Cited by 121Obesity, Physical Activity, DietNutrition, Health and Food BehaviorObesity and Health Practices

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Randomized controlled trial of a comprehensive home environment-focused weight-loss program for adults.

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Gorin, Amy A., Raynor, Hollie A., Fava, Joseph, Maguire, Kimberly, Robichaud, Erica, Trautvetter, Jennifer, Crane, Melissa, Wing, Rena R.·2013·Health Psychology

DOI 10.1037/a0026959PMC PMC3393797

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Abstract

OBJECTIVE: Behavioral weight-loss programs (BWL) provide limited instruction on how to change the environmental context of weight-regulating behaviors, perhaps contributing to regain. Drawing on social ecological models, this trial evaluated a comprehensive weight-loss program that targeted both an individual's behavior and his or her physical and social home environment. METHOD: Overweight and obese adults (N = 201; 48.9 ± 10.5 years; 78.1% women) were randomized to BWL or to BWL plus home-environment changes (BWL + H). Groups met weekly for 6 months and bimonthly for 12 months. BWL + H participants were given items to facilitate healthy choices in their homes (e.g., exercise equipment, portion plates) and attended treatment with a household partner. Weight loss at 6 and 18 months was the primary outcome. RESULTS: BWL + H changed many aspects of the home environment and produced better 6-month weight losses than BWL (p = .017). At 18 months, no weight-loss differences were observed (p = .19) and rates of regain were equivalent (p = .30). Treatment response was moderated by gender (6 months, p = .011; 18 months, p = .006). Women lost more weight in BWL + H than BWL at 6 and 18 months, whereas men in BWL lost more weight than those in BWL + H at 18 months. Partners, regardless of gender, lost more weight in BWL + H than BWL at both time points (ps < .0001). CONCLUSION: The home food and exercise environment is malleable and targeting this microenvironment appears to improve initial weight loss, and in women, 18-month outcomes. Research is needed to understand this gender difference and to develop home-focused strategies with more powerful and sustained weight-loss effects.

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Authors: Gorin, A. A., Raynor, H. A., Fava, J., Maguire, K., Robichaud, E., Trautvetter, J., Crane, M., & Wing, R. R.
Affiliations: University of Connecticut (US)
University of Tennessee at Knoxville (US)
Miriam Hospital (US)
University of North Carolina at Chapel Hill (US)
Brown University (US)
ORCID: Gorin, Amy A.
Raynor, Hollie A.
Fava, Joseph
Crane, Melissa
Wing, Rena R.
Venue: Health Psychology
Publisher: American Psychological Association (APA)
Published: 2013
Volume: 32
Issue: 2
Pages: 128-137
ISSN: 0278-6133 (ISSN-L)
1930-7810
DOI: 10.1037/a0026959
PMC: PMC3393797
OpenAlex: W2009922902
Cited by: 121
References: 54
Citations by year: 2026: 3 · 2025: 5 · 2024: 11 · 2023: 6 · 2022: 7 · 2021: 8 · 2020: 9 · 2019: 10 · 2018: 10 · 2017: 12 · 2016: 8 · 2015: 13 · 2014: 13 · 2013: 6
FWCI: 9.89
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Health Psychology (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Heart, Lung, and Blood Institute (HL77082)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
Keywords: behavioral weight loss program, family environment, socio-ecological model, obesity, overweight adults, weight regain, gender differences, home food environment, exercise equipment
MeSH terms: Adult, Behavior Therapy, Comprehensive Health Care, Female, Home Care Services, Humans, Male, Middle Aged, Obesity, Social Environment, Program Evaluation, Weight Loss, Health Behavior, Overweight, Weight Reduction Programs

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Randomized controlled trial of a comprehensive home environment-focused weight-loss program for adults.

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