Dietary outcomes within the study of novel approaches to weight gain prevention (SNAP) randomized controlled trial

Autor: Amy A Gorin, Rebecca H. Neiberg, Jessica Gokee LaRose, Cora E. Lewis, Erica Ferguson Robichaud, Rena R. Wing, Letitia H Perdue, E. Whitney Evans, Karen E. Hatley, Mark A. Espeland, Deborah F. Tate
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
0301 basic medicine
Calorie
Health Behavior
Medicine (miscellaneous)
law.invention
0302 clinical medicine
Randomized controlled trial
Behavior Therapy
law
030212 general & internal medicine
Young adult
Meals
lcsh:RC620-627
Nutrition and Dietetics
lcsh:Public aspects of medicine
Behavior change
3. Good health
lcsh:Nutritional diseases. Deficiency diseases
Female
medicine.symptom
Adult
Adolescent
Alcohol Drinking
Binge drinking
Physical Therapy
Sports Therapy and Rehabilitation
Clinical nutrition
Young Adult
03 medical and health sciences
Weight Loss
North Carolina
medicine
Humans
Obesity
Weight gain
030109 nutrition & dietetics
business.industry
Research
Prevention
Body Weight
Weight change
Rhode Island
lcsh:RA1-1270
Feeding Behavior
Diet
Fast Foods
sense organs
Energy Intake
business
Demography
Young adults
Zdroj: International Journal of Behavioral Nutrition and Physical Activity, Vol 16, Iss 1, Pp 1-10 (2019)
The International Journal of Behavioral Nutrition and Physical Activity
ISSN: 1479-5868
DOI: 10.1186/s12966-019-0771-z
Popis: Background Young adults (YA) are at high-risk for unhealthy dietary behaviors and weight gain. The Study of Novel Approaches to Weight Gain Prevention (SNAP) Trial demonstrated that two self-regulation approaches were effective in reducing weight gain over 2 years compared with control. The goal of this analysis was to examine effects of intervention on dietary outcomes and the association of diet changes with weight change. Methods Participants were 599 YA, age 18–35 years, BMI 21.0–30.0 kg/m2 (27.4 ± 4.4 years; 25.4 ± 2.6 kg/m2; 22% men; 73% non-Hispanic White), who were recruited in Providence, RI and Chapel Hill, NC and randomized to self-regulation with Small Changes (SC), self-regulation with Large Changes (LC) or Control (C). SC and LC emphasized frequent self-weighing to cue behavior changes (small daily changes vs. periodic large changes) and targeted high-risk dietary behaviors. Diet and weight were assessed at baseline, 4 months and 2 years. Results LC and SC had greater decreases in energy intake than C at 4 months but not 2 years. LC had the greatest changes in percent calories from fat at 4 months, but differences were attenuated at 2 years. No differences in diet quality were observed. Across conditions, increased total energy consumption, fast food, meals away from home, and binge drinking, and decreased dietary quality and breakfast consumption were all associated with weight gain at 2 years. Conclusions This study suggests the need to strengthen interventions to produce longer term changes in dietary intake and helps to identify specific behaviors associated with weight gain over time in young adults. Trial registration Clinicaltrials.gov #NCT01183689, registered August 18, 2010.
Databáze: OpenAIRE
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