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A weight-neutral versus weight-loss approach for health promotion in women with high BMI: A randomized-controlled trial.
- Source :
-
Appetite [Appetite] 2016 Oct 01; Vol. 105, pp. 364-74. Date of Electronic Publication: 2016 Jun 08. - Publication Year :
- 2016
-
Abstract
- Weight loss is the primary recommendation for health improvement in individuals with high body mass index (BMI) despite limited evidence of long-term success. Alternatives to weight-loss approaches (such as Health At Every Size - a weight-neutral approach) have been met with their own concerns and require further empirical testing. This study compared the effectiveness of a weight-neutral versus a weight-loss program for health promotion. Eighty women, aged 30-45 years, with high body mass index (BMI ≥ 30 kg/m(2)) were randomized to 6 months of facilitator-guided weekly group meetings using structured manuals that emphasized either a weight-loss or weight-neutral approach to health. Health measurements occurred at baseline, post-intervention, and 24-months post-randomization. Measurements included blood pressure, lipid panels, blood glucose, BMI, weight, waist circumference, hip circumference, distress, self-esteem, quality of life, dietary risk, fruit and vegetable intake, intuitive eating, and physical activity. Intention-to-treat analyses were performed using linear mixed-effects models to examine group-by-time interaction effects and between and within-group differences. Group-by-time interactions were found for LDL cholesterol, intuitive eating, BMI, weight, and dietary risk. At post-intervention, the weight-neutral program had larger reductions in LDL cholesterol and greater improvements in intuitive eating; the weight-loss program had larger reductions in BMI, weight, and larger (albeit temporary) decreases in dietary risk. Significant positive changes were observed overall between baseline and 24-month follow-up for waist-to-hip ratio, total cholesterol, physical activity, fruit and vegetable intake, self-esteem, and quality of life. These findings highlight that numerous health benefits, even in the absence of weight loss, are achievable and sustainable in the long term using a weight-neutral approach. The trial positions weight-neutral programs as a viable health promotion alternative to weight-loss programs for women of high weight.<br /> (Copyright © 2016 Elsevier Ltd. All rights reserved.)
- Subjects :
- Adult
Blood Glucose metabolism
Blood Pressure
Body Weight
Diet
Exercise
Female
Follow-Up Studies
Fruit
Health Behavior
Humans
Life Style
Middle Aged
Quality of Life
Socioeconomic Factors
Vegetables
Waist Circumference
Waist-Hip Ratio
Body Mass Index
Health Promotion
Overweight therapy
Weight Reduction Programs
Subjects
Details
- Language :
- English
- ISSN :
- 1095-8304
- Volume :
- 105
- Database :
- MEDLINE
- Journal :
- Appetite
- Publication Type :
- Academic Journal
- Accession number :
- 27289009
- Full Text :
- https://doi.org/10.1016/j.appet.2016.06.006