LIFESTEPS: Weight Management Program: a response from a behavioral perspective.
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Behavior Therapy↗
Biomedical subjects
B K Paulsen
Publications and source records attributed to B K Paulsen.
Nutritional status of main food preparers and of nutrition education assistants.
The dietary habits and nutritional status of nutrition education assistants (NEAS) in the Expanded Food and Nutrition Education Program in Missouri were compared with a representative population of Missouri main food preparers (MFPs) from the same regions of the state. Dietary histories indicated that the NEAs tended to have better habits than the MFPs. Using biochemical parameters for determining status for iron, vitamin A, ascorbic acid, and riboflavin, the differences between the two groups were not as great as for the dietary intakes. However, almost half of the MFPs were taking at least one vitamin or mineral supplement compared with 17 per cent of the NEAs. A low dietary intake, coupled with some anemia, probably relating to a low iron intake, was a major nutritional problem for both groups of subjects. Low plasma vitamin A values were also observed among a large proportion of both groups, and obesity was a widespread problem for both groups.
Adult↗
Behavior therapy for weight control: long-term results of two programs with nutritionists as therapists.
Two studies examined the effectiveness of behavior modification techniques utilizing nutritionists as therapists. In study 1, therapist training on the use of behavioral techniques was done by self-study. Fifty-seven females at least 10% overweight (X = 20%, SD = +/- 14.0) were placed in one of three 10-week treatment conditions; 1) a multiple technique behavioral program, 2) food exchange treatment, and 3) delay treatment control. End of treatment weight losses averaged 3.0, 2.2, and 0.1 kg, respectively. When treated, the delay group lost 2.7 kg. One year post-treatment the behavior therapy subjects were maintaining approximately 70% of the weight lost during treatment; the other two groups maintained less than half of their achieved loss. In study 2, 54 female subjects 15 to 60% overweight (X = 39%, SD = +/- 12.3) underwent one of two 14-week behavioral weight control treatments. One was the same behavioral treatment used in study 1; the other was built around the concept of stimulus control. Both treatments included nutrition information. The therapists were trained by a behavioral psychologist. Weight loss at the end of treatment was 8.4 and 7.3 kg for the stimulus control and multiple technique conditions, respectively. There was a significant difference in favor of the stimulus control treatment at 3 and 6 months posttreatment. At the 18-month follow-up the stimulus control subjects were maintaining 80% of achieved weight loss; the other group only 50%.
Adolescent↗