Technical skills for weight loss: preliminary data from a randomized trial |
| |
Authors: | Katz David L Chan Wendy Gonzalez Maura Larson David Nawaz Haq Abdulrahman Mustapha Yeh Ming-Chin |
| |
Affiliation: | Yale Prevention Research Center, Yale University School of Medicine, USA. katzdl@pol.net |
| |
Abstract: | BACKGROUND: Optimal behavioral interventions for sustainable weight loss are uncertain. We therefore conducted a study among overweight/obese women comparing conventional dietary counseling of individuals (counseling-based intervention) to a novel, group-based skill-building intervention. METHODS: Eighty subjects were randomly assigned to either the counseling-based or to the skill-building intervention. Outcomes included weight loss, dietitian hours per group and per unit weight loss, and dollars spent per group and per unit weight lost. RESULTS: Weight loss at 6 months (follow-up rate 61.3%) in the counseling-based group was 8.8 lb (P = 0.0001), and in the skill-building group was 3.8 lb (P = 0.01). A total of 160 dietitian hours were required for the counseling-based group, and 131 for the skilled-building group. The counseling-based group cost an average of $21 per pound lost, while the skill-building cost an average of $48 per pound lost (P = 0.16). CONCLUSIONS: At 6 months, individualized office-based counseling produced more weight loss than a skill-building approach and cost less than half as much per pound of weight loss. Longer-term follow-up is required to determine if, as hypothesized, the skill-building intervention produces more sustainable weight loss. |
| |
Keywords: | weight loss body mass index weight loss changes programs counseling randomized controlled trial |
本文献已被 ScienceDirect PubMed 等数据库收录! |
|