Effect of a High-Intensity Dietary Intervention on Changes in Dietary Intake and Eating Pathology during a Multicomponent Adolescent Obesity Intervention

Raynor, Hollie A.; Mazzeo, Suzanne E.; LaRose, Jessica Gokee; Adams, Elizabeth L.; Thornton, Laura M.; Caccavale, Laura J.; Bean, Melanie K.

doi:10.3390/nu13061850

Cited by 11 publications

(8 citation statements)

References 21 publications

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“…Higher baseline dietary restraint scores in obese children have been associated with increased rates of premature drop out from the intervention program compared to children who completed the program, independent of gender, age, and BMI z-score at baseline and mother's education level [73]. On the other hand, in a secondary analysis of an RCT focusing on changes in energy intake and diet quality during obesity treatment with post-treatment eating pathology in adolescents, there was no association between intensity of diet and EDs [74]. In a systematic review, current measures of dietary restraint and dieting are not associated with ED risk in the short term; however, long-term data are limited [75].…”

Section: Managementmentioning

confidence: 97%

Obesity and Eating Disorders in Children and Adolescents: The Bidirectional Link

et al. 2021

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Obesity, eating disorders and unhealthy dieting practices among children and adolescents are alarming health concerns due to their high prevalence and adverse effects on physical and psychosocial health. We present the evidence that eating disorders and obesity can be managed or prevented using the same interventions in the pediatric age. In the presence of obesity in the pediatric age, disordered eating behaviors are highly prevalent, increasing the risk of developing eating disorders. The most frequently observed in subjects with obesity are bulimia nervosa and binge-eating disorders, both of which are characterized by abnormal eating or weight-control behaviors. Various are the mechanisms overlying the interaction including environmental and individual ones, and different are the approaches to reduce the consequences. Evidence-based treatments for obesity and eating disorders in childhood include as first line approaches weight loss with nutritional management and lifestyle modification via behavioral psychotherapy, as well as treatment of psychiatric comorbidities if those are not a consequence of the eating disorder. Drugs and bariatric surgery need to be used in extreme cases. Future research is necessary for early detection of risk factors for prevention, more precise elucidation of the mechanisms that underpin these problems and, finally, in the cases requiring therapeutic intervention, to provide tailored and timely treatment. Collective efforts between the fields are crucial for reducing the factors of health disparity and improving public health.

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Section: Managementmentioning

confidence: 97%

Obesity and Eating Disorders in Children and Adolescents: The Bidirectional Link

et al. 2021

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“…This finding is important given the concerns that TLE may lead to unhealthy eating behaviors and attitudes. Disordered eating behaviors are prevalent among adolescents with obesity; however, many studies have suggested that monitored intervention programs implemented by trained professionals may decrease eating behavior symptomatology [82][83][84]. The potential for unhealthy eating should be continuously monitored in future studies [73,83,85].…”

Section: Discussionmentioning

confidence: 99%

Time-Limited Eating and Continuous Glucose Monitoring in Adolescents with Obesity: A Pilot Study

et al. 2021

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Due to its simplicity, time-limited eating (TLE) may represent a more feasible approach for treating adolescents with obesity compared to other caloric restriction regimens. This pilot study examines the feasibility and safety of TLE combined with continuous glucose monitoring (CGM) in adolescents. Fifty adolescents with BMI ≥95th percentile were recruited to complete a 12-week study. All received standard nutritional counseling, wore a CGM daily, and were randomized to: (1) Prolonged eating window: 12 h eating/12 h fasting + blinded CGM; (2) TLE (8 h eating/16 h fasting, 5 days per week) + blinded CGM; (3) TLE + real-time CGM feedback. Recruitment, retention, and adherence were recorded as indicators of feasibility. Weight loss, dietary intake, physical activity, eating behaviors, and quality of life over the course of the intervention were explored as secondary outcomes. Forty-five participants completed the study (16.4 ± 1.3 years, 64% female, 49% Hispanic, 75% public insurance). There was high adherence to prescribed eating windows (TLE 5.2 d/wk [SD 1.1]; control 6.1 d/wk [SD 1.4]) and daily CGM wear (5.85 d/wk [SD 4.8]). Most of the adolescents (90%) assigned to TLE reported that limiting their eating window and wearing a CGM was feasible without negative impact on daily functioning or adverse events. There were no between-group difference in terms of weight loss, energy intake, quality of life, physical activity, or eating behaviors. TLE combined with CGM appears feasible and safe among adolescents with obesity. Further investigation in larger samples, with a longer intervention duration and follow-up assessments are needed.

