scholarly journals Anthropometric outcomes after one year of remote counselling of overweight and obese adults by dietitians

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Karin Haas ◽  
Stefanie Hayoz ◽  
Susanne Maurer-Wiesner
Keyword(s):  
Weight Loss ◽  
Waist Circumference ◽  
Body Fat ◽  
Patient Adherence ◽  
Obese Adults ◽  
Face To Face ◽  
German Speaking ◽  
Online Lifestyle ◽  
One Year

AbstractIntroductionThe high prevalence of overweight and obese adults in Switzerland (men: 55.5%; women: 31%) and the development of associated comorbidities requires innovative primary health care interventions. Smartphone applications offer interesting possibilities. However, most are not designed for use in nutritional counselling. Oviva developed an application for dietitians to support overweight or obese clients, online. The aim of the following research was to compare short- and long-term anthropometric effects of a one-year, online, lifestyle intervention by dietitians with overweight or obesity adults.MethodsThe pilot study, conducted in the German-speaking region of Switzerland, started in April 2016 and was completed in May 2018. Initially, 43 overweight and obese individuals were included, 36 completed the study. During this intervention, participants received individualized, remote counselling from dietitians through the application Oviva. Interactions focused on increasing motivation, providing feedback regarding photo-based food logs and education that was aligned with the individual's lifestyle goals. In addition to the primary outcome of weight change, the following anthropometric outcomes were examined: body mass index (BMI), waist circumference and body fat. The study measured changes from baseline at three and twelve months (M0/M3/M12).ResultsOver the course of the study, the median weight loss was 4.9 kg (-21.9–7.5 kg) and 58% of participants achieved a weight loss of ≥ 5%. Additional anthropometric measurements showed the following results (median (min–max)) at timepoints M0/M3/M12: body weight (kg) M0: 83.5 (67.7–105)/M3: 80.3 (64.5–105)/M12: 78.7 (62.8–107.5); BMI (kg/m2): M0:30.2 (26.4–33)/M3: 28.4 (24.3–33.5)/M12: 28.0 (24.1–33.5); waist circumference (cm) M0: 92 (74–112)/M3: 85.9 (73.3–108)/M12: 86.5 (78.5–110.5); and body fat (%) M0: 40.5 (27.8–48.5)/M3: 39.0 (22.2–45.0)/M12: 37.9 (21.3–46.9). A significant improvement was observed in all measurements from M0–M3 and M0–M12. A non-significant trend was observed between M3 and M12 in the measurements, except for waist circumference.DiscussionThese promising results suggest new approaches to support overweight and obese adults in changing their lifestyle through assistance by dietitians in Switzerland. Nevertheless, long-term, randomized control trials are needed to examine its efficacy and cost-effectiveness. Additionally, this type of remote counselling offers greater flexibility for clients who are unable and/or unwilling to engage in face-to-face counselling and thus, also has the potential to increase patient adherence, in order to attain sustained weight loss.

scholarly journals Unacylated ghrelin is associated with changes in body composition and body fat distribution during long-term exercise intervention

2011 ◽  
Vol 165 (2) ◽  
pp. 243-248 ◽  
Author(s):  
Henna Cederberg ◽  
Ulla Rajala ◽  
Vesa-Matti Koivisto ◽  
Jari Jokelainen ◽  
Heljä-Marja Surcel ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Composition ◽  
Waist Circumference ◽  
Body Fat ◽  
Exercise Performance ◽  
Exercise Intervention ◽  
Fat Distribution ◽  
Body Fat Distribution ◽  
Unacylated Ghrelin

