A Comparison of Eating Patterns Across Two Obesity Treatments: Behavior Therapy vs. Behavioral Choice Treatment
UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES BETHESDA MD
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Traditional obesity treatments have demonstrated successful short-term, but not long-term, weight loss. Behavior Therapies BT typically prescribe moderate kilojoule reduction and eating rules that promote a dieting mentality. Behavioral Choice Treatment BCT, which emphasizes mild kilojoule reduction and flexibility in eating has previously demonstrated greater weight loss maintenance compared to BT. This study compares eating patterns across treatments to explore differences related to weight loss. Thirty-two obese women, randomly assigned to BT or BCT, used computerized eating diaries to record all foods consumed. At treatment onset, both groups reduced kilojoule BT, p.01 BCT, p.01 and percent fat BT, p.01 BCT, p.01 intake. At the end of treatment, however, BCT reported greater kilojoule P0.05 and percent fat P0.01 intake. No group differences were found for meal frequency or variability in kilojoule intake. These data suggest slight rather than moderate caloric restriction and greater flexibility in eating may promote the observed long-term weight management in BCT over BT.
- Anatomy and Physiology
- Food, Food Service and Nutrition