Journal article
A weight-neutral versus weight-loss approach for health promotion in women with high BMI: A randomized-controlled trial
Appetite, v 105, pp 364-374
01 Oct 2016
PMID: 27289009
Featured in Collection : UN Sustainable Development Goals @ Drexel
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. (C) 2016 Elsevier Ltd. All rights reserved.
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Details
- Title
- A weight-neutral versus weight-loss approach for health promotion in women with high BMI: A randomized-controlled trial
- Creators
- Janell L. Mensinger - Reading HospitalRachel M. Calogero - University of KentSaverio Stranges - Luxembourg Institute of HealthTracy L. Tylka - The Ohio State University
- Publication Details
- Appetite, v 105, pp 364-374
- Publisher
- Elsevier
- Number of pages
- 11
- Grant note
- Edna G. Kynett Memorial Foundation
- Resource Type
- Journal article
- Language
- English
- Web of Science ID
- WOS:000382345300043
- Scopus ID
- 2-s2.0-84975230851
- Other Identifier
- 991019357629004721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Behavioral Sciences
- Nutrition & Dietetics