Dietary Modifications, Obesity, Sustainability, Weight Loss
Conditions
Brief summary
This research is to develop a weight loss and weight maintenance program through dietary modifications for adults with obesity. Although scientific studies have shown the feasibility of rapid and safe dietary weight loss and subsequent weight maintenance, no efficacious dietary weight management program is widely available, and thus bariatric surgery remains the most reliable approach for weight loss/management. Safe and effective dietary weight loss and subsequent weight maintenance require flexible, individualized advice by an experienced dietitian/nutritionist.
Interventions
During a 12-month period, participants will attend a total of 22 diet improvement sessions, each of which will last approximately 1 hour. Twelve sessions will be held in the first 5 months and will be focused on safe and efficient weight loss. The participants will learn to create a personalized weight loss diet from their kitchen based on their diet practice and food preference. The next 10 sessions will be held in the last 7 months and will be focused on weight maintenance and healthy eating. The participants will build skills to select foods and create meals that prevent them from overeating.
Sponsors
Study design
Intervention model description
Before and after study design
Eligibility
Inclusion criteria
* age 18-64 years; * body mass index (BMI) \>28 kg/m2; * not currently pregnant or lactating; * have Wi-Fi at home, a working email, and an iPhone or Android smartphone. * no self-reported severe metabolic, cardiovascular or musculoskeletal disease; * not using insulin injection; * able to attend the 22 (1 hour) diet improvement sessions. * willing to lose 20 lb. or more for 6 months and maintain a healthy weight for one year. * keep weighing their weight for one and a half years. * fluent in reading and writing English.
Exclusion criteria
* age \<18 or \>64 years; * body mass index of \<28 kg/m2; * currently pregnant; * currently lactating; * self-reported with the severe metabolic, cardiovascular or musculoskeletal disease; * use insulin injection; * not able to attend the 22 (1 hour) diet improvement sessions for 1 year; * failed to set up a Wi-Fi scale; * failed to submit a food frequency questionnaire
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Body weight | Change from baseline body weight at 6 months | Body weight in kilograms |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Waist circumference | Change from baseline waist circumference at 12 months | Waist circumference in centimeters |
| Hip circumference | Change from baseline hip circumference at 12 months | Hip circumference in centimeters |
| Protein intake | Change from baseline protein intake at 6 months | Protein intake in grams and caloric intake will be combined to report density in g/100kcal |
| Fiber intake | Change from baseline fiber intake at 6 months | Fiber intake in grams and caloric intake will be combined to report density in g/100kcal |
Countries
United States