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Cited by 126Eating Disorders and BehaviorsObesity and Health PracticesNutrition, Health and Food Behavior

Health-At-Every-Size and Eating Behaviors: 1-Year Follow-Up Results of a Size Acceptance Intervention

Provencher, Véronique, Bégin, Catherine, Tremblay, Angelo, Mongeau, Lyne, Corneau, Louise, Dodin, Sylvie, Boivin, Sonia, Lemieux, Simone·2009·Journal of the American Dietetic Association
DOI 10.1016/j.jada.2009.08.017
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Abstract

Background Poor long-term success observed with current weight-control strategies stresses the relevance to explore new weight management approaches.Objective To assess the effects of a Health-At-Every-Size (HAES) intervention on eating behaviors, appetite sensations, metabolic and anthropometric variables, and physical activity levels in women at 6-month and 1-year postintervention.Design Randomized controlled trial; measurements at baseline, at the end of the intervention period (4 months), and at 6-month and 1-year postintervention (10 months and 16 months, respectively). Intervention and testing took place from September 2003 to August 2006.Participants/setting Premenopausal overweight/obese women (n=144; mean age of 42.3+/-5.6 years), recruited from free-living, general community.Intervention Women were randomly assigned to: HAES group (n=48), social support group (n=48), or control group (n=48).Main outcome measures Eating behaviors (restraint, disinhibition, and susceptibility to hunger), appetite ratings (desire to eat, hunger, fullness, and prospective food consumption), anthropometric and metabolic variables (body mass index, waist and hip circumferences, blood lipid levels, and blood pressure), and engagement in moderate to intense physical activity (energy cost > or =1.2 k cal x kg(-1) x 15 minutes(-1) [> or =4.8 metabolic equivalents]).Statistical analyses performed Changes for each dependent variable were assessed by linear mixed models according to a group (HAES vs social support vs control) by time (baseline vs 4 months vs 10 months vs 16 months) split-plot design.Results Situational susceptibility to disinhibition and susceptibility to hunger significantly decreased over time in both HAES group (-0.9+/-0.2 and -1.3+/-0.5, respectively) and the social support group (-0.4+/- 0.2 and -1.4+/-0.5, respectively). Although eating behavior scores observed at 16 months did not differ between HAES and social support groups (situational susceptibility to disinhibition: 2.5+/-0.2 in HAES group vs 2.7 +/- 0.2 in social support group; susceptibility to hunger: 4.2+/-0.5 in both groups), they were lower in these groups than scores noted in the control group (3.3+/-0.2 for situational susceptibility to disinhibition and 5.9+/-0.5 for susceptibility to hunger).Conclusions These results suggest that, when compared to a control group, an HAES approach could have long-term beneficial effects on eating behaviors related to disinhibition and hunger. In addition, our study did not show distinctive effects of the HAES approach in comparison to a social support intervention.

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Authors
Provencher, V., Bégin, C., Tremblay, A., Mongeau, L., Corneau, L., Dodin, S., Boivin, S., & Lemieux, S.
Affiliations
Université Laval (CA)
Corresponding author
Lemieux, Simone
ORCID
Venue
Journal of the American Dietetic Association
Publisher
Elsevier BV
Published
2009-11
Volume
109
Issue
11
Pages
1854-1861
ISSN
0002-8223 (ISSN-L)
DOI
10.1016/j.jada.2009.08.017
OpenAlex
W2162499119
Cited by
126
References
56
Citations by year
2026: 3 · 2025: 3 · 2024: 6 · 2023: 6 · 2022: 8 · 2021: 5 · 2020: 7 · 2019: 14 · 2018: 8 · 2017: 13 · 2016: 10 · 2015: 12 · 2014: 8 · 2013: 8 · 2012: 6
FWCI
5.29
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Dietetic Association (publishedVersion)
  • PubMed (publishedVersion)
Funders
Canadian Institutes of Health Research (64226_1)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
Health at Every Size, dietary habits, appetite, disinhibition, dietary restraint, social support, overweight women, obesity, weight management, physical activity, serum lipids, blood pressure, body mass index, waist and hip circumference, long-term follow-up, weight control strategies, body image, body dissatisfaction, body acceptance
MeSH terms
Adult, Appetite, Feeding and Eating Disorders, Body Image, Body Weight, Diet, Reducing, Feeding Behavior, Female, Follow-Up Studies, Humans, Hunger, Obesity, Physical Fitness, Social Support, Health Behavior, Exercise, Body Mass Index, Linear Models, Treatment Outcome, Premenopause, Overweight

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