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“…The dietary guidance provided in TEENS+ was designed to reduce adolescents’ daily caloric intake and improve dietary quality by adding low-calorie, nutrient-dense foods (“Go Foods”), and reducing energy-dense, nutrient-poor foods [ 18 , 19 , 26 , 27 ]. At the start of treatment, adolescents were prescribed a daily calorie range (1200–1400 kcal/day for girls; 1500–1800 kcal/day for boys) and a Go-Food goal (# Go-Foods/day), designed to result in a 1–2 lb weight loss each week.…”

Section: Methodsmentioning

confidence: 99%

“…Data were from the TEENS+ intervention during which adolescents participated in a 4-month behavioral weight loss treatment. Previous reports from this study showed that adolescents in TEENS+ decreased their energy intake, improved their diet quality, and experienced significant reductions in BMI post-treatment [18,19]. The aims of this secondary analysis were to quantify changes in (1) the home food environment, (2) dietary quality, (3) daily energy intake, and (4) BMI from baseline to post-treatment by household food security status.…”

Section: Introductionmentioning

confidence: 98%

Home Food Environment Changes and Dietary Intake during an Adolescent Behavioral Weight Loss Intervention Differ by Food Security Status

et al. 2022

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Behavioral weight loss (BWL) for pediatric obesity includes guidance on improving the home food environment and dietary quality; yet food insecurity presents barriers to making these changes. This study examined if home food environment, dietary quality, energy intake, and body weight changes during adolescent obesity treatment differed by food security status, and if changes in the home food environment were associated with changes in dietary quality and energy intake by food security status. Adolescents (n = 82; 13.7 ± 1.2 years) with obesity participated in a 4-month BWL treatment. Food insecurity, home food environment (Home Food Inventory [HFI]), dietary quality (Healthy Eating Index [HEI]), energy intake, and body mass index (BMI) were assessed at baseline and post-treatment. A reduced obesogenic home food environment and improved dietary quality were observed for food secure (ps < 0.01), but not insecure households (ps > 0.05) (mean difference, HFI: −6.6 ± 6.4 vs. −2.4 ± 7.4; HEI: 5.1 ± 14.4 vs. 2.7 ± 17.7). Energy intake and BMI decreased for adolescents in food secure and insecure households (ps < 0.03) (mean difference; energy intake: −287 ± 417 vs. −309 ± 434 kcal/day; BMI: −1.0 ± 1.4 vs. −0.7 ± 1.4). BWL yielded similar reductions in energy intake and body weight yet did not offer the same benefits for improved dietary quality and the home food environment for adolescents with food insecurity.

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Effect of a High-Intensity Dietary Intervention on Changes in Dietary Intake and Eating Pathology during a Multicomponent Adolescent Obesity Intervention

Cited by 11 publications

References 21 publications

Obesity and Eating Disorders in Children and Adolescents: The Bidirectional Link

Obesity and Eating Disorders in Children and Adolescents: The Bidirectional Link

Time-Limited Eating and Continuous Glucose Monitoring in Adolescents with Obesity: A Pilot Study

Home Food Environment Changes and Dietary Intake during an Adolescent Behavioral Weight Loss Intervention Differ by Food Security Status

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