Some Health-Risk Benefits of Behavioral Weight-Loss Treatments

1987 ◽  
Vol 61 (1) ◽  
pp. 199-206 ◽  
Author(s):  
William M. Beneke ◽  
Benjamin F. Timson
Keyword(s):  
Weight Loss ◽  
Weight Control ◽  
Cardiovascular Health ◽  
Hdl Cholesterol ◽  
Maximal Heart Rate ◽  
Behavioral Weight Loss ◽  
Serum Triglycerides ◽  
Cardiopulmonary Fitness ◽  
Beneficial Effects ◽  
Weight Loss Treatments

This study reports assessment of some beneficial effects of behavioral weight-control treatments on measures of cardiovascular health. 31 women participated for each experiment. In Exp. 1, a 12-wk. dietary program resulted in mean reductions of 5.3 kg of weight, including 4.2 kg of fat, 24% in HDL-cholesterol and 11.95 mg/dl in Total Cholesterol, but no changes in cardiopulmonary fitness. Exp. 2 compared two 16-wk. treatments which added exercise self-management with and without additional structured-group exercise to the dietary component. No differences or interactions between treatments were significant. Combined data showed a mean weight loss of 8.3 kg, including 8.8 kg of fat, a 22% decrease in serum triglycerides, and a 22% increase in duration of exercise combined with a 5% reduction in maximal heart rate. These beneficial effects of including exercise in behavioral weight-loss treatments with women should be experimentally verified.

scholarly journals “Taking Charge of One’s Life”: A Model for Weight Management Success

2015 ◽  
Author(s):  
Marlene Adams
Keyword(s):  
Weight Loss ◽  
Grounded Theory ◽  
Postmenopausal Women ◽  
Weight Management ◽  
Self Efficacy ◽  
Weight Control ◽  
Weight Loss Program ◽  
Taking Charge ◽  
Weight Loss Treatments ◽  
Weight Loss Study

Obesity is a serious, prevalent, and refractory disorder that increases with age particularly in women who enroll in formal weight loss treatments. This study examined the processes used by obese postmenopausal women as they participated in a formal weight loss program. Using grounded theory, interviews were conducted with 14 women engaged in a formal weight loss study examining success with specific, targeted weight loss treatments based on one’s weight control self-efficacy typology. “Taking Charge of One’s Life” emerged as a model for weight management success, comprised of three phases: engaging, internalizing, and keeping one’s commitment. This study supports the unique, complex, and individualized nature of making a decision to lose weight and then maintaining one’s commitment to weight loss.

Discrepancies Between Clinician and Participant Intervention Adherence Ratings Predict Percent Weight Change During a Six-Month Behavioral Weight Loss Intervention

2021 ◽  
Vol 11 (4) ◽  
pp. 1006-1014
Author(s):  
Michael P Berry ◽  
Elisabeth M Seburg ◽  
Meghan L Butryn ◽  
Robert W Jeffery ◽  
Melissa M Crane ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Change ◽  
Weight Control ◽  
Calorie Intake ◽  
Behavioral Weight Loss ◽  
Weight Loss Treatment ◽  
Self Monitoring ◽  
Weight Control Behaviors ◽  
Behavioral Weight Loss Intervention ◽  
Behavioral Weight Loss Treatment

Abstract Background Individuals receiving behavioral weight loss treatment frequently fail to adhere to prescribed dietary and self-monitoring instructions, resulting in weight loss clinicians often needing to assess and intervene in these important weight control behaviors. A significant obstacle to improving adherence is that clinicians and clients sometimes disagree on the degree to which clients are actually adherent. However, prior research has not examined how clinicians and clients differ in their perceptions of client adherence to weight control behaviors, nor the implications for treatment outcomes. Purpose In the context of a 6-month weight-loss treatment, we examined differences between participants and clinicians when rating adherence to weight control behaviors (dietary self-monitoring; limiting calorie intake) and evaluated the hypothesis that rating one’s own adherence more highly than one’s clinician would predict less weight loss during treatment. Methods Using clinician and participant-reported measures of self-monitoring and calorie intake adherence, each assessed using a single item with a 7- or 8-point scale, we characterized discrepancies between participant and clinician adherence and examined associations with percent weight change over 6 months using linear mixed-effects models. Results Results indicated that ratings of adherence were higher when reported by participants and supported the hypothesis that participants who provided higher adherence ratings relative to their clinicians lost less weight during treatment (p < 0.001). Conclusions These findings suggest that participants in weight loss treatment frequently appraise their own adherence more highly than their clinicians and that participants who do so to a greater degree tend to lose less weight.

