scholarly journals What a weight loss programme should contain if people with obesity were asked - A qualitative analysis within the DO:IT study

2020 ◽  
Author(s):  
Christina Jessen-Winge ◽  
Pia Maria Ilvig ◽  
Heather Fritz ◽  
Carl J. Brandt ◽  
Kim Lee ◽  
...  
Keyword(s):  
Social Support ◽  
Weight Loss ◽  
Success Rates ◽  
Individual Interviews ◽  
Specialized Hospital ◽  
Diet And Exercise ◽  
Weight Loss Programme ◽  
Positive Meaning ◽  
Clinically Significant ◽  
Structured Approach

Abstract Background Currently 1.9 billion adults worldwide are estimated to be overweight or obese. In Denmark the municipalities hold the responsibility to deliver weight loss programmes to overweight and obese citizens. There has been a tendency to assume that obesity reduction programmes that work in specialized hospital settings are directly transferrable to the municipalities. However, municipality-based weight loss programmes have not produced clinically significant reductions in body weight. Differential success rates between hospital and municipal settings may be due to a discrepancy between research evidence and needs of people with obesity. The first step in developing a weight loss programme designed for the municipalities is to understand what a programme should contain, if people with obesity were asked. The aim of this study was to examine what people with obesity find important in a weight loss programme to make the weight loss successful and maintained. Methods We used a qualitative, explorative, descriptive design drawing on hermeneutical reflection with individual interviews. We included men and women age 17 and older with a BMI≥25 kg/m2. Participants were recruited from the wait lists of 13 municipality programmes and through Facebook posts. Data were analyzed using content analysis. Results Thirty-four participants with overweight or obesity were individually interviewed (age between 19 – 74). Findings suggest that weight loss programmes should support the participants in structuring days, not with restrictions but with replacement activities. Programmes should also aide individuals with taking one thing at a time and facilitating social support from friends, health professionals and peers. Diet and exercise were expressed as important content in a weight loss programme, but as having a negative meaning. Conclusion People with obesity wish to have a structured approach to weight loss that focuses on habits, social support and preserving the positive meaning of activities.

scholarly journals What a weight loss programme should contain if people with obesity were asked - a qualitative analysis within the DO:IT study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Christina Jessen-Winge ◽  
Pia Maria Ilvig ◽  
Heather Fritz ◽  
Carl J. Brandt ◽  
Kim Lee ◽  
...  
Keyword(s):  
Weight Loss ◽  
Everyday Life ◽  
Social Relations ◽  
Weight Maintenance ◽  
Individual Interviews ◽  
Positive Effects ◽  
Specialized Hospital ◽  
Weight One ◽  
Weight Loss Programme ◽  
Clinically Significant

Abstract Background Currently 1.9 billion adults worldwide are estimated to be overweight or obese. In Denmark the municipalities hold the responsibility to deliver weight loss programmes to overweight and obese citizens. There is a tendency to assume that weight loss programmes that show positive effects in specialized hospital settings are directly transferrable to municipal settings. However, municipality-based weight loss programmes have not produced clinically significant reductions in body weight. One reason for this may be that much research evidence regarding obesity programming neglects the perspectives of people with obesity. The first step in developing a weight loss programme designed for municipal settings is to understand what people with obesity want and need from a programme. The aim of this study was to examine what people with obesity find important in a weight loss programme for weight loss and weight maintenance. Methods We used a qualitative, explorative, descriptive design with individual interviews. We included men and women age 17 and older with a BMI ≥ 25 kg/m2. Participants were recruited from the wait lists of 13 municipality programmes and through Facebook posts. Data were analyzed using content analysis. Results Thirty-four participants with overweight or obesity were individually interviewed (ages between 19 and 74). Findings suggest that weight loss programmes should; a) support participants in structuring days; b) consider the use of replacement activities to reduce cognitive and emotional burden; c) aide individuals to increase self-efficacy and; d) include family and friends as well as health professionals and peers in the weight loss process. Diet and exercise, while important, should be balanced with other meaningful activities in everyday life. Conclusion Participants in this study wished to balance weight loss related activities with overall everyday life as well as finding the believe in their ability to lose weight in social relations.

