Treatment of childhood obesity by retraining eating behaviour: randomised controlled trial
Objective To determine whether modifying eating behaviour with use of a feedback device facilitates weight loss in obese adolescents.Design Randomised controlled trial with 12 month intervention.Setting Hospital based obesity clinic.Participants 106 newly referred obese young people aged 9-17.Interv...
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| Veröffentlicht in: | BMJ 2010-01, Vol.340 (7740), p.250-250 |
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| creator | Ford, Anna L Bergh, Cecilia Södersten, Per Sabin, Matthew A Hollinghurst, Sandra Hunt, Linda P Shield, Julian P H |
| description | Objective To determine whether modifying eating behaviour with use of a feedback device facilitates weight loss in obese adolescents.Design Randomised controlled trial with 12 month intervention.Setting Hospital based obesity clinic.Participants 106 newly referred obese young people aged 9-17.Interventions A computerised device, Mandometer, providing real time feedback to participants during meals to slow down speed of eating and reduce total intake; standard lifestyle modification therapy.Main outcome measures Change in body mass index (BMI) standard deviation score (SDS) over 12 months with assessment 18 months after the start of the intervention. Secondary outcomes were body fat SDS, metabolic status, quality of life evaluation, change in portion size, and eating speed.Results Using the last available data on all participants (n=106), those in the Mandometer group had significantly lower mean BMI SDS at 12 months compared with standard care (baseline adjusted mean difference 0.24, 95% confidence interval 0.11 to 0.36). Similar results were obtained when analyses included only the 91 who attended per protocol (baseline adjusted mean difference 0.27, 0.14 to 0.41; P |
| doi_str_mv | 10.1136/bmj.b5388 |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_553868</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>25673873</jstor_id><sourcerecordid>25673873</sourcerecordid><originalsourceid>FETCH-LOGICAL-b537t-bc60dce2c254a5ef2d59ed6fa6b44ebb59208efb66f5cdd5b3f2f8cc9cbb0a7a3</originalsourceid><addsrcrecordid>eNqF0Utv1DAQAGALgeiq9MAPAEUCgTik-BE7Tm9oVQqiwB4KBy6WX2G9TeLFdgr773HIspWQgNOMPJ9G4xkAHiJ4ihBhL1W_OVWUcH4HLFDFeEk5IXfBAja0KTki_AicxLiBEGJS84bR--AIQ0izpQvw5SpYmXo7pMK3hV67zqy9N4VXNrq0K9SuCDYF6QY3fC0ynYKya3nj_BjOiiAH43sXrSm0H1LwXZfTFJzsHoB7reyiPdnHY_Dp9fnV8k15-fHi7fLVZZmnrlOpNINGW6wxrSS1LTa0sYa1kqmqskrRBkNuW8VYS7UxVJEWt1zrRisFZS3JMSjnvvG73Y5KbIPrZdgJL53YP13nzAqat8R49s9nvw3-22hjEnl-bbtODtaPUdSsqiBuGvh_SSqMUUMn-eyfkmbKKG8yfPIH3OQ9Dnk_AtU1hwwjPLV7MSsdfIzBtodPISimq4t8dfHr6tk-3nccVW_NQf6-cQaPZrCJyYfbOmU14TW53Z-Lyf441GW4FlnUVHz4vBQXaEVWq-U78T77p7OfZvj7XD8BPCbOTQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1778062120</pqid></control><display><type>article</type><title>Treatment of childhood obesity by retraining eating behaviour: randomised controlled trial</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Jstor Complete Legacy</source><source>MEDLINE</source><source>BMJ Journals - NESLi2</source><source>SWEPUB Freely available online</source><creator>Ford, Anna L ; Bergh, Cecilia ; Södersten, Per ; Sabin, Matthew A ; Hollinghurst, Sandra ; Hunt, Linda P ; Shield, Julian P H</creator><creatorcontrib>Ford, Anna L ; Bergh, Cecilia ; Södersten, Per ; Sabin, Matthew A ; Hollinghurst, Sandra ; Hunt, Linda P ; Shield, Julian P H</creatorcontrib><description>Objective To determine whether modifying eating behaviour with use of a feedback device facilitates weight loss in obese adolescents.Design Randomised controlled trial with 12 month intervention.Setting Hospital based obesity clinic.Participants 106 newly referred obese young people aged 9-17.Interventions A computerised device, Mandometer, providing real time feedback to participants during meals to slow down speed of eating and reduce total intake; standard lifestyle modification therapy.Main outcome measures Change in body mass index (BMI) standard deviation score (SDS) over 12 months with assessment 18 months after the start of the intervention. Secondary outcomes were body fat SDS, metabolic status, quality of life evaluation, change in portion size, and eating speed.Results Using the last available data on all participants (n=106), those in the Mandometer group had significantly lower mean BMI SDS at 12 months compared with standard care (baseline adjusted mean difference 0.24, 95% confidence interval 0.11 to 0.36). Similar results were obtained when analyses included only the 91 who attended per protocol (baseline adjusted mean difference 0.27, 0.14 to 0.41; P<0.001), with the difference maintained at 18 months (0.27, 0.11 to 0.43; P=0.001) (n=87). The mean meal size in the Mandometer group fell by 45 g (7 to 84 g). Mean body fat SDS adjusted for baseline levels was significantly lower at 12 months (0.24, 0.10 to 0.39; P=0.001). Those in the Mandometer group also had greater improvement in concentration of high density lipoprotein cholesterol (P=0.043).Conclusions Retraining eating behaviour with a feedback device is a useful adjunct to standard lifestyle modification in treating obesity among adolescents.Trial registration ClinicalTrials.gov NCT00407420.</description><identifier>ISSN: 0959-8138</identifier><identifier>ISSN: 0959-535X</identifier><identifier>ISSN: 1756-1833</identifier><identifier>EISSN: 1468-5833</identifier><identifier>EISSN: 1756-1833</identifier><identifier>DOI: 10.1136/bmj.b5388</identifier><identifier>PMID: 20051465</identifier><identifier>CODEN: BMJOAE</identifier><language>eng</language><publisher>England: British Medical Journal Publishing Group</publisher><subject>Adolescent ; Adolescents ; Behavior Therapy - methods ; Biofeedback, Psychology ; Body Mass Index ; Child ; Eating behavior ; Eating behaviour ; Feedback ; Feeding Behavior ; Female ; Food ; Food consumption ; Humans ; Lifestyles ; Male ; Meals ; Medical research ; Obesity ; Obesity - psychology ; Obesity - therapy ; Patient Compliance ; Pediatric obesity ; Pilot projects ; Retraining ; Teenagers ; Treatment Outcome ; Weight control</subject><ispartof>BMJ, 2010-01, Vol.340 (7740), p.250-250</ispartof><rights>Ford et al 2009</rights><rights>2010 BMJ Publishing Group Ltd</rights><rights>Copyright BMJ Publishing Group LTD Jan 5, 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b537t-bc60dce2c254a5ef2d59ed6fa6b44ebb59208efb66f5cdd5b3f2f8cc9cbb0a7a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bmj.com/content/340/bmj.b5388.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttp://bmj.com/content/340/bmj.b5388.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>114,115,230,314,550,776,780,799,881,3183,23550,27901,27902,30977,57992,58225,77343,77374</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20051465$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:122057741$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Ford, Anna L</creatorcontrib><creatorcontrib>Bergh, Cecilia</creatorcontrib><creatorcontrib>Södersten, Per</creatorcontrib><creatorcontrib>Sabin, Matthew A</creatorcontrib><creatorcontrib>Hollinghurst, Sandra</creatorcontrib><creatorcontrib>Hunt, Linda P</creatorcontrib><creatorcontrib>Shield, Julian P H</creatorcontrib><title>Treatment of childhood obesity by retraining eating behaviour: randomised controlled trial</title><title>BMJ</title><addtitle>BMJ</addtitle><description>Objective To determine whether modifying eating behaviour with use of a feedback device facilitates weight loss in obese adolescents.Design Randomised controlled trial with 12 month intervention.Setting Hospital based obesity clinic.Participants 106 newly referred obese young people aged 9-17.Interventions A computerised device, Mandometer, providing real time feedback to participants during meals to slow down speed of eating and reduce total intake; standard lifestyle modification therapy.Main outcome measures Change in body mass index (BMI) standard deviation score (SDS) over 12 months with assessment 18 months after the start of the intervention. Secondary outcomes were body fat SDS, metabolic