ObjectiveGhrelin, a gut–brain peptide involved in energy homeostasis, circulates predominantly (>90%) in unacylated form. Previous studies, however, have focused on total and acylated ghrelin, and the role of unacylated ghrelin (UAG) is not well understood. Particularly, the association of UAG with weight loss and changes in body composition in adults remains unclear. We hypothesized that exercise-associated increase in UAG level is associated with weight loss, favorable changes in body composition, and body fat distribution.Design and methodsA prospective study of 552 young men (mean age 19.3 and range 19–28 years) undergoing military service with structured 6-month exercise training program. Exercise performance, body composition, and biochemical measurements were obtained at baseline and follow-up. Association between changes in UAG levels and body composition and body fat distribution were evaluated.ResultsAn increase in UAG level during the exercise intervention was associated with reduced weight, fat mass (FM), fat percentage (fat %), and waist circumference, but not with fat-free mass. Inverse associations of changes in UAG level with changes in waist circumference and fat % were independent of weight at baseline, and changes in weight and exercise performance. Associations of changes in UAG level with waist circumference were significantly stronger than with fat % after the adjustment for confounding variables.ConclusionUAG is associated with changes in body weight and body composition during an intensive long-term exercise intervention in young men. The association of UAG levels with changes in central obesity was stronger than with total FM.

scholarly journals 36-Month Evaluation of a Weight Management Programme in Chinese Overweight and Obese Adults

2021 ◽  
Vol 9 ◽  
Author(s):  
Xi Yang ◽  
Kaushik Chattopadhyay ◽  
Richard Hubbard ◽  
Jia-Lin Li ◽  
Li Li ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Management Programme ◽  
Obese Adults ◽  
Initial Weight Loss ◽  
Face To Face ◽  
Weight Management Programme ◽  
Baseline Weight ◽  
Personal Advice

Background: Few comprehensive lifestyle intervention programmes have been investigated on overweight and obese adults in China. This study was to evaluate the effect of a 36-month weight management programme on weight loss and its maintenance among overweight and obese patients in Ningbo, China.Methods: Adults with BMI ≥24kg/m2 enrolled in this programme, including nutritional, physical activity, psychological and endocrinological counselling sessions, from July 2015 to January 2020. Adults participated in face-to-face counselling sessions and group-based education. Then, participants joined 21-day intensive programme using Bohe health APP and WeChat group to get personal advice of nutrition and lifestyle. In the end, participants were requested to join 33-month follow-ups including face-to-face counselling and personal advice on WeChat group. The main outcome was to evaluate the changes in weight at each followup from baseline weight.Results: In total, 692 adults participated in this entire weight management programme. During follow-ups, 579, 475, 299, 219, and 135 adults participated at 3, 6, 12, 24, and 36 months, respectively. All participants had a significant initial weight loss at 3 months, then maintained the weight loss during 33-month follow-ups. At 36 months, 11.0%, 6.4%, and 3.5% of all participants achieved 5%, 10%, and 15% weight loss from the baseline weight, respectively. Adjusted weight at 36 months was significantly reduced from the baseline weight in both sex (−7.2 kg).Conclusion: This weight management programme is suggested to benefit to reduce initial body weight and maintain long-term weight loss among overweight and obese adults.

THE EFFECTS OF LOW-CARBOHYDRATE VERSUS LOW-FAT DIETS IN OBESE/OVERWEIGHT ADULTS: ONE-YEAR FOLLOW-UP OF A RANDOMIZED TRIAL

2021 ◽  
pp. 27-29
Author(s):  
Maitri Hathi ◽  
Sudesh Kumar
Keyword(s):  
Weight Loss ◽  
Randomized Trial ◽  
Caloric Intake ◽  
Low Fat ◽  
Obese Adults ◽  
Low Carbohydrate Diet ◽  
Low Carbohydrate ◽  
One Year ◽  
The One

Aprevious paper reported the six month comparison of weight loss in overweight and/or obese adults randomly assigned to either a VLCK-diet or LF-diet. To review the one year outcomes between these diets 1year follow-up of a randomized trial on 113 overweight/obese adults with a BMI>25 kg/m2; with no abnormalities were randomly selected. Participants who selected VLCK diet received counseling to restrict carbohydrate intake to <30 gram per day and those who selected LF diet received counseling to restrict caloric intake by 500 calories per day with <30% of calories from fat. Changes in weight, Body Mass Index, Body Fat, and Waist Circumference were measured at intervals of rst, third, sixth and twelfth month of participants who completed the one-year follow-up. Participants on the very-low-carbohydrate diet had lost more weight loss than participants on the conventional low-fat diet at 3months, 6month and but the difference at 12months were signicant. Study conclude that participants on a VLCK-diet had more favorable overall outcomes at 1year than did those on a conventional LF-diet. Weight loss was similar between groups.