scholarly journals Structural social support predicts functional social support in an online weight loss programme

2012 ◽  
Vol 17 (3) ◽  
pp. 345-352 ◽  
Author(s):  
Kevin O. Hwang ◽  
Jason M. Etchegaray ◽  
Christopher N. Sciamanna ◽  
Elmer V. Bernstam ◽  
Eric J. Thomas
Keyword(s):  
Social Support ◽  
Weight Loss ◽  
Functional Social Support ◽  
Weight Loss Programme

scholarly journals Data Independent Acquisition Mass Spectrometry Can Identify Circulating Proteins That Predict Future Weight Loss with a Diet and Exercise Programme

2019 ◽  
Vol 8 (2) ◽  
pp. 141 ◽  
Author(s):  
Nagaraj Malipatil ◽  
Helene A. Fachim ◽  
Kirk Siddals ◽  
Bethany Geary ◽  
Gwen Wark ◽  
...  
Keyword(s):  
Mass Spectrometry ◽  
Weight Loss ◽  
Principal Component ◽  
Exercise Programme ◽  
Data Independent Acquisition ◽  
Factor Ii ◽  
Diet And Exercise ◽  
Weight Loss Programme ◽  
Biological Determinants ◽  
Acquisition Method

We investigated biological determinants that would associate with the response to a diet and weight loss programme in impaired glucose regulation (IGR) people using sequential window acquisition of all theoretical fragment ion spectra (SWATH) mass spectrometry (MS), a data acquisition method which complement traditional mass spectrometry-based proteomics techniques. Ten women and 10 men with IGR underwent anthropometric measurements and fasting blood tests. SWATH MS was carried out with subsequent immunoassay of specific peptide levels. After a six-month intervention, 40% of participants lost 3% or more in weight, 45% of patients remained within 3% of their starting weight and 15% increased their weight by 3% or more. Hemoglobin A1c (HbA1C) level was reduced with weight loss with improvements in insulin sensitivity. SWATH MS on pre-intervention samples and subsequent principal component analysis identified a cluster of proteins associated with future weight loss, including insulin-like growth factor-II (IGF-II) and Vitamin D binding protein. Individuals who lost 3% in weight had significantly higher baseline IGF-II levels than those who did not lose weight. SWATH MS successfully discriminated between individuals who were more likely to lose weight and potentially improve their sensitivity to insulin. A higher IGF-II baseline was predictive of success with weight reduction, suggesting that biological determinants are important in response to weight loss and exercise regimes. This may permit better targeting of interventions to prevent diabetes in the future.

scholarly journals Social Support and Weight Outcomes Over A Six-Month Weight Loss Intervention for Rural Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 923-923
Author(s):  
Anna Kahkoska ◽  
Curtis Petersen ◽  
David Lynch ◽  
Hillary Spangler ◽  
Karen Fortuna ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Weight Loss ◽  
Family Support ◽  
Hierarchical Cluster ◽  
Logistic Regression Models ◽  
Weight Outcomes ◽  
Baseline Weight ◽  
Clinically Significant ◽  
Rural Older Adults