Effective Weight Loss

2016 ◽  
Author(s):  
Evan M. Forman ◽  
Meghan L. Butryn
Keyword(s):  
Weight Loss ◽  
Dialectical Behavior Therapy ◽  
Relapse Prevention ◽  
Weight Control ◽  
Behavioral Treatment ◽  
Self Control ◽  
Cognitive Behavioral Treatment ◽  
Behavioral Weight Loss ◽  
Empirically Supported ◽  
Look Ahead

Millions of people attempt to lose weight every year, but most will not succeed. Simply learning about a new diet and exercise plan is not enough. This book presents 25 detailed sessions of an empirically supported, cognitive-behavioral treatment package called acceptance-based behavioral treatment (ABT) that has now been utilized successfully in five large National Institute of Health–sponsored clinical trials. The foundation of this approach is comprised of the nutritional, physical activity, and behavioral components of the most successful, gold-standard behavioral weight loss packages, such as Look Ahead and the Diabetes Prevention Project. These components are synthesized with acceptance, willingness, behavioral commitment, motivation, and relapse prevention strategies drawn from acceptance and commitment therapy, dialectical behavior therapy and relapse prevention therapy. ABT is premised on the idea that specialized self-control skills are necessary for weight control, given our innate desire to consume delicious foods and to conserve energy. These self-control skills revolve around a willingness to choose behaviors that may be perceived as uncomfortable for the sake of a more valuable objective. The treatment focuses on both weight loss and weight loss maintenance and aims to confer lifelong skills that facilitate long-term weight control. This companion Client Workbook contains summaries of session content, worksheets, handouts, and assignments.

scholarly journals Cooking as a Health Behavior: Examining the Role of Cooking Classes in a Weight Loss Intervention

Nutrients ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3669
Author(s):  
Mattie Alpaugh ◽  
Lizzy Pope ◽  
Amy Trubek ◽  
Joan Skelly ◽  
Jean Harvey
Keyword(s):  
Weight Loss ◽  
Diet Quality ◽  
Weight Control ◽  
Healthy Eating Index ◽  
Weight Loss Intervention ◽  
Behavioral Weight Loss ◽  
Obese Adults ◽  
Active Condition ◽  
Cooking Classes ◽  
At Home

Americans are cooking fewer meals at home and eating more convenience foods prepared elsewhere. Cooking at home is associated with higher quality diets, while a reduction in cooking may be associated with increases in obesity and risk factors for chronic disease. The aims of this study were to examine cooking as an intervention for weight control in overweight and obese adults, and whether such an intervention increases participants’ food agency and diet quality. Overweight and obese adults were randomized into one of two intervention conditions: active or demonstration. Both conditions received the same 24-week behavioral weight loss intervention, and bi-weekly cooking classes. The active condition prepared a weekly meal during a hands-on lesson, while the demonstration condition observed a chef prepare the same meal. The active condition lost significantly more weight at six months compared with the demonstration condition (7.3% vs. 4.5%). Both conditions saw significant improvements in food agency scores and Healthy Eating Index scores, though no significant differences were noted between groups. The addition of active cooking to a weight management intervention may improve weight loss outcomes, though benefits in diet quality and cooking behaviors may also be seen with the addition of a demonstration-only cooking intervention.

scholarly journals Feasibility of a virtual reality-based approach to improve behavioral weight management outcomes

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Suzanne Phelan ◽  
Sapna Peruvemba ◽  
David Levinson ◽  
Noah Stulberg ◽  
Aidan Lacy ◽  
...  
Keyword(s):  
Weight Loss ◽  
Virtual Reality ◽  
Weight Control ◽  
Weight Loss Maintenance ◽  
Habit Strength ◽  
Control Group ◽  
Behavioral Weight Loss ◽  
Point Scale ◽  
Weight Control Behaviors

Abstract Background Behavioral weight loss interventions promote clinically significant weight loss over 12 months, but weight regain remains problematic and a substantial proportion of participants do not achieve long-term weight loss maintenance. Novel methods are needed that instill habit strength for sustaining weight control behaviors long term. Virtual reality (VR) has the potential to provide opportunities within behavioral treatment for patients to practice desired weight control behaviors in the frequency and magnitude necessary to build durable habits. A pilot randomized trial was done to test the feasibility integrating virtual reality (VR) into standard behavioral weight loss treatment. Methods Participants were 15 adults (43 years; 46.7% Hispanic), with overweight or obesity who were randomly assigned to a 4-week Standard Behavioral Weight Loss plus Non-Weight-Related VR app (i.e., Control Group) or Standard Behavioral Weight Loss plus Weight-Related VR app (i.e., Intervention Group). The Intervention’s VR tool was designed to enable practice of behavioral skills taught in weekly group meetings, including managing social and home environmental cues for eating and activity. Results Participants were recruited over 3 months, and retention at the final assessment visit was high (86.6%). The VR footage and resulting app were rated as highly realistic (6.7 on a 10-point scale), and the VR program overall was rated as highly satisfactory (3.6 on a 4-point scale). Adverse effects of eye strain and motion sickness were minimal (~ 2 on a 7-point scale). As expected, the intervention and control groups both lost weight and unadjusted means (SD) averaged 3.4% (2.7) and 2.3% (3.6), respectively, over the 4 weeks. Overall, participants reported preferring a VR approach above traditional weight loss programs (rating of 5 on a 7-point scale). Conclusions Future research is needed to develop and test the feasibility of using VR for other weight control skills with a larger sample size and longer evaluation period to determine if VR can improve standard behavioral weight loss outcomes by intensifying practice opportunities and building habit strength for weight loss maintenance. Trial registration NCT04534088; date of registration: 09/01/2020, retrospectively registered.

