Chen, Monica C. Skarulis, Mary Walter, Peter J. Walter, Kevin D. Hall

Abstract

To measure long-term changes in resting metabolic rate (RMR) and body composition in participants of "The Biggest Loser" competition. Body composition was measured by dual energy X-ray absorptiometry, and RMR was determined by indirect calorimetry at baseline, at the end of the 30-week competition and 6 years later. Metabolic adaptation was defined as the residual RMR after adjusting for changes in body composition and age. Of the 16 "Biggest Loser" competitors originally investigated, 14 participated in this follow-up study. Weight loss at the end of the competition was (mean ± SD) 58.3 ± 24.9 kg (P < 0.0001), and RMR decreased by 610 ± 483 kcal/day (P = 0.0004). After 6 years, 41.0 ± 31.3 kg of the lost weight was regained (P = 0.0002), while RMR was 704 ± 427 kcal/day below baseline (P < 0.0001) and metabolic adaptation was -499 ± 207 kcal/day (P < 0.0001). Weight regain was not significantly correlated with metabolic adaptation at the competition's end (r = -0.1, P = 0.75), but those subjects maintaining greater weight loss at 6 years also experienced greater concurrent metabolic slowing (r = 0.59, P = 0.025). Metabolic adaptation persists over time and is likely a proportional, but incomplete, response to contemporaneous efforts to reduce body weight.

Twitter Demographics

The data shown below were collected from the profiles of 493 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 563 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 2 <1%
Brazil 1 <1%
Norway 1 <1%
Switzerland 1 <1%
Sweden 1 <1%
New Zealand 1 <1%
Germany 1 <1%
Unknown 555 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 100 18%
Student > Bachelor 87 15%
Student > Ph. D. Student 80 14%
Researcher 68 12%
Other 55 10%
Other 122 22%
Unknown 51 9%
Readers by discipline Count As %
Medicine and Dentistry 130 23%
Agricultural and Biological Sciences 73 13%
Nursing and Health Professions 66 12%
Sports and Recreations 65 12%
Psychology 39 7%
Other 112 20%
Unknown 78 14%

Attention Score in Context

This research output has an Altmetric Attention Score of 2381. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 July 2020.
All research outputs
#990
of 15,423,946 outputs
Outputs from Obesity
#1
of 3,367 outputs
Outputs of similar age
#22
of 265,195 outputs
Outputs of similar age from Obesity
#1
of 76 outputs
Altmetric has tracked 15,423,946 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,367 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 28.3. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 265,195 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 76 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 98% of its contemporaries.