Living Without Dieting: Motivating the Obese to Exercise and to Eat Prudently

Foreyt, John P.; Goodrick, G. Ken

doi:10.1080/00336297.1995.10484156

Cited by 9 publications

(5 citation statements)

References 31 publications

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“…Numerous studies now suggest that a weight loss of this magnitude is frequently sufficient to improve and even control medical complications of obesity (Goldstein, 1992). Thus, although investigators will probably continue efforts to increase the size of weight losses, they should now devote more attention to identifying reasonable weight loss goals for seriously obese individuals (Brownell & Wadden, 1992; Foreyt & Goodrick, 1992; Wing, 1992).…”

Section: Discussionmentioning

confidence: 99%

One-year behavioral treatment of obesity: Comparison of moderate and severe caloric restriction and the effects of weight maintenance therapy.

Wadden¹,

Foster²,

Letizia³

1994

Journal of Consulting and Clinical Psychology

295

235

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This study compared the weight losses of 49 obese women randomly assigned to a 52-week behavioral program combined with either moderate or severe caloric restriction. Subjects in the balanced deficit diet (BDD) condition were prescribed a 1,200-kcal/day diet throughout treatment, and those in the very-low-calorie diet (VLCD) condition were given a 420-kcal/day liquid diet for 16 weeks and a 1,200-kcal/day diet thereafter. The VLCD subjects lost significantly more weight than the BDD subjects at all periods through Week 26, at which time mean losses were 21.45 and 11.86 kg, respectively. VLCD subjects, however, regained weight during the next 26 weeks of weekly therapy and during a 26-week weight maintenance program that provided biweekly meetings. Mean weight losses at the end of the maintenance program were 10.94 and 12.18 kg, respectively. Reports of binge eating declined in both groups, and no relationship was observed between binge eating and weight loss or attrition.

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Section: Discussionmentioning

confidence: 99%

One-year behavioral treatment of obesity: Comparison of moderate and severe caloric restriction and the effects of weight maintenance therapy.

Wadden¹,

Foster²,

Letizia³

1994

Journal of Consulting and Clinical Psychology

295

235

View full text Add to dashboard Cite

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“…Few studies of obese dieters support the latter concerns (National Task Force on the Prevention and Treatment of Obesity, 2000). Nonetheless, several nondieting or undieting approaches have been proposed that, although differing in their specific methods, generally seek to (a) increase awareness about dieting's ill effects, (b) provide education about the biological basis of body weight, (c) help patients stop restricting their caloric intake and avoiding prohibited foods, (d) encourage the use of internal cues such as hunger and fullness to guide eating rather than external cues such as calories or fat grams, (e) improve self-esteem and body image through self-acceptance rather than through weight loss, and (f) increase physical activity (Foreyt & Goodrick, 1995a; Foster & Johnson, 1998; Foster & McGuckin, 2002; Hirschmann & Munter, 1988; Polivy & Herman, 1992).…”

Section: Binge Eating Obesity and Nondieting Approachesmentioning

confidence: 99%

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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“…The debate over dieting has profound consequences for policy, public health, medical management, and the health and well-being of millions of individuals. Some have questioned the wisdom of dieting (Bennett & Gurin, 1982; Garner & Wooley, 1991), and others have developed programs that discard dieting entirely (Ciliska, 1990; Foreyt & Goodrick, 1992; Polivy & Herman, 1983, 1992). An objective examination of the data is essential.…”

Section: Historical and Cultural Contextsmentioning

confidence: 99%

The dieting maelstrom: Is it possible and advisable to lose weight?

Brownell¹,

Rodin²

1994

American Psychologist

222

174

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An impassioned debate over the virtues and dangers of dieting is polarizing the field and diverts attention from key issues. Dieting clearly has costs and, for some, has the potential for benefit. The primary challenges are (a) to identify individuals who will be helped or harmed by dieting, (b) to reduce the frequency and severity of dieting in those for whom the costs exceed the benefits, (c) to better understand the physiological and psychological reasons why some people can lose and others cannot, and (d) to develop safe and effective means for weight loss and its maintenance and to target these methods to individuals who stand to benefit.

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Living Without Dieting: Motivating the Obese to Exercise and to Eat Prudently

Cited by 9 publications

References 31 publications

One-year behavioral treatment of obesity: Comparison of moderate and severe caloric restriction and the effects of weight maintenance therapy.

One-year behavioral treatment of obesity: Comparison of moderate and severe caloric restriction and the effects of weight maintenance therapy.

Obesity: Responding to the global epidemic.

The dieting maelstrom: Is it possible and advisable to lose weight?

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