Weight Gain Prevention among Midlife Women: A Randomized Controlled Trial to Address Needs Related to the Physical and Social Environment
Autor: | Courtney D. Perry; Dennis Degeneffe; Cynthia Davey; Grace Kollannoor-Samuel; Marla Reicks |
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Sprache: | Englisch |
Veröffentlicht: |
2016 |
Quelle: | Directory of Open Access Journals: DOAJ Articles |
Online Zugang: |
http://www.mdpi.com/1660-4601/13/6/530 https://doaj.org/toc/1660-4601 1660-4601 doi:10.3390/ijerph13060530 https://doaj.org/article/8154f910c90a43e1af80738c908325f8 https://doi.org/10.3390/ijerph13060530 https://doaj.org/article/8154f910c90a43e1af80738c908325f8 |
Erfassungsnummer: | ftdoajarticles:oai:doaj.org/article:8154f910c90a43e1af80738c908325f8 |
Zusammenfassung
Women tend to gain weight at midlife (40–60 years) increasing risk of obesity-related chronic diseases. Within specific eating occasions, needs related to the physical and social environment may result in less healthy eating behavior, which can lead to weight gain over time. The purpose of this study was to determine if a dietitian-delivered nutrition counseling intervention tailored to eating occasion needs could improve diet and prevent weight gain among midlife women over two years. A randomized controlled trial was conducted with healthy midlife women (n = 354) in one U.S. metropolitan area. The intervention group (n = 185) received ten hours of individual nutrition counseling from dietitians over six months, while women in a control group (n = 169) received no counseling. Measured height, weight and waist circumference, and dietary intakes were collected at baseline and every six months over two years. Mixed linear models were used to test for intervention effect on change in outcome variables over time. Dietary intakes of fruit, reduced/low-fat dairy foods and refined grains were significantly improved over time in the intervention compared to control group. However, the intervention had no effect on weight over time (p = 0.48). Nutrition counseling tailored to address eating occasion needs improved self-reported diet but did not significantly affect weight change.