scholarly journals Visual food diary - peer support and better diet quality

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
T Puranen ◽  
P Salokekkila ◽  
N Ahlblad-Makinen ◽  
A Haggman-Laitila
Keyword(s):  
Weight Loss ◽  
Waist Circumference ◽  
Weight Management ◽  
Peer Support ◽  
Diet Quality ◽  
Food Diary ◽  
Healthy Life ◽  
One Year ◽  
The One

Abstract Background Healthy Life -groups are targeted to patients with symptoms of metabolic syndrome, problems with coping or overweight at public health centers in Helsinki. The aim of one-year Healthy Life -group is to give support for self-care and empowerment. The groups are generic, and each participant sets her own goal such as smoking cessation, alcohol or weight management. Methods To create opportunities for positive and empowering diet intervention for working aged population, we have started a pilot study with visual food diary (MealLogger). The nutritionist are coaching the three-month-intervention aiming at improving the diet quality. Participants share photos of their meals with each other and receive peer support. Results During years 2016 - 2018, 445 completed the one-year intervention in Healthy Life -groups. The mean decrease of weight loss was 4 kg (n = 222) and decrease of waist circumference 5 cm (n = 57). Conclusions Since the goal for most participants was weight loss, we decided to offer a modern intervention with MealLogger-application. During year 2019 we will complete six groups (about 100 participants) and we will measure participants food quality, weight, waist circumference, quality of life. The results we report in the autumn. Key messages To manage overweight epidemic, new prevention strategies are needed in the primary health care. Visual food diary enables positive and empowering approach to improve died quality and weight management.

scholarly journals Does the Method of Weight Loss Effect Long-Term Changes in Weight, Body Composition or Chronic Disease Risk Factors in Overweight or Obese Adults? A Systematic Review

PLoS ONE ◽  
2014 ◽  
Vol 9 (10) ◽  
pp. e109849 ◽  
Author(s):  
Richard A. Washburn ◽  
Amanda N. Szabo ◽  
Kate Lambourne ◽  
Erik A. Willis ◽  
Lauren T. Ptomey ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Weight Loss ◽  
Body Composition ◽  
Disease Risk ◽  
Obese Adults ◽  
Chronic Disease Risk ◽  
Long Term Changes ◽  
Loss Effect

Social impact of a corporate social responsibility initiative

2019 ◽  
Vol 9 (4) ◽  
pp. 344-362 ◽  
Author(s):  
Brendan Riggin ◽  
Karen Danylchuk ◽  
Dawn Gill ◽  
Robert Petrella
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Weight Loss ◽  
Corporate Social Responsibility ◽  
Waist Circumference ◽  
Social Responsibility ◽  
Social Impact ◽  
Content Type ◽  
Corporate Social

PurposeThe purpose of this paper is to examine the social impact of an initiative (Hockey FIT) aimed at improving the health and well-being of sport fans and their community.Design/methodology/approachFans (n=80) participated in 12 weekly health promotion sessions hosted in local hockey club facilities. Objective health measurements, diet and physical activity levels of fans were measured at baseline, 12 weeks and 12 months, to determine the intermediate, long-term, individual and community impact. Furthermore, one-on-one interviews with 28 program participants were conducted to further understand the program’s social impact.FindingsThe intermediate impact was noticed as improvements in weight loss, body mass index, waist circumference, systolic blood pressure (BP), steps per day, healthful eating, self-reported overall health and fatty food scores at 12 weeks. The long-term individual impact of Hockey FIT was realized as participants maintained or continued to improve their weight loss, waist circumference, healthful eating, systolic BP and diastolic BP 12 months after the program had been offered. The program was also reported to increase family bonding time and improved the diet, daily physical activity, and general awareness of health promotion programs and components for friends, family members and coworkers.Originality/valueThe positive health-related results from this study contradict prior research that has suggested there is minimal evidence of any substantial contributions from social programs in sport. Through a collective approach to corporate social responsibility, this research demonstrates the ability for sport organizations to contribute to meaningful social change and the positive role that they play within the community.

