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Randomized Controlled Trial to Study the Acute Effects of Strength Exercise on Insulin Sensitivity in Obese Adults

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Preventing weight gain in young adults: a randomized controlled pilot study.

Jessica Gokee LaRose¹, Deborah F Tate, Amy A Gorin

¹Department of Psychiatry and Human Behavior, Weight Control and Diabetes Research Center, Brown Medical School and the Miriam Hospital, Providence, Rhode Island 02903, USA. Jessica_Gokee_LaRose@brown.edu

American Journal of Preventive Medicine

|June 12, 2010

Summary

Young adults can prevent weight gain using self-regulation. Both Small Changes (SC) and Large Changes (LC) approaches showed promise in a pilot study, with LC leading to greater initial weight loss.

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Published on: May 8, 2018

Area of Science:

Behavioral science
Public health
Obesity prevention

Background:

Young adult weight gain is a significant public health issue.
Few interventions have successfully addressed this problem.
This study explored two self-regulation strategies for weight-gain prevention.

Purpose of the Study:

To evaluate the preliminary efficacy of two self-regulation approaches for weight-gain prevention in young adults.
To compare the effects of Small Changes (SC) and Large Changes (LC) interventions.
To assess adherence, weight change, and participant satisfaction.

Main Methods:

A randomized controlled pilot study involving 52 young adults (aged 18-35).
Participants were assigned to either an 8-week Small Changes or Large Changes program, both emphasizing daily self-weighing.
Outcomes including adherence, weight change, and satisfaction were measured at 0, 8, and 16 weeks.

Main Results:

High adherence (84% session attendance) and completion rates (86.5% post-treatment, 84.5% follow-up) were observed.
Significant weight changes were noted between groups at 8 weeks (SC: -0.68 kg, LC: -3.2 kg) and 16 weeks (SC: -1.5 kg, LC: -3.5 kg).
Participants reported high satisfaction and confidence in both intervention approaches.

Conclusions:

Both Small Changes and Large Changes self-regulation strategies show potential for preventing weight gain in young adults.
The Large Changes approach resulted in greater weight loss compared to Small Changes in this pilot study.
Further research with a fully powered trial is recommended to compare the long-term efficacy of these approaches.