Evidence mapPaperPMID 41420408Full record

ArticleObesity reviews : an official journal of the International Association for the Study of Obesity2026

Adherence to Behavioral Weight Management: A Scoping Review of Definitions, Measurement, and Components.

Deng Wang, Miguel A Rojo-Tirado, Pedro J Benito, Jacobo Á Rubio-Arias, Domingo J Ramos-Campo, Marta Moreira Marques

Abstract readScoping Review
In one paragraph

Article in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Deng WangLFE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Science (INEF), Universidad Politécnica de Madrid, Madrid, Spain.ORCID 0000-0002-0379-9204
Miguel A Rojo-TiradoLFE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Science (INEF), Universidad Politécnica de Madrid, Madrid, Spain.ORCID 0000-0003-3217-7786
Pedro J BenitoLFE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Science (INEF), Universidad Politécnica de Madrid, Madrid, Spain.ORCID 0000-0002-1631-8182
Jacobo Á Rubio-AriasHealth Research Centre, Department of Education, Faculty of Educational Sciences, University of Almería, Almería, Spain.ORCID 0000-0003-2496-2426
Domingo J Ramos-CampoLFE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Science (INEF), Universidad Politécnica de Madrid, Madrid, Spain.ORCID 0000-0002-8890-4244
Marta Moreira MarquesNational School of Public Health (NSPH), Comprehensive Health Research Centre (CHRC), NOVA University of Lisbon, Lisbon, Portugal.ORCID 0000-0002-4797-9557

Funding

Universidad Politécnica de Madrid
6 · The paper itself

Abstract

Adherence to weight management is an essential indicator of weight management success. However, the conceptualization and operationalization of adherence show substantial variability, posing limitations for research, surveillance efforts, policy formulation, and comparisons across studies. This study aimed to identify in the literature of weight management interventions for people with obesity and overweight: (a) adherence definitions, (b) adherence components, (c) adherence metrics and measurement methods, and (d) behavior change techniques used to enhance it. A scoping review was conducted following PRISMA-ScR guidelines. A comprehensive search strategy was used (Web of Science, PubMed/MEDLINE, Scopus, and Cochrane). A total of 182 papers were included. Findings from the data synthesis showed variability in the definition, operationalization, and measurement of adherence across studies. The most frequent components of adherence in the context of weight management included (1) adherence to dietary behaviors, (2) adherence to physical activity, (3) attendance at intervention sessions, (4) self-monitoring of weight, (5) adherence to exercise, (6) adherence to medication, (7) attrition, (8) retention, and (9) dropout. The WHO's definition and framework to operationalize adherence are recommended, with modifications adjusted to the specific weight management context, as well as the use of standardized measurement metrics. Furthermore, behavior change techniques associated with adherence were summarized, with self-monitoring behavior and social support reported as strategies to improve adherence.

Indexed as

Behavior TherapyObesityOverweightPatient ComplianceWeight Reduction ProgramsExerciseHumansWeight Lossadherenceattritionbehavior changebody weightsession attendance

Identifiers

PMID41420408
PMCPMC13070897

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.