Behavioral choice treatment promotes continuing weight loss: Preliminary results of a cognitive–behavioral decision-based treatment for obesity.

Sbrocco, Tracy; Nedegaard, Randall; Stone, Jay M.; Lewis, Evelyn L.

doi:10.1037/0022-006x.67.2.260

Cited by 124 publications

(147 citation statements)

References 19 publications

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“…Both the nondieting and weight loss groups lost small amounts of weight (2.6 and 1.8 kg, respectively). A more recent study found that a program that combined elements of nondieting with a moderately restricted diet of 1,800 kcal/day produced better weight loss at 1 year than did a traditional behavioral weight loss program that included a 1,200 kcal/day diet (Sbrocco, Nedegaard, Stone, & Lewis, 1999).…”

Section: Nondieting Approaches For Obesitymentioning

confidence: 99%

“…Such trials will need to clearly define what is meant by "dieting" and "nondieting," as the nondieting approaches and standard behavioral interventions for weight loss have more in common than might be thought (e.g., eating a variety of foods in moderation, using stimulus control, increasing physical activity). Moreover, it may be possible to blend these approaches, as Sbrocco et al (1999) apparently did. Optimal interventions are likely to be at least 6 -12 months in duration, to include follow-up evaluations of 2 years or more, and to compare participants on changes in weight, health complications, and psychosocial status.…”

Section: Nondieting Approaches For Obesitymentioning

confidence: 99%

See 1 more Smart Citation

Obesity: Responding to the global epidemic.

Wadden¹,

Brownell²,

Foster³

2002

Journal of Consulting and Clinical Psychology

438

328

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Obesity has reached epidemic proportions in the United States and other developed nations. In the United States, 27% of adults are obese and an additional 34% are overweight. Research in the past decade has shown that genetic influences clearly predispose some individuals to obesity. The marked increase in prevalence, however, appears to be attributable to a toxic environment that implicitly discourages physical activity while explicitly encouraging the consumption of supersized portions of high-fat, high-sugar foods. Management of the obesity epidemic will require a two-pronged approach. First, better treatments, including behavioral, pharmacologic, and surgical interventions, are needed for individuals who are already obese. The second and potentially more promising approach is to prevent the development of obesity by tackling the toxic environment. This will require bold public policy initiatives such as regulating food advertising directed at children. The authors call not for the adoption of a specific policy initiative, but instead propose that policy research, based on viewing obesity as a public health problem, become a central focus of research.Research on obesity has increased exponentially during the past decade and has yielded remarkable discoveries in the regulation of body weight. This same period, however, has witnessed an unparalleled increase in the prevalence of obesity, making it one of our nation's most pressing health problems. This article reviews the epidemiology and complications of obesity and the factors that have contributed to its sharp increase. Consistent with previous reviews, we examine advances in treatment including behavioral, pharmacologic, and surgical interventions (Brownell, 1982;Brownell & Wadden, 1992). Advances in treatment, however, must be complemented in the next decade by innovative public policy designed to prevent the development of obesity. Epidemiology and Complications of ObesityObesity refers to an excess of body fat, which normally accounts for about 25% of weight in women and 18% in men (Bray, 1998). Body fat can be measured by a number of methods but is now usually estimated by the body mass index (BMI), which is calculated as weight in kilograms divided by height in meters squared (i.e., kg/m 2 ; Bray, 1998). (Figure 1 provides for this calculation using pounds and inches.) The BMI is highly correlated with measures of body fat and has replaced the more traditional measure of percentage over ideal weight (VanItallie & Lew, 1992).The World Health Organization (WHO; 1998) has defined obesity as a BMI Ն 30 kg/m 2 , as has the National Institutes of Health/National Heart, Lung, and Blood Institute (NIH/NHLBI; 1998). By this criterion, in 1994 (the last period for which most complete analyses are available), 25% of U. S. women and 20% of men were obese (Flegal, Carroll, Kuczmarski, & Johnson, 1998). An additional 25% and 39%, respectively, were considered overweight, defined as a BMI of 25.0 to 29.9 kg/m 2 . Thus, 55% of adult Americans were either overweight or...

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Section: Nondieting Approaches For Obesitymentioning

confidence: 99%

Section: Nondieting Approaches For Obesitymentioning

confidence: 99%

Obesity: Responding to the global epidemic.

