Health
A small change approach that is less effective than monitoring alone to prevent weight gain
Overweight and obesity are difficult to manage, and new randomized controlled trials, unlike previous evidence, show longer-term weight than monitoring alone, even with minor changes to caloric intake and physical activity level. It turns out that the increase cannot be prevented.The study is published at CMAJ (Canadian Medical Association Journal) https://www.cmaj.ca/lookup/doi/10.1503/cmaj.211041..
The study enrolled 320 sedentary adults aged 25-70 years who lived overweight or obese (obesity index 25-39.9 kg / m).2). The average age of participants was 52.6 years, with 77% being female. They were randomized to either monitoring alone, or a small modification approach with a reduction in caloric intake of 100 kcal per day or an increase in physical activity of 2000 steps per day through a two-year study. ..
Dr. Robert Ross, lead author and professor of health kinematics at Queen’s University in Kingston, said: , Ontario, with co-authors.
“We find that prevention of weight gain by making small changes to dietary intake and physical activity behavior is long-lasting and moderate weight gain in overweight adults (0.5-1.0 kg / year). Even thought it was clinically relevant. Obesity has a negative link to important health consequences, “the author writes. A small change approach resulted in weight loss at 3, 6, 12, and 15 months, but by 24 months, prevention of weight gain was no different from prevention related to monitoring alone. On average, prevention of weight gain was observed in both groups of the study.
Researchers were amazed at the findings, as opposed to the results of previous studies that showed that a small change approach prevented weight gain for three years in a large sample of overweight young adults. .. However, in a sub-analysis, the authors observed that overweight adults prevented weight gain, but obese adults did not.
Over 63% of Canadian adults now live overweight or obese, which contributes to their chronic health.
“Managing overweight and obese adults remains a public health challenge,” the authors conclude.
Commentary published in the same issue CMAJ Discusses the lack of evidence for physical activity and prevention of chronic illness in people with disabilities and seeks further research.
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Journal reference:
Ross, R. , et al. (2022) A small modified approach to prevent long-term weight gain in overweight and obese adults: randomized controlled trials. CMAJ. doi.org/10.1503/cmaj.211041..
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