A Pilot Internet‐Based Behavioral Weight Loss Intervention with or without Commercially Available Portion‐Controlled Foods

Webber, Kelly; Rose, Stephanie

doi:10.1002/oby.20331

Cited by 9 publications

(12 citation statements)

References 35 publications

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“…The completion rates for both intervention groups were close to what is normally seen in clinical weight loss trials [36, 42, 43]. The number of sessions attended was 77% and 87%, which is higher than seen in another stress management based study [26].…”

Section: Discussionsupporting

confidence: 72%

“…Weight loss in the BWL group was comparable to that seen in similar length studies, while weight loss in the EBT group was less than what is typically seen [36–41]. It is probable that an emphasis on behavioral weight loss techniques is needed to produce clinically significant weight loss and the EBT group did not receive this type of education.…”

Section: Discussionmentioning

confidence: 54%

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A comparison of a behavioral weight loss program to a stress management program: A pilot randomized controlled trial

et al. 2016

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Background Effective non-surgical long-term weight loss solutions remain elusive. Objective To compare a behavioral weight loss program (BWL) with a stress management-based program (Emotional Brain Training, EBT) on weight loss, blood pressure, depression, perceived stress, diet and physical activity. Participants/setting Individuals with a body mass index (BMI) of ≥ 28 and ≤ 45 kg/m2 were recruited in Lexington, Kentucky in January 2014 and randomized to a behavioral weight loss program (BWL) or a stress management program (EBT) for a 20 week intervention. Of those recruited, 49 participants were randomized to EBT or BWL. Randomization and allocation to group were performed using SAS software (v 9.3, 2011, SAS Institute Inc.). Weight, blood pressure, depression, perceived stress, dietary intake and physical activity were measured at baseline, 10, and 20 weeks. Main outcome measures Weight and Body Mass Index (BMI) Statistical analyses Linear models for change over time were fit to calculate 95% confidence intervals of intervention effects. Results BWL produced greater changes in BMI than EBT at both 10(p=0.02) and 20 weeks (p=0.03). At 10 weeks, both EBT and BWL improved BMI, systolic blood pressure, depression and perceived stress (p<0.05). BWL also improved diastolic blood pressure (p=0.005). At 20 weeks, EBT maintained improvements in BMI, systolic blood pressure, depression, and perceived stress while BWL maintained improvements only in BMI and depression (p<0.05). Conclusions BWL produced greater weight loss than EBT; however, EBT produced sustained improvements in stress, depression, and systolic blood pressure. A combination of the two approaches should be explored.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 54%

A comparison of a behavioral weight loss program to a stress management program: A pilot randomized controlled trial

et al. 2016

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“…Three of the studies compared the use of prepackaged meals to an alternative active intervention [24–26]. Of these three, one examined the use of prepackaged meals in both phone and in-person treatment conditions (as well as a third usual care group; [24]), one examined a full meal subsidy (two meals per day) versus a partial subsidy (one meal per day, with encouragement to buy an additional meal at the participant’s expense; [25]), and one compared a meal provision plan with treatment materials delivered over the internet to an internet treatment-only group [26]. The remaining three studies compared the active intervention to dietary education sessions [23, 27, 28].…”

Section: Resultsmentioning

confidence: 99%

“…Two other studies described no initial differences in weight change between groups. One of these studies compared a full meal subsidy (2 meals per day) versus a partial subsidy (1 meal per day; [25]), while the other study examined the use of meal provision and internet-based treatment versus internet-based treatment alone [26]. …”

Section: Resultsmentioning

confidence: 99%

“…In addition, half of the studies reviewed did not include behavioral strategies or physical activity in treatment. For the studies that included a more comprehensive behavioral approach in conjunction with meal provision, the potential benefits of meal provision was less pronounced, and there was little support for adding meal provision to existing behavioral treatment [26]. Therefore, it is unclear what relative effectiveness meal provision provides beyond more comprehensive lifestyle interventions without meal provision.…”

Section: Resultsmentioning

confidence: 99%

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Lifestyle Interventions for Cardiovascular Disease Risk Reduction: A Systematic Review of the Effects of Diet Composition, Food Provision, and Treatment Modality on Weight Loss

Dutton

Laitner

Perri

2014

Curr Atheroscler Rep

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The purpose of this systematic review was to evaluate, synthesize, and interpret findings from recent randomized controlled trials (RCTs) of dietary and lifestyle weight loss interventions examining the effects of 1) diet composition, 2) use of food provision, and 3) modality of treatment delivery on weight loss. Trials comparing different dietary approaches indicated that reducing carbohydrate intake promoted greater initial weight loss than other approaches but did not appear to significantly improve long-term outcomes. Food provision appears to enhance adherence to reduction in energy intake and produce greater initial weight losses. The long-term benefits of food provision are less clear. Trials comparing alternative treatment modalities suggest that phone-based treatment produce short- and long-term weight reductions equivalent to face-to-face interventions. The use of Internet and mobile technologies are associated with smaller reductions in body weight than face-to-face interventions. Based on this review, clinical implications and future research directions are provided.

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Technology-based interventions for weight management: current randomized controlled trial evidence and future directions

et al. 2016

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Obesity is a prevalent health care issue associated with disability, premature morality, and high costs. Behavioral weight management interventions lead to clinically significant weight losses in overweight and obese individuals; however, many individuals are not able to participate in these face-to-face treatments due to limited access, cost, and/or time constraints. Technological advances such as widespread access to the Internet, increased use of smartphones, and newer behavioral self-monitoring tools have resulted in the development of a variety of eHealth weight management programs. In the present paper, a summary of the most current literature is provided along with potential solutions to methodological challenges (e.g., high attrition, minimal participant racial/ethnic diversity, heterogeneity of technology delivery modes). Dissemination and policy implications will be highlighted as future directions for the field of eHealth weight management.

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A Pilot Internet‐Based Behavioral Weight Loss Intervention with or without Commercially Available Portion‐Controlled Foods

Abstract: These data suggest that there may be short-term clinical benefit in using a PCD in conjunction with a behavioral Internet-based weight loss program to enhance weight loss and improve health indicators.

Cited by 9 publications

References 35 publications

A comparison of a behavioral weight loss program to a stress management program: A pilot randomized controlled trial

A comparison of a behavioral weight loss program to a stress management program: A pilot randomized controlled trial

Lifestyle Interventions for Cardiovascular Disease Risk Reduction: A Systematic Review of the Effects of Diet Composition, Food Provision, and Treatment Modality on Weight Loss

Technology-based interventions for weight management: current randomized controlled trial evidence and future directions

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