Stress Management–Augmented Behavioral Weight Loss Intervention for African American Women

2012 ◽  
Vol 40 (1) ◽  
pp. 78-87 ◽  
Author(s):  
Tiffany L. Cox ◽  
Rebecca Krukowski ◽  
ShaRhonda J. Love ◽  
Kenya Eddings ◽  
Marisha DiCarlo ◽  
...  
Keyword(s):  
Weight Loss ◽  
African American ◽  
African American Women ◽  
Stress Management ◽  
Weight Control ◽  
Management Strategies ◽  
High Stress ◽  
Diabetes Prevention Program ◽  
Behavioral Weight Loss ◽  
Stress Levels

The relationship between chronic stress and weight management efforts may be a concern for African American (AA) women, who have a high prevalence of obesity, high stress levels, and modest response to obesity treatment. This pilot study randomly assigned 44 overweight/obese AA women with moderate to high stress levels to either a 12-week adaptation of the Diabetes Prevention Program Lifestyle Balance intervention augmented with stress management strategies (Lifestyle + Stress) or Lifestyle Alone. A trend toward greater percentage of baseline weight loss at 3-month data collection was observed in Lifestyle + Stress (−2.7 ± 3.6%) compared with Lifestyle Alone (−1.4 ± 2.3%; p = .17) and a greater reduction in salivary cortisol (Lifestyle + Stress: −0.2461 ± 0.3985 ng/mL; Lifestyle Alone: −0.0002 ± 0.6275 ng/mL; p = .20). These promising results suggest that augmenting a behavioral weight control intervention with stress management components may be beneficial for overweight/obese AA women with moderate to high stress levels and merit further investigation with an adequately powered trial.

scholarly journals The Behavioral Intervention with Technology for E-Weight Loss Study (BITES): Incorporating Energy Balance Models and the Bite Counter into an Online Behavioral Weight Loss Program

2020 ◽  
Author(s):  
Carly M. Goldstein ◽  
Stephanie P. Goldstein ◽  
Diana M. Thomas ◽  
Adam Hoover ◽  
Dale S. Bond ◽  
...  
Keyword(s):  
Weight Loss ◽  
Energy Balance ◽  
Weight Control ◽  
Control Strategies ◽  
Behavioral Outcomes ◽  
Weight Loss Program ◽  
Future Research ◽  
Behavioral Weight Loss ◽  
Weight Control Strategies ◽  
To Receive

AbstractThis study evaluated feasibility and acceptability of adding energy balance modeling displayed on weight graphs combined with a wrist-worn bite counting sensor against a traditional online behavioral weight loss program. Adults with a BMI of 27–45 kg/m2 (83.3% women) were randomized to receive a 12-week online behavioral weight loss program with 12 weeks of continued contact (n = 9; base program), the base program plus a graph of their actual and predicted weight change based on individualized physiological parameters (n = 7), or the base program, graph, and a Bite Counter device for monitoring and limiting eating (n = 8). Participants attended weekly clinic weigh-ins plus baseline, midway (12 weeks), and study culmination (24 weeks) assessments of feasibility, acceptability, weight, and behavioral outcomes. In terms of feasibility, participants completed online lessons (M = 7.04 of 12 possible lessons, SD = 4.02) and attended weigh-ins (M = 16.81 visits, SD = 7.24). Six-month retention appears highest among nomogram participants, and weigh-in attendance and lesson completion appear highest in Bite Counter participants. Acceptability was sufficient across groups. Bite Counter use (days with ≥ 2 eating episodes) was moderate (47.8%) and comparable to other studies. Participants lost 4.6% ± 4.5 of their initial body weight at 12 weeks and 4.5% ± 5.8 at 24 weeks. All conditions increased their total physical activity minutes and use of weight control strategies (behavioral outcomes). Although all groups lost weight and the study procedures were feasible, acceptability can be improved with advances in the technology. Participants were satisfied with the online program and nomograms, and future research on engagement, adherence, and integration with other owned devices is needed. ClinicalTrials.gov Identifier: NCT02857595

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