Promoting Long-term Behavior Change to Reduce CVD Risk
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Purpose
Once intervention class or staff contact is removed, obese adults participating in behavioral weight-loss programs often give up healthy eating habits and regain weight. We examined whether taste-based goal setting, which minimizes perceived deprivation by promoting taste and moderation, would sustain long-term reductions in saturated fat and body mass index (BMI).
| Condition | Intervention |
|---|---|
|
Obesity |
Behavioral: Behavioral lifestyle/weight-loss intervention |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Factorial Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Promoting Long-term Dietary Change to Reduce CVD Risk |
- Percentage of saturated fat in diet [ Time Frame: 18 months ] [ Designated as safety issue: No ]
- Body weight [ Time Frame: 18 months ] [ Designated as safety issue: No ]
| Enrollment: | 163 |
| Study Start Date: | January 1999 |
| Study Completion Date: | April 2004 |
| Primary Completion Date: | April 2004 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Taste-Based Goal Setting
6-month intervention (14 lifestyle counseling classes)
|
Behavioral: Behavioral lifestyle/weight-loss intervention |
|
Active Comparator: Smart Consumers
6-month intervention (14 lifestyle counseling classes)
|
Behavioral: Behavioral lifestyle/weight-loss intervention |
|
No Intervention: Community Access
Assessment-only control group
|
Behavioral: Behavioral lifestyle/weight-loss intervention |
Detailed Description:
Once intervention class or staff contact is removed, obese adults participating in behavioral weight-loss programs often give up healthy eating habits and regain weight. We examined whether taste-based goal setting, which minimizes perceived deprivation by promoting taste and moderation, would sustain long-term reductions in saturated fat and body mass index (BMI). Participants were randomized to Taste-Based Choices (taste-based goal setting + a standard 6-month behavioral weight-loss intervention), Smart Consumers (a standard 6-month intervention alone) or Community Access (access to commercial/community-based behavioral weight-loss programs) and followed over 18 months. To test our hypotheses, we examined a set of orthogonal contrasts (TBC and SC vs. CA; TBC vs. SC) on reductions in saturated fat (Block FFQ) and clinic-measured BMI.
Eligibility| Ages Eligible for Study: | 25 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:- Body mass index between 27-37
- Physically inactive
- Able to participate in physical activity
- Percentage of daily calories from total fat 30% or more
- Free of diagnosed heart disease
- Stable on medications for 3 months or more Exclusion Criteria:- Diabetic
- Dysphoric (Beck Depression Inventory score greater than 18)
- Binge eating or bulimic (Eating Disorder Diagnostic Scale)
Contacts and Locations| United States, California | |
| Stanford University School of Medicine | |
| Stanford, California, United States, 94305 | |
| Principal Investigator: | Michaela Kiernan | Stanford University |
More Information
Publications:
| Responsible Party: | Michaela Kiernan, Stanford Prevention Research Center |
| ClinicalTrials.gov Identifier: | NCT00227006 History of Changes |
| Other Study ID Numbers: | R29-HL60154, R29HL060154 |
| Study First Received: | September 13, 2005 |
| Last Updated: | January 19, 2011 |
| Health Authority: | United States: Federal Government |
Additional relevant MeSH terms:
|
Obesity Overnutrition Nutrition Disorders |
Overweight Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on May 23, 2013