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To investigate this, Dr Gorin and colleagues recruited and enrolled 130 overweight or obese cohabiting couples in which one spouse was willing to participate in a weight-loss program while the other agreed to only attend the assessments. Participants had to be 25 to 75 years old, and those treated had to have a BMI of 27 to 40 kg/m2, whereas their partners only had to have a BMI ≥ 25 kg/m2. Among the treated participants, 65 were randomized to the Weight Watchers program for 6 months. Another 65 participants were randomized to the control group and received a 4-page handout with information about healthy eating, exercise, and weight control strategies (eg, a low calorie, low fat diet, and portion control), but were otherwise left to try to lose weight by themselves.   Most couples (93%) were married, and four couples were in same-sex relationships; most of the treated spouses were women (68%). Participants were a mean age of about 54 years and almost all (94%) were white. They had a mean BMI of 34 kg/m2 and a mean initial weight of about 207 pounds (94 kg). The Weight Watchers group had free access to the program for 6 months, which included in-person meetings and online tools. Overall, 37% attended one or more in-person meetings and, on average, went to 12 meetings. At 3 months, participants in the Weight Watchers program on average lost significantly more weight than those in the control group: 7.4 vs 4.3 pounds, or 3.6% vs 2.1% of their initial weight (P < .05).  Their untreated spouses had lost about 3.2 pounds, or 1.5% of their initial weight. However, at 6 months, participants in the Weight Watchers group had not lost significantly more weight than those in the control group: 9.5 vs 6.8 pounds or 4.5% vs 3.2% of their initial weight. Their untreated spouses had lost about 4 pounds, or 2% of their initial weight.

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