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Size acceptance and intuitive eating improve health for obese, female chronic dieters.
J Am Diet Assoc. 2005 Jun; 105(6):929-36.JA

Abstract

OBJECTIVE

Examine a model that encourages health at every size as opposed to weight loss. The health at every size concept supports homeostatic regulation and eating intuitively (ie, in response to internal cues of hunger, satiety, and appetite).

DESIGN

Six-month, randomized clinical trial; 2-year follow-up.

SUBJECTS

White, obese, female chronic dieters, aged 30 to 45 years (N=78).

SETTING

Free-living, general community.

INTERVENTIONS

Six months of weekly group intervention (health at every size program or diet program), followed by 6 months of monthly aftercare group support.

MAIN OUTCOME MEASURES

Anthropometry (weight, body mass index), metabolic fitness (blood pressure, blood lipids), energy expenditure, eating behavior (restraint, eating disorder pathology), and psychology (self-esteem, depression, body image). Attrition, attendance, and participant evaluations of treatment helpfulness were also monitored.

STATISTICAL ANALYSIS PERFORMED

Analysis of variance.

RESULTS

Cognitive restraint decreased in the health at every size group and increased in the diet group, indicating that both groups implemented their programs. Attrition (6 months) was high in the diet group (41%), compared with 8% in the health at every size group. Fifty percent of both groups returned for 2-year evaluation. Health at every size group members maintained weight, improved in all outcome variables, and sustained improvements. Diet group participants lost weight and showed initial improvement in many variables at 1 year; weight was regained and little improvement was sustained.

CONCLUSIONS

The health at every size approach enabled participants to maintain long-term behavior change; the diet approach did not. Encouraging size acceptance, reduction in dieting behavior, and heightened awareness and response to body signals resulted in improved health risk indicators for obese women.

Authors+Show Affiliations

Agricultural Experiment Station, University of California, Davis, USA. lbacon@ccsf.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15942543

Citation

Bacon, Linda, et al. "Size Acceptance and Intuitive Eating Improve Health for Obese, Female Chronic Dieters." Journal of the American Dietetic Association, vol. 105, no. 6, 2005, pp. 929-36.
Bacon L, Stern JS, Van Loan MD, et al. Size acceptance and intuitive eating improve health for obese, female chronic dieters. J Am Diet Assoc. 2005;105(6):929-36.
Bacon, L., Stern, J. S., Van Loan, M. D., & Keim, N. L. (2005). Size acceptance and intuitive eating improve health for obese, female chronic dieters. Journal of the American Dietetic Association, 105(6), 929-36.
Bacon L, et al. Size Acceptance and Intuitive Eating Improve Health for Obese, Female Chronic Dieters. J Am Diet Assoc. 2005;105(6):929-36. PubMed PMID: 15942543.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Size acceptance and intuitive eating improve health for obese, female chronic dieters. AU - Bacon,Linda, AU - Stern,Judith S, AU - Van Loan,Marta D, AU - Keim,Nancy L, PY - 2005/6/9/pubmed PY - 2005/8/3/medline PY - 2005/6/9/entrez SP - 929 EP - 36 JF - Journal of the American Dietetic Association JO - J Am Diet Assoc VL - 105 IS - 6 N2 - OBJECTIVE: Examine a model that encourages health at every size as opposed to weight loss. The health at every size concept supports homeostatic regulation and eating intuitively (ie, in response to internal cues of hunger, satiety, and appetite). DESIGN: Six-month, randomized clinical trial; 2-year follow-up. SUBJECTS: White, obese, female chronic dieters, aged 30 to 45 years (N=78). SETTING: Free-living, general community. INTERVENTIONS: Six months of weekly group intervention (health at every size program or diet program), followed by 6 months of monthly aftercare group support. MAIN OUTCOME MEASURES: Anthropometry (weight, body mass index), metabolic fitness (blood pressure, blood lipids), energy expenditure, eating behavior (restraint, eating disorder pathology), and psychology (self-esteem, depression, body image). Attrition, attendance, and participant evaluations of treatment helpfulness were also monitored. STATISTICAL ANALYSIS PERFORMED: Analysis of variance. RESULTS: Cognitive restraint decreased in the health at every size group and increased in the diet group, indicating that both groups implemented their programs. Attrition (6 months) was high in the diet group (41%), compared with 8% in the health at every size group. Fifty percent of both groups returned for 2-year evaluation. Health at every size group members maintained weight, improved in all outcome variables, and sustained improvements. Diet group participants lost weight and showed initial improvement in many variables at 1 year; weight was regained and little improvement was sustained. CONCLUSIONS: The health at every size approach enabled participants to maintain long-term behavior change; the diet approach did not. Encouraging size acceptance, reduction in dieting behavior, and heightened awareness and response to body signals resulted in improved health risk indicators for obese women. SN - 0002-8223 UR - https://www.unboundmedicine.com/medline/citation/15942543/Size_acceptance_and_intuitive_eating_improve_health_for_obese_female_chronic_dieters_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002822305003226 DB - PRIME DP - Unbound Medicine ER -