Participation in Multicomponent Hypnosis Treatment Programs for Women's Weight Loss with and without Overt Aversion

1996 ◽  
Vol 79 (2) ◽  
pp. 659-668 ◽  
Author(s):  
David L. Johnson ◽  
Richard T. Karkut
Keyword(s):  
Weight Loss ◽  
Electric Shock ◽  
Behavior Management ◽  
Treatment Programs ◽  
Adult Women ◽  
Weight Losses ◽  
Overweight Adult

Studies of hypnotic, covert and overt aversive techniques have yielded equivocal results when each has been examined for a singular effect on weight lost. Some have advocated study of effective combinations of techniques before investing in other applications. Two programs of hypnosis, imagery, diet, tape, behavior management and support but differing in the overt use of aversion (electric shock, disgusting tastes, smells) were examined. A total of 172 overweight adult women were treated, 86 in a hypnosis only and 86 in an overt aversion and hypnosis program. Both programs achieved significant weight losses. Although subjects who received overt aversion attained somewhat more desired goals and lost more weight than subjects receiving only hypnosis, the differences were not significant.

Weight Loss for Women: Studies of Smokers and Nonsmokers Using Hypnosis and Multicomponent Treatments with and without Overt Aversion

1997 ◽  
Vol 80 (3) ◽  
pp. 931-933 ◽  
Author(s):  
David L. Johnson
Keyword(s):  
Body Mass Index ◽  
Weight Loss ◽  
Body Mass ◽  
Adult Women ◽  
Women Studies ◽  
Women Smokers ◽  
Weight Losses ◽  
Index Study ◽  
Overweight Adult

Study 1 compared overweight adult women smokers ( n = 50) and nonsmokers ( n = 50) in an hypnosis-based, weight-loss program. Smokers and nonsmokers achieved significant weight losses and decreases in Body Mass Index. Study 2 treated 100 women either in an hypnosis only ( n = 50) or an overt aversion and hypnosis ( n = 50) program. This multicomponent follow-up study replicated significant weight losses and declines in Body Mass Index. The overt aversion and hypnosis program yielded significantly lower posttreatment weights and a greater average number of pounds lost.

scholarly journals Session 3 (Joint with the British Dietetic Association): Management of obesity Weight-loss interventions in the treatment of obesity

2009 ◽  
Vol 69 (1) ◽  
pp. 34-38 ◽  
Author(s):  
C. R. Hankey
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Energy Expenditure ◽  
Energy Intake ◽  
Weight Maintenance ◽  
Dietary Advice ◽  
Excess Body Weight ◽  
Lifestyle Interventions ◽  
Post Intervention ◽  
Weight Losses

Treatments to induce weight loss for the obese patient centre on the achievement of negative energy balance. This objective can theoretically be attained by interventions designed to achieve a reduction in energy intake and/or an increase in energy expenditure. Such ‘lifestyle interventions’ usually comprise one or more of the following strategies: dietary modification; behaviour change; increases in physical activity. These interventions are advocated as first treatment steps in algorithms recommended by current clinical obesity guidelines. Medication and surgical treatments are potentially available to those unable to implement ‘lifestyle interventions’ effectively by achieving losses of between 5 kg and 10 kg. It is accepted that the minimum of 5% weight loss is required to achieve clinically-meaningful benefits. Dietary treatments differ widely. Successful weight loss is most often associated with quantification of energy intake rather than macronutrient composition. Most dietary intervention studies secure a weight loss of between 5 kg and 10 kg after intervention for 6 months, with gradual weight regain at 1 year where weight changes are 3–4 kg below the starting weight. Some dietary interventions when evaluated at 2 and 4 years post intervention report the effects of weight maintenance rather than weight loss. Specific anti-obesity medications are effective adjuncts to weight loss, in most cases doubling the weight loss of those given dietary advice only. Greater physical activity alone increases energy expenditure by insufficient amounts to facilitate clinically-important weight losses, but is useful for weight maintenance. Weight losses of between half and three-quarters of excess body weight are seen at 10 years post intervention with bariatric surgery, making this arguably the most effective weight-loss treatment.

