Overweight or obesity management by therapists of the obesity and overweight think thank group (G.R.O.S.). Pilot study comparing its effects with standard nutritional management

Currently, international recommendations for obese and overweight people that explicitly target weight loss and are based on qualitative and/or quantitative nutritional counseling and increased physical activity do not appear to be effective in the long term. In contrast, intuitive eating seems to be an interesting alternative to dieting. The G.R.O.S., a French non-profit organization, offers tri-axial management that would enable overweight or obese individuals to acquire this flexible and adaptive behavior that consists of eating naturally according to one's physiological and emotional needs. After describing the three axes of management by G.R.O.S., a pilot study is presented to evaluate the efficacy of this management type in overweight or obese subjects compared to a standard diet (DIET). Thirty-five subjects were divided into two groups (G.R.O.S. and DIET), and their weight, body mass index, cognitive restraint scores, emotional eating, intuitive eating, and depressive symptomatology were measured at the beginning of the study and three months later. This pilot study showed the positive effect of weight management, body mass index, intuitive eating, and emotional eating compared with standard dietary management, which only affects the depressive symptomatology. The G.R.O.S. management style seems to be an interesting and effective alternative to slimming diets. However, this study presented a number of limitations, including the sample size, nonrandomization of subjects in groups, and non-standardization of care. Les recommandations internationales destinées aux personnes souffrant d’obésité ou de surpoids basées sur des conseils nutritionnels qualitatifs et/ou quantitatifs ne sont pas efficaces sur le long terme. En revanche, l’alimentation intuitive, qui consiste à manger naturellement en fonction de ses besoins physiologiques et émotionnels, apparaît être une alternative pertinente aux régimes amaigrissants. Le Groupe de Réflexion sur l’Obésité et le Surpoids (GROS) propose une prise en charge triaxiale permettant au patient souffrant de surpoids ou d’obésité d’acquérir ce comportement flexible et adaptatif. L’objectif de cette étude pilote est de comparer les effets à court terme sur le poids et autres variables psychologiques de deux prises en charge différentes chez des patients souffrant de surpoids ou d’obésité: la prise en charge du GROS basée sur l’alimentation intuitive et la prise en charge diététique standard, basée sur des recommandatio