status, quality of life evaluation, change in portion size, and eating speed.Results Using the last available data on all participants (n=106), those in the Mandometer group had significantly lower mean BMI SDS at 12 months compared with standard care (baseline adjusted mean difference 0.24, 95% confidence interval 0.11 to 0.36). Similar results were obtained when analyses included only the 91 who attended per protocol (baseline adjusted mean difference 0.27, 0.14 to 0.41; P<0.001), with the difference maintained at 18 months (0.27, 0.11 to 0.43; P=0.001) (n=87). The mean meal size in the Mandometer group fell by 45 g (7 to 84 g). Mean body fat SDS adjusted for baseline levels was significantly lower at 12 months (0.24, 0.10 to 0.39; P=0.001). Those in the Mandometer group also had greater improvement in concentration of high density lipoprotein cholesterol (P=0.043).Conclusions Retraining eating behaviour with a feedback device is a useful adjunct to standard lifestyle modification in treating obesity among adolescents.Trial registration ClinicalTrials.gov NCT00407420.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Behavior Therapy - methods</subject><subject>Biofeedback, Psychology</subject><subject>Body Mass Index</subject><subject>Child</subject><subject>Eating behavior</subject><subject>Eating behaviour</subject><subject>Feedback</subject><subject>Feeding Behavior</subject><subject>Female</subject><subject>Food</subject><subject>Food consumption</subject><subject>Humans</subject><subject>Lifestyles</subject><subject>Male</subject><subject>Meals</subject><subject>Medical research</subject><subject>Obesity</subject><subject>Obesity - psychology</subject><subject>Obesity - therapy</subject><subject>Patient Compliance</subject><subject>Pediatric obesity</subject><subject>Pilot projects</subject><subject>Retraining</subject><subject>Teenagers</subject><subject>Treatment Outcome</subject><subject>Weight control</subject><issn>0959-8138</issn><issn>0959-535X</issn><issn>1756-1833</issn><issn>1468-5833</issn><issn>1756-1833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>7QJ</sourceid><sourceid>D8T</sourceid><recordid>eNqF0Utv1DAQAGALgeiq9MAPAEUCgTik-BE7Tm9oVQqiwB4KBy6WX2G9TeLFdgr773HIspWQgNOMPJ9G4xkAHiJ4ihBhL1W_OVWUcH4HLFDFeEk5IXfBAja0KTki_AicxLiBEGJS84bR--AIQ0izpQvw5SpYmXo7pMK3hV67zqy9N4VXNrq0K9SuCDYF6QY3fC0ynYKya3nj_BjOiiAH43sXrSm0H1LwXZfTFJzsHoB7reyiPdnHY_Dp9fnV8k15-fHi7fLVZZmnrlOpNINGW6wxrSS1LTa0sYa1kqmqskrRBkNuW8VYS7UxVJEWt1zrRisFZS3JMSjnvvG73Y5KbIPrZdgJL53YP13nzAqat8R49s9nvw3-22hjEnl-bbtODtaPUdSsqiBuGvh_SSqMUUMn-eyfkmbKKG8yfPIH3OQ9Dnk_AtU1hwwjPLV7MSsdfIzBtodPISimq4t8dfHr6tk-3nccVW_NQf6-cQaPZrCJyYfbOmU14TW53Z-Lyf441GW4FlnUVHz4vBQXaEVWq-U78T77p7OfZvj7XD8BPCbOTQ</recordid><startdate>20100130</startdate><enddate>20100130</enddate><creator>Ford, Anna L</creator><creator>Bergh, Cecilia</creator><creator>Södersten, Per</creator><creator>Sabin, Matthew A</creator><creator>Hollinghurst, Sandra</creator><creator>Hunt, Linda P</creator><creator>Shield, Julian P H</creator><general>British Medical Journal Publishing Group</general><general>British Medical Association</general><general>BMJ Publishing Group LTD</general><scope>9YT</scope><scope>ACMMV</scope><scope>BSCLL</scope><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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7QJ</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope></search><sort><creationdate>20100130</creationdate><title>Treatment of childhood obesity by retraining eating behaviour: randomised controlled trial</title><author>Ford, Anna L ; Bergh, Cecilia ; Södersten, Per ; Sabin, Matthew A ; Hollinghurst, Sandra ; Hunt, Linda P ; Shield, Julian P H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b537t-bc60dce2c254a5ef2d59ed6fa6b44ebb59208efb66f5cdd5b3f2f8cc9cbb0a7a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Behavior Therapy - methods</topic><topic>Biofeedback, Psychology</topic><topic>Body Mass Index</topic><topic>Child</topic><topic>Eating behavior</topic><topic>Eating behaviour</topic><topic>Feedback</topic><topic>Feeding