The Integrated School Health Center: A New Medical Home

PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 864-866
Author(s):  
Marilyn D. McPherson-Corder
Keyword(s):  
Medical Home ◽  
Access To Health Care ◽  
School Health ◽  
Management Strategies ◽  
Cost Of Care ◽  
School Age Children ◽  
Treatment Programs ◽  
Adult Women ◽  
School Age ◽  
Medical Needs

During the past two decades, financial access to health care has improved for the very young, with emphasis on immunizations and medical care facilities for infants and mothers. Well-woman mandates, such as cancer detection and treatment programs, have improved the health of adult women. Even efforts to meet the needs of an ever-growing elderly population have improved. In contrast to expansions and improvements in care for the aforementioned populations, among others, there is still a population whose unmet medical needs have grown exponentially: school-age youth. Morbidity and mortality for todays school-age children are linked most often to complex behavior patterns and psychosocial risk factors. Prevention and treatment of these patterns and factors often require a multidisciplinary approach using educational and case management strategies; social, mental health, dental, and nutritional services; and traditional medical services. In recognition of the school as the focus of many communities and in recognition of this population's disproportionate drain on medical expenditures, current and projected, there has been a push for more monies to be spent on developing integrated school-based and school-linked clinics. These clinics should focus on meeting community needs and should emphasize coordination and cooperation between private and public agencies. If such efforts are not continued into the 21st century, this least-served population, which on the surface seems to be the healthiest, will be a major factor in the rising cost of care, particularly because they lacked a medical home while they were school age.

Mindful eating for overweight and obese women in Brazil: An exploratory mixed-methods pilot study

2021 ◽  
pp. 026010602110527
Author(s):  
Vera Salvo ◽  
Adriana Sanudo ◽  
Jean Kristeller ◽  
Mariana Cabral Schveitzer ◽  
Patricia Martins ◽  
...  
Keyword(s):  
Weight Loss ◽  
Mixed Methods ◽  
Qualitative Data ◽  
Eating Behaviour ◽  
Risk Level ◽  
Mindful Eating ◽  
Adult Women ◽  
Post Intervention ◽  
Obese People ◽  
Eat 26

Background: Worldwide, approximately 95% of obese people who follow diets for weight loss fail to maintain their weight loss in the long term. To fill this gap, mindfulness-based interventions, with a focus on mindful eating, are promising therapies to address this challenging public health issue. Aim: To verify the effects of the Mindfulness-Based Eating Awareness Training (MB-EAT) protocol by exploring quantitative and qualitative data collected from Brazilian women. Methods: A single-group, mixed-methods trial was conducted at a public university with adult women ( n = 34). Four MB-EAT groups were offered weekly for 2.5-h sessions over 12 weeks. Pre- and post-intervention assessments included body mass index (BMI) and self-report measures of anxiety, depression, mindfulness, self-compassion, and eating behaviour. Qualitative information was collected using focus groups in the last session of each group, including both participants and MB-EAT instructors. The qualitative data were examined using thematic analyses and empirical categories. Results: Twenty participants (58.8%) completed both pre- and post-intervention assessments, with adequate attendance (≥4 sessions). There was a significant average decrease in weight of 1.9 ± 0.6 kg from pre- to post-intervention. All participants who had scored at the risk level for eating disorders on the EAT-26 decreased their score below this risk level. Qualitative analysis identified that participants were able to engage a more compassionate perspective on themselves, as well as greater self-awareness and self-acceptance. Conclusion: The MB-EAT showed preliminary efficacy in promoting weight loss and improvements in mindfulness and eating behaviour. This intervention promoted effects beyond those expected, extending to other life contexts.

scholarly journals Telemedical Coaching Improves Long-Term Weight Loss in Overweight Persons: A Randomized Controlled Trial

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Kerstin Kempf ◽  
Martin Röhling ◽  
Monika Stichert ◽  
Gabriele Fischer ◽  
Elke Boschem ◽  
...  
Keyword(s):  
Health Care ◽  
Weight Loss ◽  
Occupational Health ◽  
Care Setting ◽  
Health Care Setting ◽  
Control Group ◽  
Lifestyle Interventions ◽  
Occupational Health Care ◽  
Weight Losses