Abstract Rural older adults aged ≥65 years with obesity (body mass index (BMI) ≥30 kg/m2) showed an overall favorable response to a six-month, technology-based weight-management intervention. Our objective was to characterize how friends or family support for eating and exercise behaviors at baseline was associated with baseline weight and intervention response. We analyzed data from six subscales of the Social Support and Exercise Survey from 44 participants. Six-month weight change (≥5% of baseline) was considered clinically-significant. For each subscale, continuous and categorial outcomes were modeled with linear and logistic regression models, respectively, adjusted for sex and age. Crude associations of social support clusters, generated in an exploratory hierarchical cluster analysis, and weight outcomes were evaluated. The sample was 73.2 ± 3.9 years, 73% female, with mean baseline weight 97.8±16.3 kg and BMI 36.5±5.2 m/kg2. Family encouragement for healthy eating was negatively associated with baseline weight (β=-0.53, p=0.046). Social support scores were not associated with either six-month weight loss outcome (p>0.10). Two exploratory clusters were found: Cluster 1 (C1) (n=34) and Cluster 2 (C2) (n=9). C2 had higher mean social encouragement and discouragement, with lower mean baseline weight (90.0±11.7 vs 99.8±16.8kg C1; p=0.10). Weight loss was comparable (C1 4.6±3.7 versus C2 4.8±2.6kg; p=0.89), with no differences in clinically-significant weight loss (C1 45% versus C2 67%; p=0.46). These pilot data suggest that family member social support may act as collaterals to support clinical outcomes in the community. Evaluating different types within family support may elucidate associations with physiological outcomes in larger samples.

Abstract #615: Hispanic People Achieve Clinically Significant Weight loss with Liraglutide 3.0 Mg for Weight Management

2015 ◽  
Vol 21 ◽  
pp. 121
Author(s):  
Patrick O’Neil ◽  
W. Timothy Garvey ◽  
J. Michael Gonzalez-Campoy ◽  
Pablo Mora ◽  
Rafael Violante Ortiz ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Significant Weight Loss ◽  
Hispanic People ◽  
Clinically Significant

scholarly journals CC2-01: A Telephone-Based Diabetes Prevention Program and Social Support for Weight Loss: the Call-2-Health Study

2012 ◽  
Vol 10 (3) ◽  
pp. 143-143
Author(s):  
S. Fuller ◽  
E. Ludman ◽  
A. Mohelnitzky ◽  
G. Gundersen ◽  
R. Wellman ◽  
...  
Keyword(s):  
Social Support ◽  
Weight Loss ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
Health Study

scholarly journals Combining ecological momentary assessment, wrist-based eating detection, and dietary assessment to characterize dietary lapse: A multi-method study protocol

2021 ◽  
Vol 7 ◽  
pp. 205520762098821
Author(s):  
Stephanie P Goldstein ◽  
Adam Hoover ◽  
E Whitney Evans ◽  
J Graham Thomas
Keyword(s):  
Weight Loss ◽  
Eating Behavior ◽  
Ecological Momentary Assessment ◽  
Structured Interview ◽  
Self Report ◽  
Significant Weight Loss ◽  
Clinically Significant ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
Lapse Behavior

Objectives Behavioral obesity treatment (BOT) produces clinically significant weight loss and health benefits for many individuals with overweight/obesity. Yet, many individuals in BOT do not achieve clinically significant weight loss and/or experience weight regain. Lapses (i.e., eating that deviates from the BOT prescribed diet) could explain poor outcomes, but the behavior is understudied because it can be difficult to assess. We propose to study lapses using a multi-method approach, which allows us to identify objectively-measured characteristics of lapse behavior (e.g., eating rate, duration), examine the association between lapse and weight change, and estimate nutrition composition of lapse. Method We are recruiting participants (n = 40) with overweight/obesity to enroll in a 24-week BOT. Participants complete biweekly 7-day ecological momentary assessment (EMA) to self-report on eating behavior, including dietary lapses. Participants continuously wear the wrist-worn ActiGraph Link to characterize eating behavior. Participants complete 24-hour dietary recalls via structured interview at 6-week intervals to measure the composition of all food and beverages consumed. Results While data collection for this trial is still ongoing, we present data from three pilot participants who completed EMA and wore the ActiGraph to illustrate the feasibility, benefits, and challenges of this work. Conclusion This protocol will be the first multi-method study of dietary lapses in BOT. Upon completion, this will be one of the largest published studies of passive eating detection and EMA-reported lapse. The integration of EMA and passive sensing to characterize eating provides contextually rich data that will ultimately inform a nuanced understanding of lapse behavior and enable novel interventions. Trial registration: Registered clinical trial NCT03739151; URL: https://clinicaltrials.gov/ct2/show/NCT03739151

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