Do outcomes from a behavioral weight loss intervention differ in Alabama versus Colorado?
Abstract Background There are well‐established regional differences in obesity prevalence in the United States but relatively little is known about why or whether success in weight loss differs regionally. Objective The objective of this study was to determine whether changes in body weight, engagem...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-08-01
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| Series: | Obesity Science & Practice |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/osp4.583 |
| _version_ | 1811343553183350784 |
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| author | Julianne G. Clina R. Drew Sayer Caroline W. Cohen Holly R. Wyatt Navneet Kaur Baidwan James O. Hill |
| author_facet | Julianne G. Clina R. Drew Sayer Caroline W. Cohen Holly R. Wyatt Navneet Kaur Baidwan James O. Hill |
| author_sort | Julianne G. Clina |
| collection | DOAJ |
| description | Abstract Background There are well‐established regional differences in obesity prevalence in the United States but relatively little is known about why or whether success in weight loss differs regionally. Objective The objective of this study was to determine whether changes in body weight, engagement in physical activity (PA), and psychosocial factors differed in Alabama (AL) versus Colorado (CO) in response to a 16‐week behavioral weight loss program. Design This is an ancillary study to a weight loss intervention being conducted simultaneously in AL and CO with identical intervention content and delivery in 70 participants (n = 31 AL and n = 39 CO). Body weight, objective (accelerometry) PA, and responses to psychosocial questionnaires (reward‐based eating, stress, social support) were collected at baseline and at Week 16. Results There were no differences in percent weight loss between states (AL: 10.98%; CO: 11.675%, p = 0.70), and weights at Week 16 were not different for participants in AL and CO (AL: 101.54 ± 4.39 kg, CO: 100.42 ± 3.67 kg, p = 0.84). Accelerometry‐derived step count, stepping time, and activity score were all greater at Week 16 for participants in AL compared to participants in CO. Hedonic eating scores were more favorable for participants in AL at baseline (AL: 24.08 ± 2.42; CO: 34.99 ± 2.12, p = 0.0023) and at Week 16 (AL: 18.62 ± 2.70; CO: 29.11 ± 2.19, p = 0.0023). Finally, participants in AL presented more favorable social support scores at Week 16 compared to participants in CO. Conclusions Weight loss did not differ between states, suggesting that factors contributing to higher obesity rates in some regions of the United States may not be barriers to weight loss. Further, participants in AL experienced greater improvements in some factors associated with weight maintenance, indicating the need to study regional differences in weight loss maintenance. National Clinical Trial 03832933. |
| first_indexed | 2024-04-13T19:32:19Z |
| format | Article |
| id | doaj.art-5b595f5b4a4945a6866b652540de81db |
| institution | Directory Open Access Journal |
| issn | 2055-2238 |
| language | English |
| last_indexed | 2024-04-13T19:32:19Z |
| publishDate | 2022-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obesity Science & Practice |
| spelling | doaj.art-5b595f5b4a4945a6866b652540de81db2022-12-22T02:33:09ZengWileyObesity Science & Practice2055-22382022-08-018445546510.1002/osp4.583Do outcomes from a behavioral weight loss intervention differ in Alabama versus Colorado?Julianne G. Clina0R. Drew Sayer1Caroline W. Cohen2Holly R. Wyatt3Navneet Kaur Baidwan4James O. Hill5Department of Nutrition Sciences University of Alabama at Birmingham Birmingham Alabama USADepartment of Nutrition Sciences University of Alabama at Birmingham Birmingham Alabama USADepartment of Nutrition Sciences University of Alabama at Birmingham Birmingham Alabama USADepartment of Nutrition Sciences University of Alabama at Birmingham Birmingham Alabama USASchool of Health Professions University of Alabama at Birmingham Birmingham Alabama USADepartment of Nutrition Sciences University of Alabama at Birmingham Birmingham Alabama USAAbstract Background There are well‐established regional differences in obesity prevalence in the United States but relatively little is known about why or whether success in weight loss differs regionally. Objective The objective of this study was to determine whether changes in body weight, engagement in physical activity (PA), and psychosocial factors differed in Alabama (AL) versus Colorado (CO) in response to a 16‐week behavioral weight loss program. Design This is an ancillary study to a weight loss intervention being conducted simultaneously in AL and CO with identical intervention content and delivery in 70 participants (n = 31 AL and n = 39 CO). Body weight, objective (accelerometry) PA, and responses to psychosocial questionnaires (reward‐based eating, stress, social support) were collected at baseline and at Week 16. Results There were no differences in percent weight loss between states (AL: 10.98%; CO: 11.675%, p = 0.70), and weights at Week 16 were not different for participants in AL and CO (AL: 101.54 ± 4.39 kg, CO: 100.42 ± 3.67 kg, p = 0.84). Accelerometry‐derived step count, stepping time, and activity score were all greater at Week 16 for participants in AL compared to participants in CO. Hedonic eating scores were more favorable for participants in AL at baseline (AL: 24.08 ± 2.42; CO: 34.99 ± 2.12, p = 0.0023) and at Week 16 (AL: 18.62 ± 2.70; CO: 29.11 ± 2.19, p = 0.0023). Finally, participants in AL presented more favorable social support scores at Week 16 compared to participants in CO. Conclusions Weight loss did not differ between states, suggesting that factors contributing to higher obesity rates in some regions of the United States may not be barriers to weight loss. Further, participants in AL experienced greater improvements in some factors associated with weight maintenance, indicating the need to study regional differences in weight loss maintenance. National Clinical Trial 03832933.https://doi.org/10.1002/osp4.583behaviorenvironmentinterventionobesityphysical activityweight loss |
| spellingShingle | Julianne G. Clina R. Drew Sayer Caroline W. Cohen Holly R. Wyatt Navneet Kaur Baidwan James O. Hill Do outcomes from a behavioral weight loss intervention differ in Alabama versus Colorado? Obesity Science & Practice behavior environment intervention obesity physical activity weight loss |
| title | Do outcomes from a behavioral weight loss intervention differ in Alabama versus Colorado? |
| title_full | Do outcomes from a behavioral weight loss intervention differ in Alabama versus Colorado? |
| title_fullStr | Do outcomes from a behavioral weight loss intervention differ in Alabama versus Colorado? |
| title_full_unstemmed | Do outcomes from a behavioral weight loss intervention differ in Alabama versus Colorado? |
| title_short | Do outcomes from a behavioral weight loss intervention differ in Alabama versus Colorado? |
| title_sort | do outcomes from a behavioral weight loss intervention differ in alabama versus colorado |
| topic | behavior environment intervention obesity physical activity weight loss |
| url | https://doi.org/10.1002/osp4.583 |
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