Families Improving Together (FIT) for weight loss: a resource for translation of a positive climate-based intervention into community settings

Abstract Climate-based weight loss interventions, or those that foster a nurturing family environment, address important ecological influences typically ignored by the traditional biomedical treatments. Promoting a climate characterized by positive communication, autonomy support, and parental warmth supports adolescents in making healthy behavioral changes. In addition, encouraging these skills within the family may have additional benefits of improved family functioning and other mental and physical health outcomes. Although several programs have identified essential elements and established the evidence base for the efficacy of these interventions, few have offered resources for the translation of these constructs from theoretical concepts to tangible practice. This paper provides strategies and resources utilized in the Families Improving Together (FIT) for weight loss randomized controlled trial to create a warm, supportive climate characterized by positive communication within the parent–child relationship. Detailed descriptions of how Project FIT emphasized these constructs through facilitator training, intervention curriculum, and process evaluation are provided as a resource for clinical and community interventions. Researchers are encouraged to provide resources to promote translation of evidence-based interventions for programs aiming to utilize a positive climate-based family approach for lifestyle modification.

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Mindfulness-based program to support lifestyle modification and weight loss in infertile women: randomized controlled trial

Journal of Psychosomatic Obstetrics & Gynecology ◽

10.1080/0167482x.2020.1823962 ◽

2020 ◽

pp. 1-9

Author(s):

Edna M. Sant’Anna ◽

Sara P. C. Paiva ◽

Raphael P. Santos ◽

Ana M. S. Rodrigues ◽

Nakita A. Davis ◽

...

Keyword(s):

Weight Loss ◽

Randomized Controlled Trial ◽

Lifestyle Modification ◽

Controlled Trial ◽

Infertile Women ◽

Randomized Controlled

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Endoscopic sutured gastroplasty in addition to lifestyle modification: short-term efficacy in a controlled randomised trial

Gut ◽

10.1136/gutjnl-2020-322026 ◽

2020 ◽

pp. gutjnl-2020-322026

Author(s):

Vincent Huberty ◽

Ivo Boskoski ◽

Vincenzo Bove ◽

Pauline Van Ouytsel ◽

Guido Costamagna ◽

...

Keyword(s):

Weight Loss ◽

Lifestyle Modification ◽

Controlled Trial ◽

Randomised Trial ◽

Body Weight Loss ◽

Total Body Weight ◽

Control Group ◽

Short Term ◽

Randomised Controlled

ObjectiveEndoscopic suture gastroplasty (ESG) has been developed as an alternative treatment for moderately obese patients. We present our results of a short-term randomised controlled trial on a new suturing technique, the Endomina system (E-ESG, Endo Tools therapeutics, Belgium).DesignEligible patients (body mass index 30–40 kg/m2) were randomised in a 2:1 ratio to receive lifestyle modification plus E-ESG or lifestyle modification alone (control group); dietetic counselling and follow-up were identical. Endpoints included a mean excess weight loss (EWL) of more than 25% 12 months after E-ESG and a 15% EWL difference at 6 months between groups. At 6 months, a cross-over to E-ESG was offered to the control group. All patients were followed for a total of 12 months after E-ESG.ResultsOf the 71 patients included (five male, mean age 40 years), mean EWL at 6 months was significantly higher in the treatment (38.6%, n=45) than in the control group (13.4%, n=21; p<0.001). At 6 months, satiety tests demonstrated a higher decrease in mean volume (41% vs 2.5%, p<0.001), and mean quality of life (QoL) was also higher in the treatment group (52.8 vs 45.1 p<0.05). No procedure-related or device-related severe adverse events were observed. Twelve months follow-up after E-ESG showed a mean EWL of 45.1%, which translated into a total body weight loss of 11.8%.ConclusionsThis study demonstrates that E-ESG is safe and effective, providing a 25% better EWL at 6 months than lifestyle modification alone. This weight loss was maintained and resulted in a significant improvement in QoL up to 18 months after treatment.Trial registration numberNCT03255005.

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The Effects of Auricular Acupressure on Weight Loss and Serum Lipid Levels in Overweight Adolescents

The American Journal of Chinese Medicine ◽

10.1142/s0192415x10008147 ◽

2010 ◽

Vol 38 (04) ◽

pp. 675-682 ◽

Cited By ~ 29

Author(s):

Ching Hsiu Hsieh

Keyword(s):

Weight Loss ◽

Lifestyle Modification ◽

Controlled Trial ◽

Control Group ◽

Lipid Levels ◽

Reduce Body Weight ◽

Randomized Controlled ◽

Auricular Acupressure ◽

Overweight Adolescents ◽

Seed Method

Auricular acupressure is widely used to reduce body weight. The current study was designed to test the efficacy of auricular acupressure on weight reduction and serum total cholesterol (TC), total triglycerides (TG), high density lipids (HDL) and low density lipids (LDL) in an eight-week, randomized controlled trial of three groups of 84 adolescents aged 18–20 with a body mass index (BMI) of 23 or higher. The control group received tape treatment only and the other two experimental groups were administered acupressure using either Japanese Magnetic Pearls or vaccaria seeds. All three groups were educated on reduced calorie diets, physical activity, weight loss, and lifestyle modification. During the eight-week trial, all participants were seen weekly for 10 min per session. Anthropometric measurements of BMI and TC, TG, HDL, and LDL were performed at weeks 0 and 8 for all participants. Changes in BMI, TC, TG, HDL, and LDL were calculated from baseline to trial completion. BMI was significantly increased in the control group by +0.0457 ( p < 0.0001), it was decreased in the Japanese Magnetic Pearl group by -0.6982 ( p < 0.0001) and the vaccaria seed group by -1.2341 ( p < 0.0001). All three groups showed significant increases in TC, TG, HDL, and LDL. In conclusion, the current study shows that auricular acupressure employing Japanese Magnetic Pearls or vaccaria seeds can decrease BMI, with the vaccaria seed method showing the greatest reduction. Auricular acupressure did not result in decreased TC, TG, HDL, or LDL in the current eight-week protocol.

