Participants’ Evaluation of a Weight-loss Program

Mattfeldt-Beman, M.; Corrigan, Sheila A.; Stevens, Victor J.; Sugars, Carolyn; Dalcin, Arlene; Givi, M.John; Copeland, Karen C

doi:10.1016/s0002-8223(99)00018-8

Cited by 41 publications

(45 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Drop-out rate found in our study was in according with drop-out rates reported in literature in obesity and overweight trials [33][34][35]. In compliant subjects the hypocaloric balanced diet resulted an effective method to lose weight and to modulate components of the metabolic syndrome.…”

Section: Discussionsupporting

confidence: 82%

Body Composition and Metabolic Risk Factors in Postmenopausal Women: Effects of a Dietary Weight Loss Program

Spadafranca¹,

Vignati²,

Battezzati³

et al. 2013

FNS

View full text Add to dashboard Cite

Epidemiological studies showed an association between menopause, weight gain and risk factors that identify the metabolic syndrome (MS). We evaluated body composition and metabolic risk factors in postmenopausal women addressed to a center for the assessment of nutritional status to lose weight by hypocaloric balanced diet. 161 postmenopausal women were enrolled. MS diagnosis was made applying IDF (International Diabetes Foundation) criteria. After the prescription of hypocaloric diet all subjects were controlled every 2 months. In patients suffering from MS (MS + ) at the first visit, diagnosis of MS was reassessed when 10% weight loss was achieved. 70 women were MS + . Years since menopause, low instruction level, obesity and Visceral Adipose Tissue (VAT) were each associated with MS. Particularly, BMI ≥ 30 Kg/m 2 (OR: 2.61; 95% CI, 1.76 -3.46) and VAT > 6.6 cm (OR: 3.49; 95% CI, 2.52 -4.46) resulted independent risk factors. The 30% of the whole sample dropped out, the reminders significantly reduced weight, waist circumference (Wc) and Fat Mass (p < 0.01). The 35% of MS + women achieved the 10% weight loss with significant reduction of VAT, Wc, fasting glucose, tryglicerides, blood pressure and resolution of MS in the 78% of them. The 43.5% of postmenopausal women addressed in one center for the assessment of nutritional status to follow a weight-loss nutritional program had the MS; visceral obesity was the strongest independent risk factor and hypocaloric balanced diet resulted a good strategy to lose weight and treat MS.

show abstract

Section: Discussionsupporting

confidence: 82%

Body Composition and Metabolic Risk Factors in Postmenopausal Women: Effects of a Dietary Weight Loss Program

Spadafranca¹,

Vignati²,

Battezzati³

et al. 2013

FNS

View full text Add to dashboard Cite

show abstract

“…In this group, the patients had the opportunity to meet with F and be treated continuously by F health care personnel during 2 y. Findings by MattfeldtBeman et al 19 showed that attendance at intervention sessions and continued adherence to programme components tend to relate to long-term success. This is consistent with the findings of others.…”

Section: Discussionmentioning

confidence: 99%

A programme of behaviour modification and nutrition counselling in the treatment of obesity: a randomised 2-y clinical trial

et al. 2003

View full text Add to dashboard Cite

OBJECTIVE:To compare two group treatment programmes for obese outpatients. Both programmes included behaviour modification, nutrition counselling, very-low-calorie diet (VLCD) and a continuous measuring of metabolic and anthropometrical status, but they differed regarding the treatment intensiveness. The main aim was to study whether intensive treatment gives a larger weight reduction compared with less intensive treatment and what level of input from health care personnel is needed to reach adequate treatment results. DESIGN: A 2-y randomised clinical trial. SUBJECTS: A total of 43 obese subjects aged 24-60 y, BMI 35 kg/m 2 (29-48). INTERVENTION: Two programmes were used. Both were based on group therapy and were supervised by a dietitian and a psychologist. Group 1 received a continuous intensive treatment with planned group meetings every fortnight during the first year and six group meetings the second year. Group 2 had planned group meetings every third month. Anthropometrical and metabolic data were measured every third month in both groups. The VLCD periods were the same. RESULTS: There was no evidence that a more intensive treatment promotes a larger weight reduction. Weight reduction after 1 y: group 1, À7.6 (70.97) kg, BMI À2.6 (70.3) kg/m 2 ; group 2, À6.4 (71.16) kg, BMI À2.2 (70.4) kg/m 2 . Weight reduction after 2 y: group 1, À6.8 (71.4) kg, BMI À2.4 (70.3) kg/m 2 ; group 2, À8.6 (71.6) kg, BMI À3.0 (70.3) kg/m 2 . The dropout rate was 26%. CONCLUSION: There were no significant differences in weight reduction, compliance or dropout rate between the groups and there was no evidence that a more intensive treatment promotes a larger weight reduction. This observation is of value when setting up treatment programmes. To measure the metabolic and anthropometrical status during the treatment and to give continuous feedback to the subjects seem to be important factors for compliance. Both treatment programmes gave highly significant weight reductions in the range of 5-10%, which has been referred to as a realistic goal for the treatment of obese patients.

