Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Brief Reports   |    
Weight Loss After Participation in a National VA Weight Management Program Among Veterans With or Without PTSD
Katherine D. Hoerster, Ph.D., M.P.H.; Zongshan Lai, M.P.H.; David E. Goodrich, Ed.D.; Laura J. Damschroder, M.S., M.P.H.; Alyson J. Littman, Ph.D., M.P.H.; Elizabeth A. Klingaman, Ph.D.; Karin M. Nelson, M.D., M.S.H.S.; Amy M. Kilbourne, Ph.D., M.P.H.
Psychiatric Services 2014; doi: 10.1176/appi.ps.201300404
View Author and Article Information

Dr. Hoerster, Dr. Littman, and Dr. Nelson are with the Seattle Division, U.S. Department of Veterans Affairs (VA) Puget Sound Health Care System, Seattle, Washington, where Dr. Hoerster is with the Mental Health Service, Dr. Littman is with the Epidemiologic Research and Information Center, and Dr. Nelson is with the Health Services Research & Development program (e-mail: katherine.hoerster@va.gov). They are also with the University of Washington, in Seattle, where Dr. Hoerster is with the Department of Psychiatry and Behavioral Sciences, Dr. Littman is with the Department of Epidemiology, and Dr. Nelson is with the Department of Medicine, Division of General Internal Medicine. Mr. Lai, Dr. Goodrich, Ms. Damschroder, and Dr. Kilbourne are with the VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, and Mr. Lai, Dr. Goodrich, and Dr. Kilbourne are also with the Department of Psychiatry, University of Michigan Medical School, also in Ann Arbor. Dr. Klingaman is with the VA Capitol Health Care Network Mental Illness Research, Education and Clinical Center, VA Maryland Health Care System, Baltimore, and with the Department of Psychiatry, University of Maryland School of Medicine, also in Baltimore. A poster containing preliminary findings from this study was presented at the Society of Behavioral Medicine annual meeting, San Francisco, March 20–23, 2013.

Copyright © 2014 by the American Psychiatric Association


Objective  This evaluation compared the effectiveness of MOVE!, a U.S. Veterans Health Administration (VHA) weight management program, among veterans with posttraumatic stress disorder (PTSD), other mental conditions, or no mental health diagnoses.

Methods  VHA administrative data from 2008 to 2012 were used to estimate adjusted six- and 12-month weight change and ≥5% weight loss among 20,819 veterans with “intense and sustained” MOVE! participation (14% of 148,963 MOVE! participants, regardless of mental health status).

Results  Compared with veterans with no mental health diagnoses, veterans with PTSD lost significantly less weight at six and 12 months (p<.05) and were less likely to lose ≥5% body weight at six months (OR=.89, p<.05). At six months, those with other mental conditions lost significantly less weight than those with no mental health diagnoses (p<.05).

Conclusions  MOVE! may need adaptation to increase overall engagement and enhance weight loss for veterans with mental conditions, especially PTSD.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

Anchor for Jump
Table 1Characteristics of 20,819 veterans with intense and sustained participation in MOVE! in fiscal years 2008–2012, by mental health statusa
Table Footer Note

a All bivariate associations between veterans’ characteristics and mental health status were significant (p<.001), except ≥5% weight loss at 12 months.

Table Footer Note

b Scores reflect the total number of diagnoses for general medical conditions associated with at least one VHA visit in the current or prior fiscal year.



Dohrenwend  BP;  Turner  JB;  Turse  NA  et al:  The psychological risks of Vietnam for US veterans: a revisit with new data and methods.  Science 313:979–982, 2006
[CrossRef] | [PubMed]
Seal  KH;  Maguen  S;  Cohen  B  et al:  VA mental health services utilization in Iraq and Afghanistan veterans in the first year of receiving new mental health diagnoses.  Journal of Traumatic Stress 23:5–16, 2010
Vasterling  JJ;  Proctor  SP;  Amoroso  P  et al:  Neuropsychological outcomes of Army personnel following deployment to the Iraq war.  JAMA 296:519–529, 2006
[CrossRef] | [PubMed]
Dedert  EA;  Calhoun  PS;  Watkins  LL  et al:  Posttraumatic stress disorder, cardiovascular, and metabolic disease: a review of the evidence.  Annals of Behavioral Medicine 39:61–78, 2010
[CrossRef] | [PubMed]
Rheingold  AA;  Acierno  R;  Resnick  HS:  Trauma, posttraumatic stress disorder, and health risk behaviors; in  Trauma and Health: Physical Health Consequences of Exposure to Extreme Stress . Edited by Schnurr  PP;  Green  BL.  Washington, DC,  American Psychological Association, 2004
Chwastiak  LA;  Rosenheck  RA;  Kazis  LE:  Association of psychiatric illness and obesity, physical inactivity, and smoking among a national sample of veterans.  Psychosomatics 52:230–236, 2011
[CrossRef] | [PubMed]
Talbot  LS;  Maguen  S;  Epel  ES  et al:  Posttraumatic stress disorder is associated with emotional eating.  Journal of Traumatic Stress 26:521–525, 2013
[CrossRef] | [PubMed]
Kahwati  LC;  Lance  TX;  Jones  KR  et al:  RE-AIM evaluation of the Veterans Health Administration’s MOVE! weight management program.  Translational Behavioral Medicine 1:551–560, 2011
[CrossRef] | [PubMed]
Van Gaal  LF;  Wauters  MA;  De Leeuw  IH:  The beneficial effects of modest weight loss on cardiovascular risk factors.  International Journal of Obesity and Related Metabolic Disorders 21(suppl 1):S5–S9, 1997
Littman  AJ;  Boyko  EJ;  McDonell  MB  et al:  Evaluation of a weight management program for veterans.  Preventing Chronic Disease 9:E99, 2012
Maguen  S;  Madden  E;  Cohen  B  et al:  The relationship between body mass index and mental health among Iraq and Afghanistan veterans.  Journal of General Internal Medicine 28(suppl 2):S563–S570, 2013
[CrossRef] | [PubMed]
Del Re  AC;  Maciejewski  ML;  Harris  AH:  MOVE: weight management program across the Veterans Health Administration: patient- and facility-level predictors of utilization.  BMC Health Services Research 13:511, 2013
[CrossRef] | [PubMed]
Copeland  LA;  Pugh  MJ;  Hicks  PB  et al:  Use of obesity-related care by psychiatric patients.  Psychiatric Services 63:230–236, 2012
[CrossRef] | [PubMed]
Richardson  CR;  Faulkner  G;  McDevitt  J  et al:  Integrating physical activity into mental health services for persons with serious mental illness.  Psychiatric Services 56:324–331, 2005
[CrossRef] | [PubMed]
Johannessen  KB;  Berntsen  D:  Losing the symptoms: weight loss and decrease in posttraumatic stress disorder symptoms.  Journal of Clinical Psychology 69:655–660, 2013
[CrossRef] | [PubMed]
References Container

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe

Related Content
The American Psychiatric Publishing Textbook of Psychiatry, 5th Edition > Chapter 12.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 32.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 48.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 7.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 7.  >
Topic Collections
Psychiatric News
APA Guidelines