Weight loss in a UK commercial all meal provision study: a randomised controlled trial

Background: Effective approaches are needed to address the increasing prev- alence of overweight and obesity. The present study investigated whether all meal provision was a more effective and acceptable method for weight loss than a self-directed diet. Methods: This randomised controlled trial rec...

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Main Authors: Mellor, D.D., Whitham, C., Goodwin, S., Morris, M., Reid, M., Atkin, S.L.
Format: Article
Published: 2013
Subjects:
Online Access:https://eprints.nottingham.ac.uk/2209/
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author Mellor, D.D.
Whitham, C.
Goodwin, S.
Morris, M.
Reid, M.
Atkin, S.L.
author_facet Mellor, D.D.
Whitham, C.
Goodwin, S.
Morris, M.
Reid, M.
Atkin, S.L.
author_sort Mellor, D.D.
building Nottingham Research Data Repository
collection Online Access
description Background: Effective approaches are needed to address the increasing prev- alence of overweight and obesity. The present study investigated whether all meal provision was a more effective and acceptable method for weight loss than a self-directed diet. Methods: This randomised controlled trial recruited 112 men and women with a body mass index in the range 27–35 kg m–2, who had no comorbidi- ties, from the local area of Hull. Participants were randomised to receive either meal provision or follow a self-directed diet for a 12-week period that resulted in an estimated 2928 kJ day␣1 (700 kcal day␣1) deficit. A dietitian supervised both dietary interventions. Results: At 12 weeks [mean (SEM)], percentage weight loss in the meal provision group was 6.6% (0.5%) compared to 4.3% (0.6%) for those on the self-directed diet. In terms of clinically relevant weight loss, 61% of par- ticipants lost 5% or more of their body weight with meal provision com- pared to 22% on the self-directed diet (P < 0.001). Weight loss was associated with wellbeing in both groups. Attrition was less apparent with 7% of those participants receiving meal provision withdrawing from the study compared to 41% of those following the self-directed diet (P < 0.001). Conclusions: Meal provision was a more effective and accepted method for weight loss over a 12-week period compared to a self-directed diet. This may in part represent the difference between being given the meal provision food free of charge. However, longer-term maintenance studies need to be undertaken to ascertain their effects on the maintenance of weight loss.
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spelling nottingham-22092020-05-04T20:20:38Z https://eprints.nottingham.ac.uk/2209/ Weight loss in a UK commercial all meal provision study: a randomised controlled trial Mellor, D.D. Whitham, C. Goodwin, S. Morris, M. Reid, M. Atkin, S.L. Background: Effective approaches are needed to address the increasing prev- alence of overweight and obesity. The present study investigated whether all meal provision was a more effective and acceptable method for weight loss than a self-directed diet. Methods: This randomised controlled trial recruited 112 men and women with a body mass index in the range 27–35 kg m–2, who had no comorbidi- ties, from the local area of Hull. Participants were randomised to receive either meal provision or follow a self-directed diet for a 12-week period that resulted in an estimated 2928 kJ day␣1 (700 kcal day␣1) deficit. A dietitian supervised both dietary interventions. Results: At 12 weeks [mean (SEM)], percentage weight loss in the meal provision group was 6.6% (0.5%) compared to 4.3% (0.6%) for those on the self-directed diet. In terms of clinically relevant weight loss, 61% of par- ticipants lost 5% or more of their body weight with meal provision com- pared to 22% on the self-directed diet (P < 0.001). Weight loss was associated with wellbeing in both groups. Attrition was less apparent with 7% of those participants receiving meal provision withdrawing from the study compared to 41% of those following the self-directed diet (P < 0.001). Conclusions: Meal provision was a more effective and accepted method for weight loss over a 12-week period compared to a self-directed diet. This may in part represent the difference between being given the meal provision food free of charge. However, longer-term maintenance studies need to be undertaken to ascertain their effects on the maintenance of weight loss. 2013 Article PeerReviewed Mellor, D.D., Whitham, C., Goodwin, S., Morris, M., Reid, M. and Atkin, S.L. (2013) Weight loss in a UK commercial all meal provision study: a randomised controlled trial. Journal of Human Nutrition and Dietetics . ISSN 0952-3871 (In Press) Weight Loss Meal Replacement doi:10.1111/jhn.12171 doi:10.1111/jhn.12171
spellingShingle Weight Loss Meal Replacement
Mellor, D.D.
Whitham, C.
Goodwin, S.
Morris, M.
Reid, M.
Atkin, S.L.
Weight loss in a UK commercial all meal provision study: a randomised controlled trial
title Weight loss in a UK commercial all meal provision study: a randomised controlled trial
title_full Weight loss in a UK commercial all meal provision study: a randomised controlled trial
title_fullStr Weight loss in a UK commercial all meal provision study: a randomised controlled trial
title_full_unstemmed Weight loss in a UK commercial all meal provision study: a randomised controlled trial
title_short Weight loss in a UK commercial all meal provision study: a randomised controlled trial
title_sort weight loss in a uk commercial all meal provision study: a randomised controlled trial
topic Weight Loss Meal Replacement
url https://eprints.nottingham.ac.uk/2209/
https://eprints.nottingham.ac.uk/2209/