Dharini M Bhammar, Vipa Bernhardt, Jonathon L Stickford, Charles Miller, Tony G Babb
{"title":"Recruitment and Retention of Healthy Women with Obesity for a Psychophysiological Study before and After Weight Loss: Insights, Challenges, and Suggestions.","authors":"Dharini M Bhammar, Vipa Bernhardt, Jonathon L Stickford, Charles Miller, Tony G Babb","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this paper is to present data on participant recruitment, retention, and weight loss success during a psychophysiological study in women with obesity.</p><p><strong>Methods: </strong>Volunteers were women with obesity, 20 - 45 yr, with a BMI between 30 - 45 kg/m<sup>2</sup>. The study was approximately 20 weeks in duration, including a 12-week weight loss program.</p><p><strong>Results: </strong>Recruitment was not completed until 8 months past the original projected date of 12 months. The study was not completed until 11 months past the original projected completion date of 14 months. On average 4.4 ± 2.1 (mean ± SD) volunteers were consented per month (N = 99) and 2.5 ± 1.1 participants started the weight loss program per month. 24% of consented volunteers were lost due to exclusion criteria, withdrawals, and unresponsive behavior before starting the weight loss program. Attrition of participants who started the weight loss program was 45%. Only 11% of those who started the program were unable to lose weight (N = 6).</p><p><strong>Conclusion: </strong>Recruiting and/or weight loss success do not always present the most challenging aspects of completing a psychophysiological weight loss intervention. While participant attrition during a weight loss program can occur for a wide range of reasons supportive efforts in the early phases of the intervention may maximize retention.</p>","PeriodicalId":89692,"journal":{"name":"Journal of obesity & weight loss therapy","volume":"11 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8523022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39558198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Innovative technology for healthy menu reformulation","authors":"Raluca Muresanp","doi":"10.4172/2165-7904-C11-088","DOIUrl":"https://doi.org/10.4172/2165-7904-C11-088","url":null,"abstract":"","PeriodicalId":89692,"journal":{"name":"Journal of obesity & weight loss therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70701420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bariatric surgery for weight loss","authors":"Perungo Thirumarai Chelvan","doi":"10.4172/2165-7904-c11-087","DOIUrl":"https://doi.org/10.4172/2165-7904-c11-087","url":null,"abstract":"","PeriodicalId":89692,"journal":{"name":"Journal of obesity & weight loss therapy","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70701362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Eldar, E. Ovdat, N. Nevo, Y. Lessing, I. Nachmany, D. Hazzan
{"title":"Gastric Cancer after Laparoscopic Adjustable Gastric Banding: A Case Series","authors":"S. Eldar, E. Ovdat, N. Nevo, Y. Lessing, I. Nachmany, D. Hazzan","doi":"10.4172/2165-7904.1000380","DOIUrl":"https://doi.org/10.4172/2165-7904.1000380","url":null,"abstract":"Background: The association between bariatric procedures and adenocarcinoma of the distal esophagus and stomach is not fully understood. While reflux esophagitis and subsequent Barrett's esophagus may increase rates of gastric tumors, weight loss may have a protective role. Only a few case reports of gastric cancer following gastric banding have been reported. Objective: We report three patients who were diagnosed with esophago-gastric adenocarcinoma following laparoscopic adjustable gastric bending surgery. Methods: A retrospective review of the medical records of 3 patients who were diagnosed with gastric adenocarcinoma following LAGB. Results: All patients underwent workup that was initiated due to long standing complaints of persisting nausea and vomiting followed by intermittent epigastric pain. One patient was diagnosed by upper endoscopy with the tumor located at the gastro-esophageal junction. The second patient was found to have a gastric body lesion during laparoscopic removal of his gastric band and the pathology was confirmed by upper endoscopy and biopsies the following day. A third patient presented with an antral mass. All patients had localized lesions with regional lymphadenopathy and eventually underwent a gastrectomy with lymph node dissection. Conclusion: Since epigastric pain, nausea, weight loss, and vomiting are common complaints in bariatric surgery patients, these complaints often do not elicit further investigation. This may result in delayed workup and diagnosis of gastric malignancies. Clinicians must be aware of these entities, and consider routine gastroscopy in this patient population.","PeriodicalId":89692,"journal":{"name":"Journal of obesity & weight loss therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7904.1000380","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70700776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Oddone, M. Olsen, Linda Sandersa, Felicia A McCant, Mssw, S. Hurley, M. Goldstein, S. Raffa, Jane Kim
