Does Health At Every Size® fit all? A group-based trajectory modeling of a non-diet intervention

Cloutier-Bergeron, Audrey; Provencher, Véronique; Mongeau, Lyne; Paquette, Marie-Claude; Carbonneau, Élise; Turcotte, Mylène; Bégin, Catherine

doi:10.1016/j.appet.2019.104403

Cited by 9 publications

(3 citation statements)

References 49 publications

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“…Thus, internally regulated eating can facilitate the prevention and to a lesser extent the treatment of obesity. Nevertheless, the stabilization of eating behaviours and particularly the reduction of maladaptive behaviours such as eating in the absence of hunger or disinhibited eating that can be achieved with internally regulated eating (16,(125)(126)(127) is relevant not only for obese and overweight individuals but also for those with binge eating disorder who may have normal weights. Finally, the eating pattern that emerges with internally regulated eating, i.e., frequent small meals, can be helpful also for individuals with specific medical conditions such as those with gastrointestinal disturbances or diabetes (128) .…”

Section: Figure 1 About Herementioning

confidence: 99%

Internally Regulated Eating Style: A Comprehensive Theoretical Framework

Palascha¹,

Kleef²,

Vet³

et al. 2019

Preprint

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The concept of internally regulated eating has been explored along several, distinct research lines. The most prominent are those on intuitive eating, eating competence, and mindful eating, but there are also several independent intervention programs that promote eating by internal hunger and satiation cues (i.e., bodily sensations of hunger and satiation). Although these paradigms have certain key elements in common, they also differ in various respects. As a result, there is no consensus regarding the key features that compose the internally regulated eating style. In the present paper, we synthesize the underlying concepts that bind together the various research lines on internally regulated eating. We do this by delineating the individual-difference characteristics that form the tendency towards engaging in internally regulated eating. These include the sensitivity to and self-efficacy in using internal hunger and satiation signals, a self-trusting attitude for the regulation of eating, a relaxed relationship with food, and the tendency to savor the food while eating. Building on earlier work, we propose an inclusive definition for the internally regulated eating style, we embody this eating style in an existing, well-known model of eating behavior (the boundary model of eating), and we present a comprehensive theoretical framework with its key defining features, antecedents, and consequences, which can be used to drive future research.

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Section: Figure 1 About Herementioning

confidence: 99%

Internally Regulated Eating Style: A Comprehensive Theoretical Framework

Palascha¹,

Kleef²,

Vet³

et al. 2019

Preprint

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show abstract

“…We hypothesized that participants reporting greater sexual behavior and indicating a greater desire for alternatives to PrEP and condoms would be more likely to be in the increasing RM product use trajectory. While we used placebo modalities in this study and participant were aware of it, different utilization trajectories [ 18 ] of placebo modalities may suggest the need to move away from the one-size-fits-all approach in the RM development agenda.…”

Section: Introductionmentioning

confidence: 99%

A latent trajectory analysis of young sexual and gender minorities’ adherence to three rectal microbicide placebo formulations (MTN-035; a randomized crossover trial)

Choi,

Bauermeister,

Tingler

et al. 2023

BMC Public Health

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Background Rectal microbicides (RM) are biomedical HIV prevention products that aim to prevent or reduce the transmission of HIV and other sexually transmitted infections (STIs). RM modalities may be beneficial for populations who have complex lifestyles, difficulties adhering to pre-exposure prophylaxis (PrEP) regimens, and/or have limited access to care. MTN-035 (DESIRE; Developing and Evaluating Short-Acting Innovations for Rectal Use), a randomized crossover trial, aimed to evaluate the safety and acceptability of, and adherence to, three placebo RM modalities (douche, insert, and suppository) prior to receptive anal intercourse. Methods We conducted latent trajectory analysis to identify clusters of individuals who shared similar trajectories in acceptability and adherence for each product (douche, insert, and suppository) over time. We analyzed weekly short messaging service (SMS) use reports for each modality as reported by enrolled sexual and gender minority (SGM) participants. Results Two trajectories for each product were identified: a “protocol compliant” trajectory (i.e., at least one product use occasion per week) and “high use” trajectory (i.e., more than three product use occasions per week). Participants with high use were more likely to lack access to PrEP and have higher intentions to utilize RM modalities compared to those who were protocol compliant. Conclusions This study highlighted high adherence to RM modalities among SGM. As research into viable HIV prevention modalities continues to evolve, tailored intervention strategies are needed to support the uptake of and adherence to alternative prevention modalities that are behaviorally congruent with targeted users. Trial registration NCT03671239 (14/09/2018).

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“…Intuitive eating additionally ignores growing recognition that nutrients and chemical signals produced by the gut microbiome are altered in people with obesity and change brain perceptions of hunger cues [66]. The principles of the Health at Every Size ® program are as follows: intuitive eating, self-acceptance, and using healthy eating and activity behaviors rather than losing weight [67] are consistent with the weight optimization guidance needed for antenatal care, yet many individuals will need more directive intake and activity guidance to avoid excessive gestational weight gain.…”

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confidence: 99%

Evidence-Based Eating Patterns and Behavior Changes to Limit Excessive Gestational Weight Gain: A Scoping Review

Ketchum,

Jevitt

2023

IJERPH

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Background: International prenatal care guidelines set a standard for clinicians to discuss gestational weight gain with their patients along with the complications associated with prepregnancy obesity and excessive gestational weight gain. Clinicians often lack evidence-based eating, nutrition, and activity strategies to share with patients. Methods: This systematic review aimed to find eating patterns and behaviors that could be used safely during pregnancy to limit excessive gestational weight gain. PubMed, MEDLINE, and Web of Science were searched for research or systematic reviews performed in the United States or Canada and published in English from 2013 to 2023. Keyword search terms included weight, manage, behavior, strategy, strategies, gestational weight gain, and nutrition. Excluded research used pediatric or adolescent populations, restrictive diets, such as no carbohydrate or no fat diets, fasting, bariatric surgery, weight loss medications, private industry or profit-earning programs using food brands, or specific diet programs. Results: A total of 844 abstracts were retrieved, with 103 full-text studies reviewed. Behaviors had to be useful for maintaining a healthy gestational weight gain and had to be safe for use during pregnancy. Behaviors useful during pregnancy included meal planning, home meal preparation, portion control, using diets such as the Mediterranean diet, the low-glycemic index diet, and the Dietary Approaches to Stop Hypertension diet (DASH), regular physical activity, sleeping 6–7 h a night, mindful eating, intuitive eating, and regular seif-weighing. Conclusion: The evidence-based strategies outlined in this review are safe for use during pregnancy and can assist patients in avoiding excessive gestational weight gain while maintaining the nutrition needed for healthy fetal growth.

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Does Health At Every Size® fit all? A group-based trajectory modeling of a non-diet intervention

Cited by 9 publications

References 49 publications

Internally Regulated Eating Style: A Comprehensive Theoretical Framework

Internally Regulated Eating Style: A Comprehensive Theoretical Framework

A latent trajectory analysis of young sexual and gender minorities’ adherence to three rectal microbicide placebo formulations (MTN-035; a randomized crossover trial)

Evidence-Based Eating Patterns and Behavior Changes to Limit Excessive Gestational Weight Gain: A Scoping Review

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