Comparison of 2-year weight loss trends in behavioral treatments of obesity: diet, exercise, and combination interventions

Journal of the American Dietetic Association
M L SkenderJ P Foreyt

Abstract

The effects of three cognitive-behavioral weight control interventions for adults were compared: diet only, exercise only, and a combination of diet and exercise. This article reports 2-year follow-up data. The three interventions were compared in a randomized, experimental design. A total of 127 men and women who were at least 14 kg overweight (according to height-weight tables) were recruited from an urban community and assigned randomly to the experimental conditions. The dietary intervention was a low-energy eating plan adjusted to produce a 1 kg/week loss of weight. The exercise component involved training in walking and a home-based program of up to five exercise periods per week. There were 12 weekly instructional sessions, followed by 3 biweekly and 8 monthly meetings. All sessions were led by registered dietitians. Changes in body weight. Analysis of variance for weight changes and repeated measures analysis of variance for weight change trends. At 1 year, no significant differences were noted among the three groups. The diet-only group lost 6.8 kg, the exercise-only group lost 2.9 kg, and the combination group lost 8.9 kg (P=.09). During the second year, the diet-only group regained weight--reaching 0.9 kg above basel...Continue Reading

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