Impact of Non-Diet Approaches on Attitudes, Behaviors, and Health Outcomes: A Systematic Review
Abstract Objective To determine the overall effect of non-diet, weight-neutral interventions on factors such as weight, biochemical measures, food and activity behavior, body image, and mental health. Design Systematic review of intervention literature. Setting Group classes in community and worksit...
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| Veröffentlicht in: | Journal of nutrition education and behavior 2015-03, Vol.47 (2), p.143-155.e1 |
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| container_title | Journal of nutrition education and behavior |
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| creator | Clifford, Dawn, PhD, RD Ozier, Amy, PhD, RD Bundros, Joanna, BS Moore, Jeffrey, BS Kreiser, Anna, BS Morris, Michelle Neyman, PhD, RD |
| description | Abstract Objective To determine the overall effect of non-diet, weight-neutral interventions on factors such as weight, biochemical measures, food and activity behavior, body image, and mental health. Design Systematic review of intervention literature. Setting Group classes in community and worksite settings (14 studies), and individual counseling (1) and online education (1) in college settings. Participants Eighteen research articles (representing 16 studies) evaluating non-diet interventions using quasi-experimental and randomized study designs with either a comparison or control group. Main Outcome Measures Anthropometric, physiological, psychological, and dietary intake. Analysis Systematic search of 168 articles and review of 18 articles meeting inclusionary criteria. Results Non-diet interventions resulted in statistically significant improvements in disordered eating patterns, self-esteem, and depression. None of the interventions resulted in significant weight gain or worsening of blood pressure, blood glucose, or cholesterol, and in 2 studies biochemical measures improved significantly compared with the control or diet group. Primary limitations were inconsistent definitions of non-diet approaches and the use of different assessment instruments for measuring outcomes. Conclusions and Implications Because of the long-term ineffectiveness of weight-focused interventions, the psychological improvements seen in weight-neutral, non-diet interventions warrant further investigation. |
| doi_str_mv | 10.1016/j.jneb.2014.12.002 |
| format | Article |
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Design Systematic review of intervention literature. Setting Group classes in community and worksite settings (14 studies), and individual counseling (1) and online education (1) in college settings. Participants Eighteen research articles (representing 16 studies) evaluating non-diet interventions using quasi-experimental and randomized study designs with either a comparison or control group. Main Outcome Measures Anthropometric, physiological, psychological, and dietary intake. Analysis Systematic search of 168 articles and review of 18 articles meeting inclusionary criteria. Results Non-diet interventions resulted in statistically significant improvements in disordered eating patterns, self-esteem, and depression. None of the interventions resulted in significant weight gain or worsening of blood pressure, blood glucose, or cholesterol, and in 2 studies biochemical measures improved significantly compared with the control or diet group. Primary limitations were inconsistent definitions of non-diet approaches and the use of different assessment instruments for measuring outcomes. Conclusions and Implications Because of the long-term ineffectiveness of weight-focused interventions, the psychological improvements seen in weight-neutral, non-diet interventions warrant further investigation.</description><identifier>ISSN: 1499-4046</identifier><identifier>EISSN: 1878-2620</identifier><identifier>EISSN: 1708-8259</identifier><identifier>DOI: 10.1016/j.jneb.2014.12.002</identifier><identifier>PMID: 25754299</identifier><identifier>CODEN: JNUEBX</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Biochemistry ; Blood pressure ; body image ; Clinical outcomes ; Control Groups ; Counseling - methods ; Counseling - statistics & numerical data ; Diet ; Distance Education ; Eating disorders ; Female ; Gastroenterology and Hepatology ; Health behavior ; Health Knowledge, Attitudes, Practice ; Health Promotion - methods ; Health Promotion - statistics & numerical data ; Humans ; Individual Counseling ; Internal Medicine ; Male ; Measuring instruments ; mental health ; Middle Aged ; non-diet ; overweight ; Physiological psychology ; Self Concept ; Self esteem ; Systematic review ; Weight control ; weight management ; Young Adult</subject><ispartof>Journal of nutrition education and behavior, 2015-03, Vol.47 (2), p.143-155.e1</ispartof><rights>Society for Nutrition Education and Behavior</rights><rights>2015 Society for Nutrition Education and Behavior</rights><rights>Copyright © 2015 Society for Nutrition Education and Behavior. Published by Elsevier Inc. 