Health Benefits of a 16-Week Whole Food, High Fiber, Plant Predominant Diet among U.S. Employees

Kelly, Rebecca; Hanus, Amy; Payne-Foster, Pamela; Calhoun, Janet; Stout, Ron; Sherman, Bruce

doi:10.1177/08901171221116066

Cited by 4 publications

(8 citation statements)

References 26 publications

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“…Previous studies demonstrated that FPL participants had statistically significant improvements in eating behaviors of fiber-rich foods between baseline and follow-up ( 20 ). Unique to this study was the development of a total fiber composite.…”

Section: Resultsmentioning

confidence: 96%

“…The study design, procedures, and intervention have been previously described in detail ( 20 ). The 16-week FPL program consisted of individuals receiving weekly online educational videos, FPL program curriculum materials, and online resources to include recipes and meal planning tips.…”

Section: Methodsmentioning

confidence: 99%

“…Measures of data-specific variables were previously described ( 20 ), including demographic characteristics, food intake, self-perceived health and energy values, confidence scores, and body weight.…”

Section: Methodsmentioning

confidence: 99%

“…Full Plate Living (FPL), a multicomponent nutrition education program, was designed for individuals and groups in clinical, workplace, and community settings. The details and benefits of the FPL program have been previously described ( 20 – 22 ). FPL's simplified healthy eating approach emphasizes small-step habit adoption to include the consumption of plant predominant foods high in fiber, such as fruits, vegetables, beans and legumes, cooked whole grains, and nuts ( 21 ).…”

Section: Introductionmentioning

confidence: 99%

“…The beneficial impact of FPL on improving eating behaviors and health values has been demonstrated in both community and employer settings ( 20 , 23 – 25 ). A recent FPL analysis demonstrated significant improvements in eating behaviors and health status including increased consumption of fiber-rich foods of fruits, vegetables, whole grains, beans, and nuts; improvement in perceived health and energy values; increased confidence values of losing weight and choosing healthy foods, and overall weight loss ( 20 ). However, research gaps exist regarding our understanding of the relationship between weight modification and adherence to the FPL plant-predominant eating approach in the workplace.…”

Section: Introductionmentioning

confidence: 99%

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Increased dietary fiber is associated with weight loss among Full Plate Living program participants

Kelly¹,

Calhoun²,

Hanus³

et al. 2023

Front. Nutr.

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IntroductionPrior studies have demonstrated that an intake of foods rich in dietary fiber is associated with a favorable impact on health status and body weight. However, the association between fiber intake and weight loss has not been well-studied in employer settings. This research aimed to assess the relationship between dietary fiber and weight loss among individuals participating in the Full Plate Living (FPL) program.MethodsThe 16-week plant-predominant fiber-rich eating program was delivered to 72 employers, primarily in the Southwest U.S., over 3 years (2017–2019). Participants received weekly video lessons, FPL materials, and additional online resources. A retrospective analysis of repeated measures was conducted using participant data obtained from 4,477 participants, of which 2,792 (62.5%) reduced body weight. Analysis of variance with post hoc analysis was used to assess the statistical significance of the changes between baseline and follow-up measures of dietary fiber intake in each of the food categories, specifically the relationship between changes in individual and combined (composite) daily servings of fruits, vegetables, whole grains, beans, and nuts on body weight measures among three groups at follow-up: those who lost, maintained, or gained weight. Multilevel modeling was used to test the hypothesis that increased intake of fiber was associated with greater weight loss.ResultsThe mean weight loss for the weight loss group was 3.28 kg. As compared to the two other groups, the intake of whole fiber-rich foods at follow-up was significantly higher among the weight loss group with fruits (2.45 servings), vegetables (2.99 servings), beans (1.03 servings), and total fiber composites (9.07 servings; P < 0.001). A significant increase in servings of grains was also noted (P < 0.05). Multilevel modeling demonstrated that a higher total fiber composite (Model 1), as well as higher intakes of either vegetables or fruits (Model 2), resulted in greater weight loss.DiscussionOur findings indicate that the FPL program can be a part of a lifestyle medicine approach to healthy eating and weight loss. Delivering the program in clinical, community, and workplace settings can increase its reach as an effective and low-cost offering.

