Changes in Body Composition, Cardiovascular Disease Risk Factors, and Eating Behavior After an Intensive Lifestyle Intervention With High Volume of Physical Activity in Severely Obese Subjects: A Prospective Clinical Controlled Trial.

Changes in Body Composition, Cardiovascular Disease Risk Factors, and Eating Behavior after an Intensive Lifestyle Intervention with High Volume of Physical Activity in Severely Obese Subjects: A Prospective Clinical Controlled Trial.

J Obes. 2013; 2013: 325464
Danielsen KK, Svendsen M, Mæhlum S, Sundgot-Borgen J

We examined the effects of a 10-14-weeks inpatient lifestyle modification program, including minimum 90?min of physical activity (PA) five days/week, on body composition, CVD risk factors, and eating behavior in 139 obese subjects (BMI 42.6 ± 5.2?kg/m(2)). Completion rate was 71% (n = 71) in the intensive lifestyle intervention (ILI) group and 85% (n = 33) among waiting list controls. Compared to controls body weight (-17.0 (95% CI:?-18.7, -15.3)?kg, P < 0.0001), fat mass (-15.2 (95% CI:?-17.4, -13.1)?kg, P < 0.0001), fat free mass (-1.2 (95% CI:?-2.2, -0.2)?kg, P = 0.016) and visceral fat (-86.6(95% CI:?-97.4, -75.7)?cm(2), P < 0.0001) were reduced in the ILI-group after 10-14 weeks. Within the ILI-group weight loss was -23.8 (95% CI:?-25.9, -21.7)?kg, P < 0.0001 and -20.3 (95% CI:?-23.3, -17.3)?kg, P < 0.0001, after six and 12 months, respectively. Systolic BP, glucose, triglycerides, and LDL-C were reduced, and HDL-C was increased (all P ? 0.006) after 10-14 weeks within the ILI group. The reduction in glucose and increase in HDL-C were sustained after 12 months (all P < 0.0001). After one year, weight loss was related to increased cognitive restraint and decreased uncontrolled eating (all P < 0.05). Thus, ILI including high volume of PA resulted in weight loss with almost maintenance of fat-free mass, favorable changes in CVD risk factors, and eating behavior in subjects with severe obesity. HubMed – eating


The Clinical Obesity Maintenance Model: An Integration of Psychological Constructs including Mood, Emotional Regulation, Disordered Overeating, Habitual Cluster Behaviours, Health Literacy and Cognitive Function.

J Obes. 2013; 2013: 240128
Raman J, Smith E, Hay P

Psychological distress and deficits in executive functioning are likely to be important barriers to effective weight loss maintenance. The purpose of this paper is twofold. First, in the light of recent evidence in the fields of neuropsychology and obesity, particularly on the deficits in the executive function in overweight and obese individuals, a conceptual and theoretical framework of obesity maintenance is introduced by way of a clinical obesity maintenance model (COMM). It is argued that psychological variables, that of habitual cluster Behaviors, emotional dysregulation, mood, and health literacy, interact with executive functioning and impact on the overeating/binge eating behaviors of obese individuals. Second, cognizant of this model, it is argued that the focus of obesity management should be extended to include a broader range of maintaining mechanisms, including but not limited to cognitive deficits. Finally, a discussion on potential future directions in research and practice using the COMM is provided. HubMed – eating


Ovarian cancer symptom awareness and anticipated time to help-seeking for symptoms among UK women.

J Fam Plann Reprod Health Care. 2013 May 24;
Low EL, Waller J, Menon U, Jones A, Reid F, Simon AE

OBJECTIVES: To determine levels of awareness of ovarian cancer symptoms and to identify barriers to help-seeking and predictors of a longer time to help-seeking in a UK female population-based sample. METHODS: A UK population-based sample of women [n=1000, including a subsample of women at higher risk due to their age (?45 years, n=510)] completed the Ovarian Cancer Awareness Measure by telephone interview. Questions measured symptom awareness (using recall and recognition), barriers to medical help-seeking and anticipated time to help-seeking. Regression analyses identified predictors of a higher score on a scale of anticipated time to help-seeking. RESULTS: Most women (58% overall sample; 54% subgroup) were unable to recall any symptoms but 99% recognised at least one. Recognition was lowest for difficulty eating and persistently feeling full. In the sample overall, higher socio-economic status and higher endorsement of practical and service barriers independently predicted a longer anticipated time to help-seeking for more symptoms. White ethnicity was an additional predictor in the older subgroup. CONCLUSIONS: This study suggests awareness of ovarian cancer symptoms is low in the UK, and varies widely between symptoms. It identifies variables that may be involved in a longer time to help-seeking for possible ovarian cancer symptoms and highlights the need for more in-depth research into the factors related to time to help-seeking in real-world situations. HubMed – eating