Confronting the failure of behavioral and dietary treatments for obesity

Garner, David M.; Wooley, Susan C.

doi:10.1016/0272-7358(91)90128-h

Cited by 418 publications

(231 citation statements)

References 231 publications

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“…12 Obviously, even young children are already aware of contemporary messages concerning dieting as a possible way of weight control. However, dieting often leads to repeated cycles of weight loss and regain and may contribute to obesity by increasing the metabolic ef®ciency.…”

Section: Discussionmentioning

confidence: 99%

“…However, dieting often leads to repeated cycles of weight loss and regain and may contribute to obesity by increasing the metabolic ef®ciency. 12 Paradoxically, this will lead to even more dietary restraint in those obese subjects that were still motivated to control their weight. Others have shown that dieting is an important risk factor in the development of eating disorders.…”

Section: Discussionmentioning

confidence: 99%

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Dietary restraint in normal weight and overweight children. A cross-sectional study

Braet

Wydhooge

2000

Int J Obes

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OBJECTIVE: This study investigated the degree to which actual fatness and negative self-esteem might be linked to dietary restraint in childhood. METHOD: Subjects were 426 boys and 319 girls, aged 10.6 y ( AE 1 y). Forty-nine children were overweight ( b 30%) and 149 subjects were in the category`moderately overweight' (10 ± 30% overweight). Measures of self-esteem and dietary restraint were used in the analyses. RESULTS: Dietary restraint was observable in all weight groups and signi®cantly more in girls. Boys and girls with an existing fatness problem showed more dietary restraint. Weight status, not self-esteem, turned out to be the best predictor of dietary restraint. DISCUSSION: Because there were good reasons to expect side-effects of the observed dietary restraint in obese children in the long term, valuable alternatives like changes in the life-style and interventions that enhance body image and self-esteem were recommended.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Dietary restraint in normal weight and overweight children. A cross-sectional study

Braet

Wydhooge

2000

Int J Obes

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“…4 However, nearly all data on weight regain following intentional weight loss have been based on research studies conducted in university or hospital settings. The number of overweight individuals who receive weight-loss treatment in such settings represents a small fraction of the number of overweight people who diet to lose weight in the general population.…”

Section: Introductionmentioning

confidence: 99%

Weight-loss maintenance in overweight individuals one to five years following successful completion of a commercial weight loss program

2001

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OBJECTIVE:To determine weight loss maintenance among participants in a commercial weight loss program (Weight Watchers) who had reached their goal weights 1 ± 5 y previously. DESIGN: A national sample (n 1002) was surveyed by phone to obtain demographic and weight-related information. An oversample (n 258) was recruited and weighed in person to develop a correction factor for self-reported weights in the national sample. RESULTS: Based on corrected weights, weight regain from 1 to 5 y following weight loss ranged between 31.5 and 76.5%. At 5 y, 19.4% were within 5 lb of goal weight, 42.6% maintained a loss of 5% or more, 18.8% maintained a loss of 10% or more, and 70.3% were below initial weight. CONCLUSIONS: These results are not directly comparable to those obtained in clinical settings because of differences in the populations studied. Nonetheless, they suggest that the long-term prognosis for weight maintenance among individuals who reach goal weight in at least one commercial program is better than that suggested by existing research.

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“…To date, obesity prevention attempts have been mainly educational, behavioural or pharmacological, focused on either diet or physical activity, and have had limited success (Kayman et al, 1990;Garner & Wooley, 1997;Swinburn et al, 1999). The challenge is to develop innovative multidisciplinary initiatives to improve the rather modest impact of current programmes.…”

Section: Discussionmentioning

confidence: 99%

Netherlands Research programme weight Gain prevention (NHF-NRG): rationale, objectives and strategies

et al. 2005

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Objective: To outline the rationale, objectives and strategies used in a systematically designed research programmme to study specific weight gain-inducing behaviours, their social-psychological as well as environmental determinants, and the effects of interventions aimed at the prevention of weight gain. Design: The evidence for potential behavioural determinants and strategies to prevent weight gain was reviewed, and the methods applied within the Netherlands Research programme weight gain prevention (NHF-NRG) project were described. The project is designed according to the Intervention Mapping protocol. Conclusions: Based on the few interventions that were evaluated to date, no robust conclusions can be drawn regarding the effectiveness of obesity prevention. The systematic and multidisciplinary design of the NHF-NRG programme enables the identification of potentially effective methods and strategies for the prevention of weight gain.

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Confronting the failure of behavioral and dietary treatments for obesity

Cited by 418 publications

References 231 publications

Dietary restraint in normal weight and overweight children. A cross-sectional study

Dietary restraint in normal weight and overweight children. A cross-sectional study

Weight-loss maintenance in overweight individuals one to five years following successful completion of a commercial weight loss program

Netherlands Research programme weight Gain prevention (NHF-NRG): rationale, objectives and strategies

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