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Section: Resultsmentioning

confidence: 96%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Increased dietary fiber is associated with weight loss among Full Plate Living program participants

Kelly¹,

Calhoun²,

Hanus³

et al. 2023

Front. Nutr.

Self Cite

View full text Add to dashboard Cite

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A Rationale and Framework for Activating Employers as Agents of Change in the Implementation of Lifestyle as Medicine

Johnson

2023

Am J Health Promot

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The fuel of a nation's wealth is the health of its people. Not only must we lower the overall cost burden of sick care, we must reduce the very need for sick care. We must work towards a future where transformation…informs the creation of a true health ecosystem-an ecosystem of informed and self-directed wellbeing." Robert Sundelius 1 Achieving the vision of human flourishing that Sundelius envisions will require a fundamental shift in our current approach to healthcare. 1 Many would argue that the transformation is long overdue. Chronic diseases take an enormous toll on individuals' quality of life and are a key driver of healthcare costs-in part because 40% of U.S. adults have 2 or more chronic conditions. 2 The Centers for Disease Control reported that chronic health conditions account for 90% of our nation's $4.1 trillion in annual healthcare costs. 2,3 Even more troubling is the fact that the prevalence and burden of chronic diseases continues to rise, often disproportionately affecting individuals from Black and Brown communities. A recent study reported that, from 1999-2020, 1.63 million excess deaths and more than 80 million excess years of life lost were experienced by Black Americans compared to white Americans, with cardiovascular disease being the leading driver of excess mortality. 4 Declining life expectancy in U.S.-now at lowest since 1996 2 -is partially attributable to cardiovascular disease, and young adults represent growing proportion of cardiovascular disease events. 5 The prevalence of cardiovascular risk factors (most notably diabetes and obesity) among adults aged 20-44 increased from 2009-2020 in the U.S.-and in particular among Black, Hispanic, and Mexican Americans. 6 Recent modeling studies predict an increase in diabetes in the U.S. among individuals younger than 20 that is expected to disproportionately impact Black youth. 7 Despite spending more per capita on healthcare than other developed nations, our current healthcare system is failing-and that failure is captured in Americans' sentiment of widespread dissatisfaction. In a recent Harris Poll, 60% of U.S. adults gave the healthcare system a grade of C or worse. 8 There is, therefore, an urgent need for increased implementation of lifestyle change as medicine, but barriers remain (eg, current reimbursement models). The predominantly fee-for-service healthcare model in the United States is riddled with perverse incentives that lead to a prioritization of pharmacological and procedure-based interventions rather than addressing root causes. 9 What is clear is the need to redefine healthcare-to move away from a system of sick care to a new model focused on centering equitable access to a healthy lifestyle as a key pillar of prevention, management, and treatment of chronic diseases that are consuming far too many healthcare dollars and robbing us of precious time with loved ones. Lifestyle modifications (eg, plant-based diets, physical activity, adequate sleep, strong social connections) can prevent, treat, and in some cases re...

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A Rationale and Framework for Activating Employers as Agents of Change in the Implementation of Lifestyle as Medicine

Johnson

2023

Am J Health Promot

View full text Add to dashboard Cite

Health Benefits of a 16-Week Whole Food, High Fiber, Plant Predominant Diet among U.S. Employees

Cited by 4 publications

References 26 publications

Increased dietary fiber is associated with weight loss among Full Plate Living program participants

Increased dietary fiber is associated with weight loss among Full Plate Living program participants

A Rationale and Framework for Activating Employers as Agents of Change in the Implementation of Lifestyle as Medicine

A Rationale and Framework for Activating Employers as Agents of Change in the Implementation of Lifestyle as Medicine

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