show abstract

“…An evaluation of a weight loss programme showed that few participants found group exercise to be useful and that older participants were more likely to attend sessions. 10 The authors concluded that programmes need to be¯exible and creative in order to maintain contact with participants and that support skills outside the traditional ®eld of dietetics need to be acquired. Future strategies need to focus on appropriate methods of physical activity that are both bene®cial to weight loss or maintenance and acceptable to the obese person.…”

Section: Discussionmentioning

confidence: 99%

“…7 ± 9 From the patients' perspective most studies have concentrated on evaluation of particular programmes rather than obtaining a wider view of services available. 10 The aim of this project was to survey a group of obese people attending a dietetic clinic in Portsmouth to determine their views and opinions about treatments to lose weight.…”

Section: Introductionmentioning

confidence: 99%

A cross-sectional survey of the opinions on weight loss treatments of adult obese patients attending a dietetic clinic

Thompson

Thomas²

2000

Int J Obes

View full text Add to dashboard Cite

OBJECTIVE: To investigate the views and opinions on weight loss treatments of adult obese patients attending a dietetic clinic. DESIGN: Cross-sectional survey. SUBJECTS: 161 adults attending dietetic outpatients clinics in Portsmouth for obesity with a body mass index of at least 30 kgam 2 . MEASUREMENTS: Self-administered questionnaire developed from a series of focus groups with obese adults. Key topics were previous attempts to lose weight, methods used, the role of physical activity and patients' views about treatment from health professionals. RESULTS: The preferences and usefulness of different methods to lose weight varied according to the number of attempts to lose weight, gender, age, body mass index and medical condition of the patient. Men were less likely to use special slimming products, attend slimming groups and swimming than women (odds ratios (95% con®dence interval), 0.1 (0.03 ± 0.6) for slimming groups other than Weight Watchers, 0.3 (0.1 ± 0.80) for special slimming products and 0.3 (0.1 ± 0.6) for swimming). Men were more likely to use physical activity (2.6 (1.1 ± 6.2)) and in particular walking (3.7 (1.0 ± 13.6)) and cycling (2.8 (1.0 ± 7.6)) and were more likely to see the dietitian (3.8 (1.4 ± 9.9)) than women. Those with more than 10 attempts to lose weight were more likely to see the dietitian (3.6(1.6 ± 8.2)), use Weight Watchers (2.5 (1.1 ± 5.6)) and newspapers and magazines (4.4 (1.8 ± 10.9)) than those with fewer attempts. The younger age group were more likely to use more vigorous forms of exercise (4.2 (1.6 ± 11.2) for keep ®t and 3.7 (1.5 ± 9.6) for cycling) than the older subjects. The most obese were more likely to have negative views on their treatment by health professionals (4.4 (1.9 ± 9.8)`chairs are never big enough' and 4.0 (1.8 ± 8.8)`I am regarded as a second class citizen') than those who were less obese. Those without a medical condition were more likely to exercise (2.8 (1.3 ± 6.3)) and use books (4.8 (2.0 ± 11.2)) than those with a medical condition. CONCLUSION: The views of obese people should be considered when planning services for the treatment of obesity and a variety of options should be available.

show abstract

Participants’ Evaluation of a Weight-loss Program

Cited by 41 publications

References 31 publications

Body Composition and Metabolic Risk Factors in Postmenopausal Women: Effects of a Dietary Weight Loss Program

Body Composition and Metabolic Risk Factors in Postmenopausal Women: Effects of a Dietary Weight Loss Program

A programme of behaviour modification and nutrition counselling in the treatment of obesity: a randomised 2-y clinical trial

A cross-sectional survey of the opinions on weight loss treatments of adult obese patients attending a dietetic clinic

Contact Info

Product

Resources

About