Wadden¹,

Brownell²,

Foster³

2002

Journal of Consulting and Clinical Psychology

438

328

View full text Add to dashboard Cite

show abstract

“…All groups attended a 6-week psychoeducational program based on Behavior Choice, a 13-week treatment where they were asked to restrict their total energy intake to 1800 kilocalories (Sbrocco et al, 1999). All individuals were asked to keep computerized food diaries throughout the program and all individuals were asked to record their use of fat modified foods (see Appendix E).…”

Section: Overview Of Weight Loss Groupsmentioning

confidence: 99%

“…One exception to this phenomenon is the Behavioral Choice Treatment (BCT) proposed by Sbrocco and colleagues (Sbrocco, Nedegaard, Stone, & Lewis, 1999;Sbrocco, Lewis, Stone, Nedegaard, Kalupa, & Vaughn, 2001). Unlike traditional behavior therapy approaches to weight 1 DIETARY ADHERENCE AND FAT PREFERENCE loss, BCT promotes continued weight loss even at a two-year follow-up (Sbrocco et al, 1999, Sbrocco, Lewis, Stone, Nedegaard, Kalupa & Vaughn, 2001.…”

Section: Introductionmentioning

confidence: 99%

“…Unlike traditional behavior therapy approaches to weight 1 DIETARY ADHERENCE AND FAT PREFERENCE loss, BCT promotes continued weight loss even at a two-year follow-up (Sbrocco et al, 1999, Sbrocco, Lewis, Stone, Nedegaard, Kalupa & Vaughn, 2001. The BCT approach is a cognitivebehavioral approach based on a decision-making model of women's food choice that emphasizes the need to understand factors controlling eating behavior (Sbrocco, et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

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"The Impact of a Low-Fat Diet and the Use of Fat Substitutes on Fat Preferences Among Overweight Women Seeking Weight Loss Treatment"

Kalupa¹

2003

PsycEXTRA Dataset

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Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. , 1999). The current study evaluated the impact of dietary fat modification on fat preference in three weight loss groups. The impact of changes in fat preference on shortterm adherence to a 6-week weight loss program was assessed. Sixty-one otherwise, healthy overweight women (BMI 25-37 kg/m2) between the ages of 18-60 were randomly assigned to one of three brief, 6-week weight loss programs. All three groups were asked to reduce dietary intake to 1800 kilocalories per day, but one group was asked to maintain fat at 36%, and two additional groups were asked to consume 20-25% of kilocalories in fat. One low-fat group was instructed to use fat substitutes and the other was instructed to avoid substitutes. It was hypothesized that decreased fat intake and sensory exposure to fat would cause a decrease in preference for high fat foods. Excellent adherence was observed with over 91% of participants completing treatment. In addition, guidelines regarding kilocalories, respective fat intake, fat substitute use were followed. Taste changes that occurred were subtle and did not affect on short-term dietary adherence. More time on the prescribed fat levels might be required to induce a change in fat preference. Differential changes in fat preference following dietary fat modification were expected, but not observed in the current investigation. However, results suggest that a modified 6-week Behavior Choice program might be a viable treatment option for women in this age and weight category (BMI < 37 kg/m2). However, adherence to low-fat diets remains a challenge. Hedonic responses to food may be important to understand the adherence problem. When compared to bland-tasting foods, nutritionally-equivalent foods that are flavorful are more satiating (Rolls, 1995;Warwick et al., 1993). Two previous studies that examined the sensory impact of dietary fat modification reported conflicting results (Mattes, 1993;Guinard et al., 1999).The current study evaluated the impact of dietary fat modification on fat preference in three weight loss groups. The impact of changes in fat preference on shortterm adherence to a 6-week weight loss program was assessed. Sixty-one otherwise, healthy overweight women (BMI 25-37 kg/m 2 ) be...

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Dieting and the Development of Eating Disorders in Overweight and Obese Adults

Billington²,

et al. 2000

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We reviewed articles evaluating the relations among dieting, weight loss treatment, weight cycling, eating disorders, and psychological functioning in overweight and obese adults. Moderate caloric (energy) restriction, in combination with behavioral weight loss treatment, does not seem to cause clinically significant binge eating in overweight adults without preexisting binge eating problems and might ameliorate binge eating, at least in the short term, in those reporting recurrent binge eating before treatment. Most studies of behavioral weight loss interventions report improvements in psychological status during weight loss. However, these improvements might return to baseline with weight regain. Weight cycling does not seem to be associated with clinically significant psychopathologic conditions, although results of cross-sectional studies show an association between weight cycling and binge eating, as well as poorer perceived health status. "Nondieting" approaches seem to lead to improvements in mood and self-esteem; however, weight loss is generally minimal. Concerns that dieting induces eating disorders or other psychological dysfunction in overweight and obese adults are generally not supported by empirical studies. Such concerns should not preclude attempts to reduce caloric intake and increase physical activity to achieve modest weight loss or prevent additional weight gain.

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Behavioral choice treatment promotes continuing weight loss: Preliminary results of a cognitive–behavioral decision-based treatment for obesity.

Cited by 124 publications

References 19 publications

Obesity: Responding to the global epidemic.

Obesity: Responding to the global epidemic.

"The Impact of a Low-Fat Diet and the Use of Fat Substitutes on Fat Preferences Among Overweight Women Seeking Weight Loss Treatment"

Dieting and the Development of Eating Disorders in Overweight and Obese Adults

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