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Effect of a 12-week weight management program on the clinical characteristics and dietary intake of the young obese and the contributing factors to the successful weight loss

  • Lee, AeJin ;
  • Jeon, Kyeong Jin ;
  • Kim, Hye-Kyeong ;
  • Han, Sung Nim
  • Received : 2014.01.23
  • Accepted : 2014.04.07
  • Published : 2014.10.01

Abstract

BACKGROUND/OBJECTIVES: The objectives were to investigate the effect of a 12-wk intervention with behavioral modification on clinical characteristics and dietary intakes of young and otherwise healthy obese and to identify factors for successful weight loss. The goal was to lose 0.5 kg per week by reducing 300-500 kcal/day and by increasing physical activities. SUBJECTS AND METHODS: Forty four obese subjects (BMI > 25) and 19 normal weight subjects (BMI 18.5-23) finished the 12-week intervention. Obese subjects participated in 5 group educations and 6 individual counseling sessions. Normal weight subjects attended 6 individual counseling sessions for evaluations of dietary intake and exercise pattern. Anthropometric and clinical characteristics and 3-day dietary records were evaluated at baseline and week12. RESULTS: Weight and serum triglyceride and free fatty acid concentrations in obese group decreased significantly with intervention. Intakes of energy, fat, and cholesterol decreased significantly in the obese. Active participation, realistic weight loss goal setting, and weight gain after high school graduation not during childhood were identified as key factors for successful weight loss. CONCLUSIONS: The 12-week intervention with behavioral modification resulted in reduced energy and fat intakes and led to significant weight loss and improvements of clinical characteristics in the obese. The finding that those who became obese during childhood lost less weight indicates the importance of 'early' intervention.

