Dataset Information

Efficacy of environmental and acceptance-based enhancements to behavioral weight loss treatment: The ENACT trial.

ABSTRACT:

Objective

This study was designed to compare weight loss through a traditional behavioral treatment (BT) approach that integrated skills for managing the obesogenic food environment (BT?+?E) with an approach that integrated environmental and acceptance-based skills (BT?+?EA). Moderators were examined as an exploratory aim.

Methods

Adults (N?=?283) were randomly assigned to treatment condition and provided with 26 group-based sessions over the course of 12 months. Weight was measured in the clinic at months 0, 6, and 12.

Results

Change in weight over time did not significantly differ by condition. However, race significantly moderated the effect of condition on weight loss (P?=?0.04), such that African-American participants lost less weight than non-Hispanic white participants in the BT (6.2% vs. 11.5%) and BT?+?E conditions (6.6% vs. 12.2%), but weight loss in these two groups was similar in the BT?+?EA condition (9.4% vs. 11.5%). Among African Americans, rates of achieving a clinically significant weight loss (i.e.,?>?5%) at 12 months were higher in BT?+?EA (80%) than BT (57%) or BT?+?E (48%) (P?=?0.04).

Conclusions

This innovative behavioral approach shows promise for treatment of African Americans, which is notable given the lack of progress to date addressing racial disparities in obesity intervention efficacy.

SUBMITTER: Butryn ML

PROVIDER: S-EPMC5404972 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature

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Publications

Efficacy of environmental and acceptance-based enhancements to behavioral weight loss treatment: The ENACT trial.

Butryn Meghan L ML Forman Evan M EM Lowe Michael R MR Gorin Amy A AA Zhang Fengqing F Schaumberg Katherine K

Obesity (Silver Spring, Md.) 20170323 5

<h4>Objective</h4>This study was designed to compare weight loss through a traditional behavioral treatment (BT) approach that integrated skills for managing the obesogenic food environment (BT + E) with an approach that integrated environmental and acceptance-based skills (BT + EA). Moderators were examined as an exploratory aim.<h4>Methods</h4>Adults (N = 283) were randomly assigned to treatment condition and provided with 26 group-based sessions over the course of 12 months. Weight was measur ...[more]

PMID: 28337847

Similar Datasets

Project description:BACKGROUND:Antipsychotic-treated youth have increased risk for the development of obesity and type 2 diabetes. Behavioral weight loss treatments show promise in reducing obesity and diabetes risk in antipsychotic treated adults, but have received no study in antipsychotic treated youth. OBJECTIVE:We describe a rationale for behavioral weight loss interventions in high-weight antipsychotic treated youth, and report behavioral, anthropomorphic, and metabolic findings from a case series of obese antipsychotic-treated adolescents participating in a short-term, family-based behavioral weight loss intervention. METHODS:We adapted the Traffic Light Plan, a 16-week family-based weight loss intervention that promotes healthy energy balance using the colors of the traffic light to categorize the nutritional value of foods and intensity of physical activity, adapting a social ecological framework to address health behavior change in multiple social contexts. The intervention was administered to three obese adolescents with long-term antipsychotic medication exposure. Efficacy of the intervention was evaluated with a battery of anthropomorphic and metabolic assessments including weight, body mass index percentile, whole body adiposity, liver fat content, and fasting plasma glucose and lipids. Participants and their parents also filled out a treatment satisfaction questionnaire upon study completion. RESULTS:Two males and 1 female (all aged 14 years) participated. All 3 participants attended all 16 sessions, and experienced beneficial changes in adiposity, fasting lipids and liver fat content associated with weight stabilization or weight loss. Adolescents and their parents all reported a high level of satisfaction with the treatment. CONCLUSIONS:Family-based behavioral weight loss treatment can be feasibly delivered and is acceptable to antipsychotic-treated youth and their families. Randomized controlled trials are needed to fully evaluate the effectiveness and acceptability of behavioral weight loss interventions in antipsychotic treated youth and their families.

Dataset Information

Efficacy of environmental and acceptance-based enhancements to behavioral weight loss treatment: The ENACT trial.

Objective

Methods

Results

Conclusions

Publications

Efficacy of environmental and acceptance-based enhancements to behavioral weight loss treatment: The ENACT trial.

Similar Datasets

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