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Behavioral modification in a weight-reduction program.

R P Holm, M T Taussig, E Carlton

    Journal of the American Dietetic Association
    |August 1, 1983
    PubMed
    Summary
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    Behavioral modification therapy for obesity showed modest but statistically superior results in low-income women compared to standard care. This group-oriented approach offers a viable option for weight management in underserved populations.

    Area of Science:

    • Public Health
    • Behavioral Science
    • Obesity Research

    Background:

    • Obesity is prevalent in women of low socioeconomic status.
    • Behavioral modification therapy for obesity requires testing in diverse populations.

    Purpose of the Study:

    • To adapt and test a group-oriented behavioral modification method for weight reduction in low-income women.
    • To compare the effectiveness of this method against individualized dietitian counseling.

    Main Methods:

    • 80 participants received group-oriented behavioral modification.
    • 80 matched controls received individualized dietitian counseling.
    • Follow-up weights were assessed in 31 matched pairs (62 individuals) over one year later.

    Main Results:

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    • 13% of the behavioral modification group maintained a 20+ lb. weight loss vs. 6.4% in the control group.
    • Mean weight loss was 4.6% of ideal body weight for the behavioral modification group vs. 0.9% for controls.
    • The behavioral modification program showed statistically superior results (p=0.058).

    Conclusions:

    • The group-oriented behavioral modification program yielded results comparable to similar programs for middle-class participants.
    • While mean weight loss was modest, the approach showed promise for low-income women.
    • Further research is needed to determine the clinical significance of the observed weight loss.