{"title":"How Well Does Patient Self-Reported Weight Agree with Values in the Electronic Medical Record?","authors":"E. Oddone, M. Olsen, Linda Sandersa, Felicia A McCant, Mssw, S. Hurley, M. Goldstein, S. Raffa, Jane Kim","doi":"10.4172/2165-7904.1000379","DOIUrl":"https://doi.org/10.4172/2165-7904.1000379","url":null,"abstract":"","PeriodicalId":89692,"journal":{"name":"Journal of obesity & weight loss therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7904.1000379","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70700766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Balanced diet vs. trending fad diets","authors":"Ujjwala Baxi","doi":"10.4172/2165-7904-c11-086","DOIUrl":"https://doi.org/10.4172/2165-7904-c11-086","url":null,"abstract":"","PeriodicalId":89692,"journal":{"name":"Journal of obesity & weight loss therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70701312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N W Badri, S W Flatt, H S Barkai, B Pakiz, D D Heath, C L Rock
{"title":"Insulin Resistance Improves More in Women than In Men in Association with a Weight Loss Intervention.","authors":"N W Badri, S W Flatt, H S Barkai, B Pakiz, D D Heath, C L Rock","doi":"10.4172/2165-7904.1000365","DOIUrl":"https://doi.org/10.4172/2165-7904.1000365","url":null,"abstract":"<p><strong>Background: </strong>Fasting glucose and homeostatic model assessment-insulin resistance (HOMA-IR) are important measures of the risk for metabolic syndrome and diabetes. Weight loss interventions are considered part of the first line of therapy for those who develop disease states associated with insulin resistance, such as pre-diabetes, diabetes, or metabolic syndrome. Sex differences in insulin resistance have been extensively reported, but sex differences in the ability to improve insulin sensitivity are not well-established. This study sought to identify factors that predict change in HOMA-IR in response to weight loss.</p><p><strong>Methods: </strong>Non-diabetic subjects who were overweight/obese (n=100) were randomly assigned to a walnut-enriched reduced-energy diet or a standard reduced-energy-density diet in a 6-month weight loss intervention. There were no significant differences in weight change, glucose, insulin, or HOMA-IR between the two diet groups. These subjects were combined into a single cohort and analyzed with multivariate analysis.</p><p><strong>Results: </strong>The combined groups lost an average of 8.7 kg (p<0.0001), decreased serum glucose by an average 0.2 mmol/L (p<0.001), and decreased HOMA-IR by an average of 1.4 (p<0.0001). Change in HOMA-IR (R<sup>2</sup>=0.69) was positively associated with weight change (p<0.0001) and male sex (p<0.01), and negatively associated with baseline HOMA-IR (p<0.0001).</p><p><strong>Conclusion: </strong>Findings from this study suggest that men may have a more difficult time improving insulin sensitivity as compared with women with an equivalent weight loss and baseline HOMA-IR. One hypothesis to explain the differences across sexes may be due to sex differences in visceral adipose fat (VAT). This may mean that insulin resistant men require more aggressive intervention than women to prevent progression to metabolic syndrome or diabetes.</p>","PeriodicalId":89692,"journal":{"name":"Journal of obesity & weight loss therapy","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7904.1000365","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35925242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Low-intensity Physical Activity is Associated with Lower Maternal Systemic Inflammation during Late Pregnancy.","authors":"R A Tinius, A G Cahill, W T Cade","doi":"10.4172/2165-7904.1000343","DOIUrl":"https://doi.org/10.4172/2165-7904.1000343","url":null,"abstract":"<p><p>Excessive maternal inflammation during pregnancy increases the risk for maternal and neonatal metabolic complications. Fortunately, maternal physical activity during pregnancy appears to reduce maternal inflammation. The purpose of this study was to examine the relationship between maternal physical activity intensity and maternal inflammation during late pregnancy. Maternal physical activity levels (sedentary, light, lifestyle, and moderate), fitness levels, and systemic inflammation (plasma C-reactive protein (CRP) concentration) were measured between 32-37 weeks gestation. Relationships were examined by Spearman Rank Coefficient Correlation analyses. Maternal plasma CRP was negatively associated with time spent in light and lifestyle physical activities (Light: r=-0.40, p=0.01; Lifestyle: r=-0.31, p=0.03), but not with time spent in moderate physical activity (r=-0.18, p=0.21). Higher maternal plasma CRP tended to correlate with more time spent sedentary (r=0.27, p=0.06). In addition, increases in light and lifestyle activities may elicit a clinically meaningful change in inflammation. In conclusion, pregnant women should be encouraged to incorporate more low-intensity physical activities into their daily routines in order to decrease systemic inflammation and potentially improve maternal and neonatal pregnancy outcomes.</p>","PeriodicalId":89692,"journal":{"name":"Journal of obesity & weight loss therapy","volume":"7 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7904.1000343","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35363273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F X Liu, S W Flatt, J F Nichols, B Pakiz, H S Barkai, D R Wing, D D Heath, C L Rock