Keywords

Obesity;weight loss;clinical parameters;dietary intake;behavioral modification

References

  1. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1). Cheongwon: Korea Centers for Disease Control and Prevention; 2011.
  2. Nelson MC, Story M, Larson NI, Neumark-Sztainer D, Lytle LA. Emerging adulthood and college-aged youth: an overlooked age for weight-related behavior change. Obesity (Silver Spring) 2008;16: 2205-11. https://doi.org/10.1038/oby.2008.365
  3. Anderson JW, Konz EC. Obesity and disease management: effects of weight loss on comorbid conditions. Obes Res 2001;9 Suppl 4:326S-334S. https://doi.org/10.1038/oby.2001.138
  4. Kim SJ, Lee J, Nam CM, Lee SY. Impact of obesity on metabolic syndrome among adolescents as compared with adults in Korea. Yonsei Med J 2011;52:746-52. https://doi.org/10.3349/ymj.2011.52.5.746
  5. Milsom VA, Middleton KM, Perri MG. Successful long-term weight loss maintenance in a rural population. Clin Interv Aging 2011;6: 303-9.
  6. Wadden TA, Berkowitz RI, Womble LG, Sarwer DB, Phelan S, Cato RK, Hesson LA, Osei SY, Kaplan R, Stunkard AJ. Randomized trial of lifestyle modification and pharmacotherapy for obesity. N Engl J Med 2005;353:2111-20. https://doi.org/10.1056/NEJMoa050156
  7. Appel LJ, Clark JM, Yeh HC, Wang NY, Coughlin JW, Daumit G, Miller ER 3rd, Dalcin A, Jerome GJ, Geller S, Noronha G, Pozefsky T, Charleston J, Reynolds JB, Durkin N, Rubin RR, Louis TA, Brancati FL. Comparative effectiveness of weight-loss interventions in clinical practice. N Engl J Med 2011;365:1959-68. https://doi.org/10.1056/NEJMoa1108660
  8. Dalle Grave R, Calugi S, Molinari E, Petroni ML, Bondi M, Compare A, Marchesini G; QUOVADIS Study Group. Weight loss expectations in obese patients and treatment attrition: an observational multicenter study. Obes Res 2005;13:1961-9. https://doi.org/10.1038/oby.2005.241
  9. Moroshko I, Brennan L, O'Brien P. Predictors of dropout in weight loss interventions: a systematic review of the literature. Obes Rev 2011;12:912-34. https://doi.org/10.1111/j.1467-789X.2011.00915.x
  10. Finkler E, Heymsfield SB, St-Onge MP. Rate of weight loss can be predicted by patient characteristics and intervention strategies. J Acad Nutr Diet 2012;112:75-80. https://doi.org/10.1016/j.jada.2011.08.034
  11. Inelmen EM, Toffanello ED, Enzi G, Gasparini G, Miotto F, Sergi G, Busetto L. Predictors of drop-out in overweight and obese outpatients. Int J Obes (Lond) 2005;29:122-8. https://doi.org/10.1038/sj.ijo.0802846
  12. Lang HF, Chou CY, Sheu WH, Lin JY. Weight loss increased serum adiponectin but decreased lipid levels in obese subjects whose body mass index was lower than 30 kg/m(2). Nutr Res 2011;31: 378-86. https://doi.org/10.1016/j.nutres.2011.04.004
  13. Dansinger ML, Gleason JA, Griffith JL, Selker HP, Schaefer EJ. Comparison of the Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction: a randomized trial. JAMA 2005;293:43-53. https://doi.org/10.1001/jama.293.1.43
  14. Van Gaal LF, Mertens IL, De Block CE. Mechanisms linking obesity with cardiovascular disease. Nature 2006;444:875-80. https://doi.org/10.1038/nature05487
  15. Klempel MC, Varady KA. Reliability of leptin, but not adiponectin, as a biomarker for diet-induced weight loss in humans. Nutr Rev 2011;69:145-54. https://doi.org/10.1111/j.1753-4887.2011.00373.x
  16. Field AE, Willett WC, Lissner L, Colditz GA. Dietary fat and weight gain among women in the Nurses' Health Study. Obesity (Silver Spring) 2007;15:967-76. https://doi.org/10.1038/oby.2007.616
  17. Varady KA, Tussing L, Bhutani S, Braunschweig CL. Degree of weight loss required to improve adipokine concentrations and decrease fat cell size in severely obese women. Metabolism 2009;58:1096-101. https://doi.org/10.1016/j.metabol.2009.04.010
  18. Kuo SM, Halpern MM. Lack of association between body mass index and plasma adiponectin levels in healthy adults. Int J Obes (Lond) 2011;35:1487-94. https://doi.org/10.1038/ijo.2011.20
  19. Arvidsson E, Viguerie N, Andersson I, Verdich C, Langin D, Arner P. Effects of different hypocaloric diets on protein secretion from adipose tissue of obese women. Diabetes 2004;53:1966-71. https://doi.org/10.2337/diabetes.53.8.1966
  20. Bartfield JK, Stevens VJ, Jerome GJ, Batch BC, Kennedy BM, Vollmer WM, Harsha D, Appel LJ, Desmond R, Ard JD. Behavioral transitions and weight change patterns within the PREMIER trial. Obesity (Silver Spring) 2011;19:1609-15. https://doi.org/10.1038/oby.2011.56
  21. Webber KH, Tate DF, Ward DS, Bowling JM. Motivation and its relationship to adherence to self-monitoring and weight loss in a 16-week Internet behavioral weight loss intervention. J Nutr Educ Behav 2010;42:161-7. https://doi.org/10.1016/j.jneb.2009.03.001
  22. Foster GD, Makris AP, Bailer BA. Behavioral treatment of obesity. Am J Clin Nutr 2005;82:230S-235S. https://doi.org/10.1093/ajcn/82.1.230S
  23. Mockus DS, Macera CA, Wingard DL, Peddecord M, Thomas RG, Wilfley DE. Dietary self-monitoring and its impact on weight loss in overweight children. Int J Pediatr Obes 2011;6:197-205. https://doi.org/10.3109/17477166.2011.590196
  24. Burke LE, Wang J, Sevick MA. Self-monitoring in weight loss: a systematic review of the literature. J Am Diet Assoc 2011;111:92-102. https://doi.org/10.1016/j.jada.2010.10.008
  25. Wilde MH, Garvin S. A concept analysis of self-monitoring. J Adv Nurs 2007;57:339-50. https://doi.org/10.1111/j.1365-2648.2006.04089.x
  26. Dunn JE, Liu K, Greenland P, Hilner JE, Jacobs DR Jr. Seven-year tracking of dietary factors in young adults: the CARDIA study. Am J Prev Med 2000;18:38-45. https://doi.org/10.1016/S0749-3797(99)00114-2

Acknowledgement

Supported by : National Research Foundation of Korea (NRF)