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Design Systematic review of intervention literature. Setting Group classes in community and worksite settings (14 studies), and individual counseling (1) and online education (1) in college settings. Participants Eighteen research articles (representing 16 studies) evaluating non-diet interventions using quasi-experimental and randomized study designs with either a comparison or control group. Main Outcome Measures Anthropometric, physiological, psychological, and dietary intake. Analysis Systematic search of 168 articles and review of 18 articles meeting inclusionary criteria. Results Non-diet interventions resulted in statistically significant improvements in disordered eating patterns, self-esteem, and depression. None of the interventions resulted in significant weight gain or worsening of blood pressure, blood glucose, or cholesterol, and in 2 studies biochemical measures improved significantly compared with the control or diet group. Primary limitations were inconsistent definitions of non-diet approaches and the use of different assessment instruments for measuring outcomes. Conclusions and Implications Because of the long-term ineffectiveness of weight-focused interventions, the psychological improvements seen in weight-neutral, non-diet interventions warrant further investigation.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biochemistry</subject><subject>Blood pressure</subject><subject>body image</subject><subject>Clinical outcomes</subject><subject>Control Groups</subject><subject>Counseling - methods</subject><subject>Counseling - statistics & numerical data</subject><subject>Diet</subject><subject>Distance Education</subject><subject>Eating disorders</subject><subject>Female</subject><subject>Gastroenterology and Hepatology</subject><subject>Health behavior</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Promotion - methods</subject><subject>Health Promotion - statistics & numerical data</subject><subject>Humans</subject><subject>Individual Counseling</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Measuring instruments</subject><subject>mental health</subject><subject>Middle Aged</subject><subject>non-diet</subject><subject>overweight</subject><subject>Physiological psychology</subject><subject>Self Concept</subject><subject>Self esteem</subject><subject>Systematic review</subject><subject>Weight control</subject><subject>weight management</subject><subject>Young Adult</subject><issn>1499-4046</issn><issn>1878-2620</issn><issn>1708-8259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kt9r1TAUx4M43A_9B3yQgC8-rF2Spk0jQ7hO3QbDgdPnkCbnclPb5pqkk_vfm3Knwh72lEP4fA_nfBKEXlNSUkKbs77sJ-hKRigvKSsJYc_QEW1FW7CGkee55lIWnPDmEB3H2BNCa0bkC3TIalFzJuURUtfjVpuE_Rp_9VPxyUHCq-02eG02ELGf8Coll2YL8RR_hI2-dz7kUk8WX4Ee0gbfzsn4EeJ7vMJ3u5hg1MkZ_A3uHfx-iQ7Weojw6uE8QT--fP5-cVXc3F5eX6xuCsMrmQoJ0vKOMllrxqQ11BhCK0vaLl8DpVaw1lpetZ2QayrqVjAupJG1sLbOq1Qn6N2-bx791wwxqdFFA8OgJ_BzVLRpGK9Yjmb07SO093OY8nQLVVWMtKTJFNtTJvgYA6zVNrhRh52iRC36Va8W_WrRryhTWX8OvXloPXcj2H-Rv74zcL4HILvIfoKKxsFkwLoAJinr3dP9PzyKm8FNzujhJ-wg_t9DxRxQd8sHWN6fckKEbGT1B8VxqJw</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Clifford, Dawn, PhD, RD</creator><creator>Ozier, Amy, PhD, RD</creator><creator>Bundros, Joanna, BS</creator><creator>Moore, Jeffrey, BS</creator><creator>Kreiser, Anna, BS</creator><creator>Morris, Michelle Neyman, PhD, RD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7361-7939</orcidid></search><sort><creationdate>20150301</creationdate><title>Impact of Non-Diet Approaches on Attitudes, Behaviors, and Health Outcomes: A Systematic Review</title><author>Clifford, Dawn, PhD, RD ; Ozier, Amy, PhD, RD ; Bundros, Joanna, BS ; Moore, Jeffrey, BS ; Kreiser, Anna, BS ; Morris, Michelle Neyman, PhD, RD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-9e9d4b1295a229dc1cc013d08bd4be11d728dd438b79f175872479c957dd55423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biochemistry</topic><topic>Blood pressure</topic><topic>body image</topic><topic>Clinical outcomes</topic><topic>Control Groups</topic><topic>Counseling - methods</topic><topic>Counseling - statistics & numerical data</topic><topic>Diet</topic><topic>Distance Education</topic><topic>Eating disorders</topic><topic>Female</topic><topic>Gastroenterology and Hepatology</topic><topic>Health behavior</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Promotion - methods</topic><topic>Health Promotion - statistics & numerical data</topic><topic>Humans</topic><topic>Individual Counseling</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Measuring instruments</topic><topic>mental health</topic><topic>Middle Aged</topic><topic>non-diet</topic><topic>overweight</topic><topic>Physiological psychology</topic><topic>Self Concept</topic><topic>Self esteem</topic><topic>Systematic review</topic><topic>Weight control</topic><topic>weight management</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Clifford, Dawn, PhD, RD</creatorcontrib><creatorcontrib>Ozier, Amy, PhD, RD</creatorcontrib><creatorcontrib>Bundros, Joanna, BS</creatorcontrib><creatorcontrib>Moore, Jeffrey, BS</creatorcontrib><creatorcontrib>Kreiser, Anna, BS</creatorcontrib><creatorcontrib>Morris, Michelle Neyman, PhD, RD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of nutrition education and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Clifford, Dawn, PhD, RD</au><au>Ozier, Amy, PhD, RD</au><au>Bundros, Joanna, BS</au><au>Moore, Jeffrey, BS</au><au>Kreiser, Anna, BS</au><au>Morris, Michelle Neyman, PhD, RD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of Non-Diet Approaches on Attitudes, Behaviors, and Health Outcomes: A Systematic Review</atitle><jtitle>Journal of nutrition education and behavior</jtitle><addtitle>J Nutr Educ Behav</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>47</volume><issue>2</issue><spage>143</spage><epage>155.e1</epage><pages>143-155.e1</pages><issn>1499-4046</issn><eissn>1878-2620</eissn><eissn>1708-8259</eissn><coden>JNUEBX</coden><abstract>Abstract Objective To determine the overall effect of non-diet, weight-neutral interventions on factors such as weight, biochemical measures, food and activity behavior, body image, and mental health. Design Systematic review of intervention literature. Setting Group classes in community and worksite settings (14 studies), and individual counseling (1) and online education (1) in college settings. Participants Eighteen research articles (representing 16 studies) evaluating non-diet interventions using quasi-experimental and randomized study designs with either a comparison or control group. Main Outcome Measures Anthropometric, physiological, psychological, and dietary intake. Analysis Systematic search of 168 articles and review of 18 articles meeting inclusionary criteria. Results Non-diet interventions resulted in statistically significant improvements in disordered eating patterns, self-esteem, and depression. None of the interventions resulted in significant weight gain or worsening of blood pressure, blood glucose, or cholesterol, and in 2 studies biochemical measures improved significantly compared with the control or diet group. Primary limitations were inconsistent definitions of non-diet approaches and the use of different assessment instruments for measuring outcomes. Conclusions and Implications Because of the long-term ineffectiveness of weight-focused interventions, the psychological improvements seen in weight-neutral, non-diet interventions warrant further investigation.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25754299</pmid><doi>10.1016/j.jneb.2014.12.002</doi><orcidid>https://orcid.org/0000-0002-7361-7939</orcidid></addata></record> |
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| ispartof | Journal of nutrition education and behavior, 2015-03, Vol.47 (2), p.143-155.e1 |
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| subjects | Adolescent Adult Aged Biochemistry Blood pressure body image Clinical outcomes Control Groups Counseling - methods Counseling - statistics & numerical data Diet Distance Education Eating disorders Female Gastroenterology and Hepatology Health behavior Health Knowledge, Attitudes, Practice Health Promotion - methods Health Promotion - statistics & numerical data Humans Individual Counseling Internal Medicine Male Measuring instruments mental health Middle Aged non-diet overweight Physiological psychology Self Concept Self esteem Systematic review Weight control weight management Young Adult |
| title | Impact of Non-Diet Approaches on Attitudes, Behaviors, and Health Outcomes: A Systematic Review |
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