{"title":"Factors Associated with Visceral Fat Loss in Response to a Multifaceted Weight Loss Intervention.","authors":"F X Liu, S W Flatt, J F Nichols, B Pakiz, H S Barkai, D R Wing, D D Heath, C L Rock","doi":"10.4172/2165-7904.1000346","DOIUrl":"https://doi.org/10.4172/2165-7904.1000346","url":null,"abstract":"<p><strong>Background: </strong>Visceral adipose tissue is more metabolically active than other fat depots and is more closely associated with obesity-related diseases, such as cardiovascular disease and type 2 diabetes, than indicators of obesity, such as body mass index. Across various strategies to promote weight loss, including energy-reduced diet and exercise, variable effects on VAT compared to loss of total body fat have been reported.</p><p><strong>Methods: </strong>To examine the effect of a behavioral weight loss intervention using portion-controlled prepackaged entrées on VAT, we examined data and measurements from overweight/obese men and women (N=183) who were assigned to a weight loss intervention and prescribed a reduced-energy diet with either portion-controlled prepackaged entrées or self-selected meals in a randomized clinical trial. VAT was estimated with dual-energy X-ray absorptiometry at baseline and study end (12 weeks).</p><p><strong>Results: </strong>VAT loss was greater for the prepackaged entrees group (p=0.02), with an average loss of 29% compared to an average loss of 19% among participants consuming self-selected meals. VAT (mean [SEM]) was 1651 (71) g and 1546 (157) g at baseline and 1234 (59) g and 1278 (118) g at study end in the prepackaged entrees and self-selected meal groups, respectively. Greater VAT loss was associated with higher baseline weight and VAT, and greater weight loss, but not associated with age or physical activity.</p><p><strong>Conclusion: </strong>Prescribing portion-controlled prepackaged entrees in a behavioral weight loss intervention promotes a reduction in VAT, which should promote improved metabolic profile and reduced cardiovascular disease risk.</p>","PeriodicalId":89692,"journal":{"name":"Journal of obesity & weight loss therapy","volume":"7 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7904.1000346","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35986016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
James A Levine, Shelly K McCrady-Spitzer, William Bighorse
{"title":"Obesity and sexual abuse in American Indians and Alaska Natives.","authors":"James A Levine, Shelly K McCrady-Spitzer, William Bighorse","doi":"10.4172/2165-7904.1000e119","DOIUrl":"https://doi.org/10.4172/2165-7904.1000e119","url":null,"abstract":"<p><p>Mainstream American culture frequently minimizes the prevalence and significance of sexual abuse. Unfortunately, this denial of extensive victimization of women is also present in many underserved populations. In June 2007, Amnesty International released its report on sexual abuse in indigenous women, which states that, \"One in three Native American or Alaska Native women will be raped at some point in their lives. Most do not seek justice because they know they will be met with inaction or indifference.\" This report highlighted an infrequently discussed issue namely, very high levels of sexual abuse in Native American and Alaska Native women. The relationship between sexual abuse and obesity has been delineated in several studies; overall about one quarter to one half of women with high levels of obesity have been sexually abused and it has been postulated that weight-gain serves as an adaptive response for many survivors of sexual abuse. It is also well known in Native American and Alaskan Native women that there is a high prevalence of obesity (about 40% greater than the population average) and that this obesity is associated with a many-fold greater risk of diabetes and increased risks of hypertension, cancer and cardiovascular disease. The link between the concomitantly high rates of sexual abuse and obesity in this population may or may not be partial causality but the issue is nonetheless important. If approaches are to succeed in reversing the trend of increasing levels of obesity in Native American and Alaskan Native women, the high prevalence of sexual abuse will need to be specifically and comprehensively addressed.</p>","PeriodicalId":89692,"journal":{"name":"Journal of obesity & weight loss therapy","volume":"6 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2165-7904.1000e119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35015753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}