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Mindfulness-based intervention for lifestyle modification and weight loss in infertile women: randomized controlled trial

10.26226/morressier.5912d9ebd462b8029238639c ◽

2017 ◽

Author(s):

Fernando Reis

Keyword(s):

Weight Loss ◽

Randomized Controlled Trial ◽

Lifestyle Modification ◽

Controlled Trial ◽

Infertile Women ◽

Randomized Controlled

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Lorcaserin plus lifestyle modification for weight loss maintenance: Rationale and design for a randomized controlled trial

Contemporary Clinical Trials ◽

10.1016/j.cct.2017.06.004 ◽

2017 ◽

Vol 59 ◽

pp. 105-112 ◽

Cited By ~ 12

Author(s):

Jena Shaw Tronieri ◽

Nasreen Alfaris ◽

Ariana M. Chao ◽

Rebecca L. Pearl ◽

Naji Alamuddin ◽

...

Keyword(s):

Weight Loss ◽

Randomized Controlled Trial ◽

Lifestyle Modification ◽

Controlled Trial ◽

Weight Loss Maintenance ◽

Randomized Controlled

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The Effect of Lifestyle Modification Intervention with Motivational Construct on Dietary Macronutrient Intake among Obese Adults

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v18i2.102 ◽

2020 ◽

Vol 18 (2) ◽

Author(s):

Shahadan SZ ◽

Daud A ◽

Md. Isa ML ◽

Ibrahim M ◽

Deraman S

Keyword(s):

Weight Loss ◽

Body Weight ◽

Lifestyle Modification ◽

Controlled Trial ◽

Intervention Group ◽

Body Weight Loss ◽

Macronutrient Intake ◽

Obese Adults ◽

Study Results ◽

Modification Intervention

Introduction: An unhealthy dietary practice as a result of environmental and societal changes is increasingly exposed to adults. These unhealthy practices lead to an increased cardiometabolic risk, and obese adults are at a higher risk as compared to normal-weight adults. The best strategy to promote healthy lifestyle practices among Malaysian obese adult is still fragmented. Materials and Methods: A single-centre randomised controlled trial was carried out to determine the effect of the lifestyle modification intervention (LMI) with the motivational construct, in comparison to the current standard LMI on the dietary macronutrient intake among obese adults. The dietary macronutrient intake and changes in body weight were assessed at baseline and after six months. Seventy-nine participants completed the study. Results: Our finding showed that six months of LMI with motivational construct resulted in a higher reduction of total fat and cholesterol from the dietary intake as compared to the control. In addition, the participants in the intervention group had a significant body weight loss after six months (-1.97 kg, 95% CI: -0.324, 1.360, t(39) = 3.397, p = 0.002). Conclusion: This study demonstrates that the intervention had a meaningful impact on improving the dietary macronutrient intake, which is beneficial to support body weight loss in obese adults. Future trials with additional nutritional biomarkers are needed to extend these findings.

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The Weight Loss Effects of Branched Chain Amino Acids and Vitamin B6: A Randomized Controlled Trial on Obese and Overweight Women

International Journal for Vitamin and Nutrition Research ◽

10.1024/0300-9831/a000511 ◽

2018 ◽

Vol 88 (1-2) ◽

pp. 80-89 ◽

Cited By ~ 3

Author(s):

Zahra Shakibay Novin ◽

Saeed Ghavamzadeh ◽

Alireza Mehdizadeh

Keyword(s):

Amino Acids ◽

Weight Loss ◽

Body Composition ◽

Vitamin B6 ◽

Controlled Trial ◽

Density Lipoprotein ◽

Branched Chain Amino Acids ◽

Model Assessment ◽

Waist To Hip Ratio ◽

Branched Chain

Abstract. Branched chain amino acids (BCAA), with vitamin B6 have been reported to improve fat metabolism and muscle synthesis. We hypothesized that supplementation with BCAA and vitamin B6 would result in more weight loss and improve body composition and blood markers related to cardiovascular diseases. Our aim was to determine whether the mentioned supplementation would affect weight loss, body composition, and cardiovascular risk factors during weight loss intervention. To this end, we performed a placebo-controlled randomized clinical trial in 42 overweight and obese women (BMI = 25–34.9 kg/m2). Taking a four-week moderate deficit calorie diet (–500 kcal/day), participants were randomized to receive BCAA (6 g/day) with vitamin B6 (40 mg/day) or placebo. Body composition variables measured with the use of bioelectrical impedance analysis, homeostatic model assessment, and plasma insulin, Low density lipoprotein, High density lipoprotein, Total Cholesterol, Triglyceride, and fasting blood sugar were measured. The result indicated that, weight loss was not significantly affected by BCAA and vitamin B6 supplementation (–2.43 ± 1.02 kg) or placebo (–1.64 ± 1.48 kg). However, significant time × treatment interactions in waist to hip ratio (P = 0.005), left leg lean (P = 0.004) and right leg lean (P = 0.023) were observed. Overall, supplementation with BCAA and vitamin B6 could preserve legs lean and also attenuated waist to hip ratio.

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