Background. Lifestyle interventions have shown to be effective when continuous personal support was provided. However, there is lack of knowledge whether a telemedical-approach with personal coaching contributes to long-term weight losses in overweight employees. We, therefore, tested the hypothesis that telemedical-based lifestyle interventions accompanied with telemedical coaching lead to larger weight losses in overweight persons in an occupational health care setting. Methods. Overweight employees (n=180) with a body mass index (BMI) of >27 kg/m2 were randomized into either a telemedical (TM) group (n=61), a telemedical coaching (TMC) group (n=58), or a control group (n=61). Both intervention groups were equipped with scales and pedometers automatically transferring the data into a personalized online portal, which could be monitored from participants and coaches. Participants of the TMC group received additionally one motivational care call per week by mental coaches to discuss the current data (current weight and steps) and achieving goals such as a healthy lifestyle or weight reduction. The control group remained in routine care. Clinical and anthropometric data were determined after the 12-week intervention. Additionally, weight change was followed up after 12 months. Results. Participants of TMC (-3.1 ± 4.8 kg, p<0.0001) and TM group (-1.9 ± 4.0 kg; p=0.0012) significantly reduced weight and sustained it during the 1-year follow-up, while the control group showed no change. Compared to the control group only weight loss in the TMC group was significantly different (p<0.001) after 12 months. TMC and TM group also reduced BMI, waist circumference, and LDL cholesterol. Moreover, TMC group improved additionally systolic and diastolic blood pressure, total cholesterol, HDL cholesterol, and HbA1c. Conclusions. Telemedical devices in combination with telemedical coaching lead to significant long-term weight reductions in overweight persons in an occupational health care setting. This study is registered with NCT01868763, ClinicalTrials.gov.

BestFIT Sequential Multiple Assignment Randomized Trial Results: A SMART Approach to Developing Individualized Weight Loss Treatment Sequences

2021 ◽  
Author(s):  
Nancy E Sherwood ◽  
A Lauren Crain ◽  
Elisabeth M Seburg ◽  
Meghan L Butryn ◽  
Evan M Forman ◽  
...  
Keyword(s):  
Weight Loss ◽  
Randomized Trial ◽  
Controlled Trial ◽  
Response Assessment ◽  
Optimal Time ◽  
Behavioral Weight Loss ◽  
Weight Loss Treatment ◽  
Adaptive Intervention ◽  
Weight Losses ◽  
Multiple Assignment

Abstract Background State-of-the-art behavioral weight loss treatment (SBT) can lead to clinically meaningful weight loss, but only 30–60% achieve this goal. Developing adaptive interventions that change based on individual progress could increase the number of people who benefit. Purpose Conduct a Sequential Multiple Assignment Randomized Trial (SMART) to determine the optimal time to identify SBT suboptimal responders and whether it is better to switch to portion-controlled meals (PCM) or acceptance-based treatment (ABT). Method The BestFIT trial enrolled 468 adults with obesity who started SBT and were randomized to treatment response assessment at Session 3 (Early TRA) or 7 (Late TRA). Suboptimal responders were re-randomized to PCM or ABT. Responders continued SBT. Primary outcomes were weight change at 6 and 18 months. Results PCM participants lost more weight at 6 months (−18.4 lbs, 95% CI −20.5, −16.2) than ABT participants (−15.7 lbs, 95% CI: −18.0, −13.4), but this difference was not statistically significant (−2.7 lbs, 95% CI: −5.8, 0.5, p = .09). PCM and ABT participant 18 month weight loss did not differ. Early and Late TRA participants had similar weight losses (p = .96), however, Early TRA PCM participants lost more weight than Late TRA PCM participants (p = .03). Conclusions Results suggest adaptive intervention sequences that warrant further research (e.g., identify suboptimal responders at Session 3, use PCMs as second-stage treatment). Utilizing the SMART methodology to develop an adaptive weight loss intervention that would outperform gold standard SBT in a randomized controlled trial is an important next step, but may require additional optimization work. Clinical Trial information ClinicalTrials.gov identifier; NCT02368002

Is there any conclusive evidence that exercise alone reduces glucose intolerance?

2003 ◽  
Vol 3 (1_suppl) ◽  
pp. S18-S23
Author(s):  
Arne Astrup
Keyword(s):  
Weight Loss ◽  
Diabetes Prevention ◽  
Intervention Studies ◽  
Conclusive Evidence ◽  
Regular Exercise ◽  
Metabolic Function ◽  
Weight Losses ◽  
Diet And Exercise ◽  
Obese Subjects

Physical activity improves insulin sensitivity and glucose metabolism, although such effects are short-lasting and regular exercise is needed to sustain them. Weight loss, especially loss of visceral fat, appears to be especially important in improving metabolic function and clinical outcomes. The most important consequences of exercise are probably promotion of weight loss and prevention of weight gain. Substantial weight losses, associated with significant improvements in glycaemic control and reductions in the incidence of type 2 diabetes, have been observed in intervention studies in overweight or obese subjects. These benefits were achieved using intensive lifestyle interventions, pharmacotherapy or surgery. Thus, programmes of diet and exercise aimed at achieving control of body weight should play a central role in strategies for diabetes prevention.

Sign in / Sign up

Export Citation Format

Share Document