Abstract MP011: Effect of a Low-Carbohydrate Versus a Low-Fat Weight Loss Program on Endothelial Function

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Kerry J Stewart ◽  
Pamela Ouyang ◽  
Harry A Silber ◽  
Sammy Zakaria ◽  
Dipan Desai ◽  
...  
Keyword(s):  
Weight Loss ◽  
Waist Circumference ◽  
Endothelial Function ◽  
Body Fat ◽  
Reactive Hyperemia ◽  
Low Fat ◽  
Peripheral Arterial Tonometry ◽  
Low Fat Diet ◽  
Total Body ◽  
Peripheral Arterial

Background: A concern about low-carbohydrate (CHO) diets is that a higher fat intake may adversely affect vascular health. We hypothesized that the effect of two weight loss programs on endothelial function would be similar. Each program included exercise but differed in that one included a low-CHO diet whereas the other a low-fat diet. Methods: Overweight or obese but otherwise healthy persons (n=77), 30–65 years old, were randomly assigned to 6-months of an isocaloric low-CHO or low-fat diet, plus 3 times per week supervised aerobic and resistance exercise training. Endothelial function was assessed with non-invasive peripheral arterial tonometry using the Endopat device. Reactive hyperemia was induced after 5 minutes of upper arm occlusion of SBP. The reactive hyperemia peripheral arterial tonometry index (RH-PAT), the ratio between the digital pulse volume during reactive hyperemia and at rest was measured at baseline and after 6 months, as were body weight, BMI, waist circumference, total body fat and trunk fat percent, and BP. Results: Sixty subjects (low-CHO group: n=31,74% women; low-fat group, n=29, 72% women) completed the study. At baseline, there were no group differences in the following variables and the combined values are: age, 50.0±8.7 years; weight, 215.4±32.7 lbs; BMI, 34.2±3.8 kg/m 2 ; waist circumference, 103.1±8.7 cm; total body fat, 43.3±7.2%; trunk fat, 46.4±5.7%; SBP, 124.7±13.5 mm Hg; DBP, 74.2±9.5, RH-PAT, 2.32±0.44%. After 6 months, low-CHO versus low-fat subjects had a greater reduction in weight, −28.9±11.0 versus −18.7± 2.0 lbs, p<0.001; BMI, −4.7±2.0 versus −2.9±1.7, p<0.001; waist circumference, −12.1±6.0 versus −6.2±7.8 cm, p<0.01; body fat, −6.8±4.5 versus −4.0±3.9%, p>0.02. The groups did not differ in reduction of trunk fat percent, with an overall loss of − 5.5±5.7%, p<0.001, or BP, overall reduction −10.7±12.1/−8.6±8.2 mm Hg, p<0.001. After 6 months, there was no overall change in RH-PAT, p=0.64. By regression analysis, 6-month RH-PAT, adjusted for the baseline value, did not differ by group. However, an absolute 1% drop in trunk fat percent was associated with an absolute 0.29% (or relative 12.5%) increase in RH-PAT, p=0.05. Conclusions: A key finding was the lack of an adverse effect on a marker of endothelial function in the low-CHO group. Successful weight loss and reductions in total and abdominal fat, and BP were achieved with both programs. Greater reductions in weight, BMI, waist circumference, and body fat occurred in the low-CHO group. Though overall endothelial function did not change in either group, when individual variations were examined, a greater percent loss in trunk fat was associated with enhanced endothelial function. These data suggest that loss of central fat is associated with improved vascular health, independent of the dietary content of the weight loss program.

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