Prevention of cardiovascular risk factor elevations in healthy premenopausal women

Simkin‐Silverman, Laurey R.; Wing, RR; Hansen, Danielle; Klem, Mary Lou; Pasagian-Macaulay, Araxi; Meilahn, Elaine N.; Kuller, Lewis H.

doi:10.1016/0378-5122(95)29022-2

Cited by 28 publications

(51 citation statements)

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“…That is, the intervention in the present study ended after only 10 weeks, while other prevention programs have utilized treatment periods that were 6 months to 1 year in duration. 9,10,12 As is true with traditional weight management programs, duration of treatment may increase the effectiveness of weight gain prevention programs.…”

Section: Discussionmentioning

confidence: 99%

“…At 6-month follow-up, treated women had lost signi®cantly more weight than untreated controls, and demonstrated favorable changes on measures of psychosocial functioning. 12,14 The few published studies of weight gain prevention programs have offered some evidence that such programs may be effective at preventing short-term increases in body weight. However, these results have been observed with programs that used very different treatment formats and, to the best of our knowledge, the acceptability or`audience appeal' of such formats has never been systematically evaluated.…”

Section: Introductionmentioning

confidence: 99%

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Primary prevention of weight gain for women aged 25–34: the acceptability of treatment formats

2000

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OBJECTIVE: To determine if treatment format will affect the willingness of women aged 25 ± 34 to participate in a program for primary prevention of weight gain. DESIGN: 102 normal-weight women aged 25 ± 34 were randomized to one of three treatment formats (group meetings, correspondence course, no-treatment control). Acceptability was evaluated by determining the proportion of women participating in their assigned format. Ef®cacy was assessed by determining mean weight changes at posttreatment (10 weeks) and 6-month follow-up, and the proportions of women who remained at baseline weights. RESULTS: Signi®cantly fewer women chose to participate in a group format, compared to the correspondence course and no-treatment control (42%, 84% and 62%, respectively). However, the group format produced the largest shortterm changes in weight ( 7 1.9 AE 1.8 kg, 7 1.1 AE 2.1 kg and 7 0.2 AE 1.3 kg, respectively). CONCLUSIONS: The format of prevention programs may in¯uence the willingness of subjects to participate, as well as treatment outcome. Both format acceptability and ef®cacy should be considered in determining the overall effectiveness of a program.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Primary prevention of weight gain for women aged 25–34: the acceptability of treatment formats

2000

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“…Previous weight gain prevention interventions have been delivered in supervised, group settings (7) or through minimal-contact correspondence programs (5,6). A supervised group program focusing on decreasing intake and increasing exercise in normalweight women produced an average weight loss of 4.8 kg in 6 months (7). However, it is unclear whether normal weight men would be willing to attend weekly meetings and participate in such a group treatment program.…”

Section: Introductionmentioning

confidence: 99%

Clinic‐Based vs. Home‐Based Interventions for Preventing Weight Gain in Men

et al. 1998

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LEERMAKERS, ELIZABETH A., JOHN M. JAKICIC, JACKIE VITERI, RENA R. WING. Clinic-based vs. homebased interventions for preventing weight gain in men. Obes Res. 1998;6:346-352. Objective: Weight gain occurs frequently in men aged 25-40. This study compared the effectiveness of a clinic-based and a home-based intervention with a no-treatment control group in preventing this weight gain. Research Methods and Procedures:Men (n = 67)-aged 25 to 40, sedentary, with a body mass index of 22 to 30, recruited from the University of Pittsburgh-were randomly assigned to 4-month treatments focused on increasing aerobic exercise and reducing fat intake through a clinicbased (CB) or a home-based (HB) program, or to a delayed-treatment control group. Subjects were reassessed at 4 months.Results: Adherence and outcome did not differ significantly between the CB and HB programs, except that CB subjects recorded their food intake more frequently, and a greater number of CB subjects achieved a total of 120 miles of exercise over the 4 months. Subjects in the two intervention conditions combined lost significantly more weight (-1.6 ± 2.5 kg) than control subjects, who gained 0.2 ± 1.9 kg (p<0.0 1); this effect of treatment was seen primarily in men with a body mass index of 27 to 30 (-2.7 kg for CB and HB combined vs. +1.5 kg for control). Treated subjects also had somewhat greater improvements in body composition, aerobic fitness, and weekly energy expenditure than controls, although these differences did not reach significance.Discussions: Both CB and HB intervention show promise in preventing weight gain in young men, especially in those who are slightly overweight. Larger studies, using more representative samples of young men, appear warranted.

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“…There have been few clinical or intervention trials with non-at-risk, healthy, free-living women who regularly prepare food for themselves. One study with healthy perimenopausal women focused on reducing fat in the diet and increasing exercise (10) and a large study with healthy postmenopausal women focused on reducing fat intake to below 20 % and increasing consumption of fruits, vegetables and grains (11) .…”

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confidence: 99%

Adherence in a 1-year whole foods eating pattern intervention with healthy postmenopausal women

Peters

Contento

Kronenberg

et al. 2014

Public Health Nutr.

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Objective: To determine the degree of dietary adherence or change in eating patterns, and demographic, psychosocial and study characteristics associated with adherence, in the Comparing Healthy Options in Cooking and Eating (CHOICE) Study. Design: Randomized controlled trial where women were randomized to one of three eating patterns: (i) Whole Foods, plant-based, macrobiotic-style (n 22); and Moderate Fat with (ii), and without (iii), 10 g of ground flaxseed added daily, which were combined (n 49). Setting: A year-long intervention based on social cognitive theory, consisting of twenty-four class sessions involving hands-on cooking classes and behavioural sessions. Monthly 24 h food recalls were obtained and a psychosocial questionnaire was administered at baseline, 6 and 12 months. Subjects: Healthy, free-living, postmenopausal women. Results: A non-adherence score measuring all food servings out-of-compliance with eating pattern recommendations was specifically designed for the present study. Non-adherence scores decreased significantly (P , 0?05) in both groups to about 65 % during the adoption phase (first 4 months) and remained so during the 8-month maintenance period. Class attendance of the Moderate Fat group showed a trend towards significance as a predictor of adherence (P 5 0?063). None of the other predictors (e.g. demographic and psychosocial factors) in a longitudinal regression model were significant. Conclusions: Postmenopausal women were able to adopt and maintain significant changes in their eating patterns, including those on a demanding, near-vegetarian eating plan, suggesting that behavioural interventions with a healthy free-living population can be effective. The non-adherence score developed for the study provides an example of a means for evaluating eating pattern adherence to a dietary intervention.

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Prevention of cardiovascular risk factor elevations in healthy premenopausal women

Cited by 28 publications

References 0 publications

Primary prevention of weight gain for women aged 25–34: the acceptability of treatment formats

Primary prevention of weight gain for women aged 25–34: the acceptability of treatment formats

Clinic‐Based vs. Home‐Based Interventions for Preventing Weight Gain in Men

Adherence in a 1-year whole foods eating pattern intervention with healthy postmenopausal women

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