Navigation Links
Prepared meals and incentivized weight-loss program for obese and overweight women
Date:10/9/2010

In another article being released early online, Cheryl L. Rock, Ph.D., R.D., from Moores UCSD Cancer Center, La Jolla, Calif., and colleagues, conducted a randomized controlled trial of weight loss and weight maintenance in 442 overweight or obese women (BMI, 25 40), ages 18 to 69, over a two year period with follow-up between November 2007 and April 2010.

The women were randomized into three intervention groups: in-person, center-based (167 women) or telephone based (164 women) weekly one-to-one weight loss counseling, including free-of-charge prepackaged prepared foods (from Jenny Craig, Inc.) and increased physical activity for 30 minutes a day, five days a week. The participants were eventually transitioned to a meal plan that was not based mainly on the commercial program. The third group was the usual care group (111 women) who received two individualized weight loss counseling sessions with a dietetics professional and monthly contacts. All participants were provided a small monetary compensation ($25) for each completed clinic visit.

At 24 months, weight data were available for 407 of the 442 women (92.1 percent of the study sample). The average weight loss for the women participating in the center-based group was about 16 pounds or 7.9 percent of their initial weight, about 14 pounds or 6.8 percent for the telephone-based group, and about 4.5 pounds for the usual care control group. "By study end, more than half in either intervention group (62 percent of center-based [n=103] and 56 percent [n=91] of telephone-based participants) had a weight loss of at least 5 percent compared with 29 percent (n=32) of usual care participants," the authors report.

"Findings from this study suggest that this incentivized structured weight loss program with free prepared meals can effectively promote weight loss compared with usual care group," the authors comment. "Importantly, weight loss was largely maintained at two-year follow-up." They note that even small percentage weight changes can result in a reduction of risk for cardiovascular disease and diabetes.

In conclusion the authors write: "For clinical practitioners, the evidence suggests that the structured program as applied in this study provides another route for their overweight and obese patients to achieve and maintain weight loss through behavioral changes for at least a two-year period."

(JAMA. 2010;304[16]:doi:10.1001/JAMA.2010.1503. Available pre-embargo to the media at www.jamamedia.org)

Editor's Note: Dr. Rock reported serving on the advisory board for Jenny Craig from 2003 2004. The study was supported by Jenny Craig, Inc. (Carlsbad, Calif.), which provided program activities, materials, and prepackaged food to individuals assigned to the commercial weight loss program. Funding was provided through a clinical trial contract to the coordinating center (School of Medicine, University of California, San Diego), which subsequently disbursed funds to the collaborating clinical sites and the laboratories. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

Editorial: Treatment Options for Obesity

In an accompanying editorial, Rena R. Wing, Ph.D., from the Warren Alpert Medical School, Brown University and Miriam Hospital, Providence, R.I., writes, " the results of the trial reported by Rock et al probably represent a best-case scenario."

"The findings of this trial by Rock et al raise the possibility that if structured commercial weight loss programs could be provided free of charge to participants, both retention and average weight loss outcomes might be far better than when participants must pay for these programs."

"Currently, insurance companies will often cover the cost of bariatric surgery for obesity (estimated at $19,000 - $29,000 per patient from insurance reimbursement data) but do not cover the cost of commercial weight loss programs (such as that evaluated in this study, with estimated costs of approximately $1,600 for 12 weeks of the program and for food.) Providing commercial weight loss programs free to charge to participants might be a worthwhile health care investment."

(JAMA.2010; 304[16]:doi10.1001/JAMA.2010.1529. Available pre-embargo to the media at www.jamamedia.org.

Editor's Note: Preparation of this editorial was supported in part by a grant from the National Institute of Diabetes and Digestive and Kidney Diseases. The sponsor had no role in the preparation, review, or approval of the manuscript.


'/>"/>

Contact: Kim Edwards
kedwards@ucsd.edu
619-543-2707
JAMA and Archives Journals
Source:Eurekalert

Related medicine news :

1. Health care volunteers and disasters: First, be prepared
2. Europes top football venues are not prepared for treating spectators who suffer heart attacks
3. Study Reveals Californians Must Increase Earthquake Preparedness; Less Than 20 Percent Have Prepared Their Homes; Only 40 Percent Have Sufficient Water
4. Recent Earthquakes Across the World Underscore the Importance of Emergency Preparedness Supplies and Survival Kits for Individuals, Families and Businesses
5. New emergency preparedness information available for dental offices
6. US dental schools leave graduates unprepared to screen for sleep disorders
7. Gourmet Diet Delivery Unites with First Lady's Battle Against Obesity The Fresh Diet Begins Delivering Meals to DC
8. More Money, Increased Participation and Higher Nutritional Standards for School Meals
9. The Diet Solution Program: Popular Online Weight Loss Program is Revised to Include More Metabolism Boosting Meals
10. FreshDirect Celebrates Nurse Appreciation Week with Delivery of Complimentary 4-Minute Meals for Nurses at Hospitals in Westchester and Greenwich, CT
11. Could Drinking Water Before Meals Help You Lose Weight?
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/26/2017)... ... July 26, 2017 , ... ... specialty pharmacies, has released an updated version of the HCV Treatment Path app ... treating chronic hepatitis C virus (HCV) infection. All of the latest HCV medications ...
(Date:7/25/2017)... ... July 25, 2017 , ... ... the launch of their partnership to provide the Pharmacist eCare Plan ... platform in the country with the ability to develop the Pharmacist eCare Plan, ...
(Date:7/25/2017)... WI (PRWEB) , ... July 25, 2017 , ... ... Aloria Health, as medical director. Dr. Negrette has more than a decade of ... She has worked closely with individuals fighting addictions, eating disorders, psychotic and manic ...
(Date:7/24/2017)... ... July 24, 2017 , ... Contact: ... Robins & Morton, Perkins Will, Newcomb & Boyd, Walter P Moore and ... new Destination Medical Building located at Mayo Clinic in Jacksonville, Florida. , ...
(Date:7/24/2017)... ... July 24, 2017 , ... ... partnered together for a unique opportunity that helps high school girls succeed in ... Barriers, Creating Opportunities.” Horizon Goodwill will host over 20 high school girls ...
Breaking Medicine News(10 mins):
(Date:7/14/2017)... July 14, 2017 Endo International plc (NASDAQ: ... August 8, 2017.  Members of its senior management team will host ... at 8:30 a.m. ET. The dial-in number to ... International (678) 509-7598, and the passcode is 45397076. Please dial in ... A replay of the call will be ...
(Date:7/13/2017)... , July 13, 2017  Centurion Medical Products, a leader in ... DisImpactor ® fecal impaction removal device for hospice patient care. ... Centurion Medical ... Patient pain management and emotional comfort ... can help alleviate patient pain while preventing unneeded emergency department admission ...
(Date:7/13/2017)... , July 13, 2017  New York City-based market ... pharmaceutical markets should be aware of.  From new products to ... are detailed in a recently completed study, Potential Pipeline ... 1.  Age-Driven Growth - ... have been aware of the impact the growing population and, ...
Breaking Medicine Technology: