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Randomized controlled trial of a comprehensive home environment-focused weight-loss program for adults.
Open accessAbstract
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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“This has proven to be beneficial for compliance and consequently in improvement of intervention outcomes in low sodium diet [78–82] and activity interventions [83].”
From Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature (2023) · cites this paper as [82]
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Metadata
- 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)
- Venue
- Health Psychology
- Published
- 2013
- Volume
- 32
- Issue
- 2
- Pages
- 128-137
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- 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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