How To Overcome Emotional Barriers To Weight Loss – Specific carbohydrate diet and dietary modification as induction therapy for pediatric Crohn’s disease: a randomized controlled trial
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How To Overcome Emotional Barriers To Weight Loss
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Functional Imagery Training Versus Motivational Interviewing For Weight Loss: A Randomised Controlled Trial Of Brief Individual Interventions For Overweight And Obesity
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The Life You Want: Get Motivated, Lose Weight, & Be Happy By Bob Greene 2010 Hb 9781416588368
Grand Forks Human Nutrition Research Center, US Department of Agriculture, Agricultural Research Service, 2420 2nd Ave. North, Grand Forks, ND 58203, USA
Submission received: November 11, 2020 / Revised: December 3, 2020 / Accepted: December 4, 2020 / Published: December 6, 2020
Background: At any given time, most women are on some type of diet to lose weight; however, these efforts are difficult to sustain for long-term weight control. Because women are more likely to develop obesity and have greater health and economic consequences associated with obesity, we sought to identify key factors that make it difficult for overweight/obese women to adhere to a weight loss diet. Methods: Ten nominal group technique (NGT) sessions aimed at identifying perceived barriers to adherence to a weight loss diet were conducted as part of a weight loss study for overweight/obese women (n = 33) during the weight loss phase of controlled feeding. Results: Individual-level barriers that emerged after the sessions included knowing when to stop eating, being able to control cravings and emotional eating, and maintaining healthier eating habits. Barriers at the environmental level included family/social events that bring people together, especially those centered around food and drink, dining out, cost and busyness. Conclusions: These findings offer a deeper understanding of the barriers that women find most salient to adherence to a weight loss diet, providing guidance for the clinical application of weight loss programs.
At any given time, many women, especially those of reproductive age, are involved in some form of weight loss diet [1]. Based on self-report measures, women tend to be more invested in food-related issues, are more likely to perceive themselves as needing to lose weight, and are therefore more likely to diet for weight loss than men [2, 3]. Furthermore, it has been shown that women do not work as hard as men to gain access to their favorite energy-dense foods [4]. These findings belie the fact that although overall obesity rates do not differ between women and men, women are more likely to be severely obese [5] (body mass index (BMI) ≥ 40 kg/m
Barriers To Advanced Care Planning & Implementation
) and experience greater severity of obesity-related health problems [6, 7]. Accordingly, the economic burden of being overweight or obese is greater in women. Dor and colleagues report that in 2010, costs for women were nearly double those for men ($4,879 vs. $2,646, respectively), with the cost difference mostly related to lost wages [ 8 ]. These findings underscore the importance of creating an evidence-based platform for successful weight loss interventions for women.
As part of a study investigating the effects of daily dietary protein distribution on weight loss in women, we conducted a series of nominal group technique (NGT) sessions to identify and prioritize perceived barriers to adherence to a weight loss diet. NGT is a well-established small group meeting technique [9, 10, 11] valued for its ability to stimulate creativity and generate a large number of different responses to a specific research question. Originally developed by Van de Ven and Delbecq [9] to investigate priorities in the health sector [12, 13], the NGT has been used in nutrition research to assess barriers and facilitators to adherence to the Dietary Guidelines for Americans (DGA) [14, 15, 16]. Using the NGT, we sought to identify the key factors that make it difficult for women to stick to a weight loss diet. While many of the barriers identified in the current study—emotional eating, food cravings, and lack of social support—have been previously described [17, 18, 19, 20], an advantage of NGT over other methods (e.g., questionnaires, focus groups) is that participants they not only generate but also prioritize answers according to their personal experience. Because the NGT sessions were conducted during the weight loss phase of controlled feeding in the primary study, participants were in a unique position to provide “expert” responses rather than just hypothetical or memory-based responses. This is the first study to use NGT to identify the most important barriers to successful weight loss in women during a dietary intervention where the barriers of planning, cost, convenience and preparation time have been removed.
And stable body weight, were recruited from the greater Grand Forks, North Dakota area and surrounding communities. To meet enrollment requirements for the parent study, participants provided their own transportation to the Grand Forks Human Nutrition Research Center (GFHNRC) and agreed to continue their usual physical activity practice. Exclusion criteria included: current weight loss diet, inability or unwillingness to attend group meetings or follow instructions, more than 10% change in body weight within the previous 2 months, history of eating disorders or gastrointestinal disorders, previous bariatric surgery, allergies to or unwillingness to eat any which foods being studied, current or planned pregnancy, breastfeeding, untreated/uncontrolled metabolic disease/disease, use of tobacco products, alcohol or drug abuse. This study was conducted in accordance with the Declaration of Helsinki, and all procedures involving study participants were approved by the University of North Dakota Institutional Review Board (IRB-201706-363) and registered with ClinicalTrials.gov (NCT03202069). All participants gave written informed consent and were compensated for their participation.
The overall aim of the parent study, which was a randomized parallel feeding study, was to examine the effect of two patterns of daily protein intake on changes in body composition and adherence to the diet during weight loss. Participants were randomized into one of two groups: (1) dietary protein given in an even distribution (30 g for breakfast, lunch, and dinner) and (2) dietary protein given in a skewed distribution (10 g for breakfast, 15 g for lunch, and 65 g for dinner). The parent study consisted of an 8-week controlled feeding phase followed by an 8-week ad libitum phase in which participants were instructed and counseled on maintaining a similar dietary pattern of protein intake when purchasing, selecting and consuming their own food.
Emotional Barriers To Weight Management: How Do Feelings Affect Your Weight?
Resting metabolic rate (RMR) was measured by indirect calorimetry after an overnight fast and multiplied by an activity factor, based on responses to a validated physical activity questionnaire (Stanford Brief Activity Survey) [21]), to determine energy requirements. The total energy intake provided in the study diet was 80% of the calculated energy needs of the participants. Participants received all meals and some beverages (2% milk) packaged in 3 meals per day in a five-day rotation for 8 weeks. Diets differed between groups only in the pattern of daily protein distribution. Meals were prepared in the GFHNRC Metabolic Kitchen using commercially available ingredients and were packaged separately as breakfast, lunch, and dinner to ensure compliance with study conditions. The participants were instructed to eat only the foods provided in the study. Each meal was to be consumed in one sitting, and snacking was forbidden. Participants collected food daily from Monday to Friday, and food for the weekend was collected on Fridays.
NGT follows a highly structured format that excludes interaction among group members [11]. One researcher with extensive NGT experience served as moderator for all NGT sessions and facilitated in-house training of the recorders for each session. At the beginning of each NGT session, the moderator welcomed the participants, explained the general purpose of the group meeting, and explained how the results would be used. Briefly, the steps of the NGT sessions were conducted as follows: (1) silent idea generation during which participants were given 5-7 minutes to write down as many different ideas as possible in response to
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