Behavior</topic><topic>Female</topic><topic>Food</topic><topic>Food consumption</topic><topic>Humans</topic><topic>Lifestyles</topic><topic>Male</topic><topic>Meals</topic><topic>Medical research</topic><topic>Obesity</topic><topic>Obesity - psychology</topic><topic>Obesity - therapy</topic><topic>Patient Compliance</topic><topic>Pediatric obesity</topic><topic>Pilot projects</topic><topic>Retraining</topic><topic>Teenagers</topic><topic>Treatment Outcome</topic><topic>Weight control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ford, Anna L</creatorcontrib><creatorcontrib>Bergh, Cecilia</creatorcontrib><creatorcontrib>Södersten, Per</creatorcontrib><creatorcontrib>Sabin, Matthew A</creatorcontrib><creatorcontrib>Hollinghurst, Sandra</creatorcontrib><creatorcontrib>Hunt, Linda P</creatorcontrib><creatorcontrib>Shield, Julian P H</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>BMJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ford, Anna L</au><au>Bergh, Cecilia</au><au>Södersten, Per</au><au>Sabin, Matthew A</au><au>Hollinghurst, Sandra</au><au>Hunt, Linda P</au><au>Shield, Julian P H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of childhood obesity by retraining eating behaviour: randomised controlled trial</atitle><jtitle>BMJ</jtitle><addtitle>BMJ</addtitle><date>2010-01-30</date><risdate>2010</risdate><volume>340</volume><issue>7740</issue><spage>250</spage><epage>250</epage><pages>250-250</pages><issn>0959-8138</issn><issn>0959-535X</issn><issn>1756-1833</issn><eissn>1468-5833</eissn><eissn>1756-1833</eissn><coden>BMJOAE</coden><abstract>Objective To determine whether modifying eating behaviour with use of a feedback device facilitates weight loss in obese adolescents.Design Randomised controlled trial with 12 month intervention.Setting Hospital based obesity clinic.Participants 106 newly referred obese young people aged 9-17.Interventions A computerised device, Mandometer, providing real time feedback to participants during meals to slow down speed of eating and reduce total intake; standard lifestyle modification therapy.Main outcome measures Change in body mass index (BMI) standard deviation score (SDS) over 12 months with assessment 18 months after the start of the intervention. Secondary outcomes were body fat SDS, metabolic status, quality of life evaluation, change in portion size, and eating speed.Results Using the last available data on all participants (n=106), those in the Mandometer group had significantly lower mean BMI SDS at 12 months compared with standard care (baseline adjusted mean difference 0.24, 95% confidence interval 0.11 to 0.36). Similar results were obtained when analyses included only the 91 who attended per protocol (baseline adjusted mean difference 0.27, 0.14 to 0.41; P<0.001), with the difference maintained at 18 months (0.27, 0.11 to 0.43; P=0.001) (n=87). The mean meal size in the Mandometer group fell by 45 g (7 to 84 g). Mean body fat SDS adjusted for baseline levels was significantly lower at 12 months (0.24, 0.10 to 0.39; P=0.001). Those in the Mandometer group also had greater improvement in concentration of high density lipoprotein cholesterol (P=0.043).Conclusions Retraining eating behaviour with a feedback device is a useful adjunct to standard lifestyle modification in treating obesity among adolescents.Trial registration ClinicalTrials.gov NCT00407420.</abstract><cop>England</cop><pub>British Medical Journal Publishing Group</pub><pmid>20051465</pmid><doi>10.1136/bmj.b5388</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adolescents Behavior Therapy - methods Biofeedback, Psychology Body Mass Index Child Eating behavior Eating behaviour Feedback Feeding Behavior Female Food Food consumption Humans Lifestyles Male Meals Medical research Obesity Obesity - psychology Obesity - therapy Patient Compliance Pediatric obesity Pilot projects Retraining Teenagers Treatment Outcome Weight control |
| title | Treatment of childhood obesity by retraining eating behaviour: randomised controlled trial |
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