According to the findings published in, regulatory-based interventions with clues with or without behavioral weight loss may serve as an alternative weight loss approach for adults suffering from food responsiveness. JAMA network open..
“Regulation of cues (ROC) teaches that we rely on internal cues to reduce binge eating, while Behavioral Weight Loss (BWL) focuses on external management skills to reduce binge eating. ” Kerri N. Boutelle, PhD, Written by a professor and colleague of pediatrics and psychiatry at the University of California, San Diego.
According to Boutelle, BWL alone is not sufficient for food-responsive individuals who cannot resist or stop thinking about food. Therefore, the researchers “designed an alternative approach to address this clinical need,” she said in a press release.
Boutelle et al. Enrolled 271 adults in a randomized clinical trial conducted from December 2015 to December 2019. Participants were enrolled if they were 18-65 years old, had a BMI of 25-45 kg / m², and did not meet other exclusion criteria such as: I have type 2 diabetes.
In the study cohort, the mean age was 46.97 years, the mean BMI was 34.59 kg / m², 81.6% were female, and 61.9% were Caucasian. They were randomly assigned to one of four intervention groups: ROC, ROC in combination with BWL (called ROC +), BWL, or active comparator.
Interventions included 26 90-minute group treatments targeting at least 150 minutes of moderate or intense physical activity per week. Specifically, according to Boutelle and his colleagues, ROC included psychoeducation, experiential learning, coping skills, and self-monitoring. Active comparators included psychoeducation, assertiveness training, conflict management skill building, and mindfulness.
Researchers evaluated each approach at baseline, during, post-treatment, 6-month follow-up, and 12-month follow-up, and each approach was effective across 12-month treatment and 12-month follow-up. I evaluated the sex. Participants received a small financial incentive for each assessment.
Overall, ROC, ROC +, and BWL interventions significantly reduced BMI after 12 months (ROC: BMI = 1.18; 95% CI, 2.1-0.35; ROC +: BMI = 1.56; 95% CI. , 2.43 ~ -0.67; BWL: BMI = 1.58; 95% CI, 2.45 ~ 0.71). However, Boutelle et al. Reported that participants’ BMI at the end of treatment was not significantly different in the ROC or ROC + group compared to BWL. Nevertheless, the BMI of the participants in the active comparator group was significantly higher (BMI = 1.58; 95% CI, 0.72 to 2.45).
In addition, the researchers found that food responsiveness was the moderator of therapeutic effect, and that more weight loss was observed among participants who scored higher in food responsiveness in the ROC and ROC + groups. Did.
“Our findings show that the ROC-targeted appetizing mechanism may be particularly important for weight loss in individuals who struggle to resist food and can be used in personalized medicine approaches. I suggest, “Boutelle said.
reference:
Boutelle KN, et al. JAMA network Open.. 2022; doi: 10.1001 / jamanetworkopen.2022.12354.
The new weight loss intervention targets instinctive dietary cravings. https://ucsdnews.ucsd.edu/pressrelease/new-weight-loss-intervention-targets-instinctive-desire-to-eat. Published May 18, 2022. Accessed May 19, 2022.