Healthy measures: Feasibility study of a moderate carbohydrate weight management intervention

Background People of all weights need to prevent changes that could lead to obesity, a leading public health issue. Objective To assess the feasibility of Healthy Measures, a moderate carbohydrate (160‐300 g/d) nutrition education and behavioral intervention. Design An uncontrolled intervention feas...

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Bibliographic Details
Published in:Public health Nursing 2021-11, Vol.38 (6), p.1126-1130
Main Authors: Leslie, Jamie L., Odar Stough, Cathleen, Lee, Seung‐Yeon, Mitchell, Monica J., Kalarchian, Melissa
Format: Article
Language:English
Subjects:
Anthropometry
Body weight
Body weight loss
Carbohydrates
carbohydrate‐restricted
Cognitive ability
diet
Eating behavior
Feasibility Studies
Health care
Humans
Intervention
Nutrition
nutrition education or nutrition intervention
Obesity - prevention & control
Obesity - psychology
Overweight
Proteins
Public health
Social factors
Weight control
Weight Gain
Weight gain measurement
Weight loss
Weight reduction
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Summary:Background People of all weights need to prevent changes that could lead to obesity, a leading public health issue. Objective To assess the feasibility of Healthy Measures, a moderate carbohydrate (160‐300 g/d) nutrition education and behavioral intervention. Design An uncontrolled intervention feasibility study including in‐person group meetings every 2 weeks for 3 months. Sample Fifteen participants of normal and overweight BMI. Measurements We assessed feasibility of recruitment, attendance, retention and satisfaction as well as anthropometric measures and social cognitive variables with Healthy Measures, a nutrition‐focused intervention with moderate carbohydrate portions that also emphasizes self‐monitoring of anthropometric measurements. An intent‐to‐treat analysis was used. Results Healthy Measures was feasible, with 13 participants (86.7%) completing pre‐ and post‐intervention assessments. Eight participants lost or maintained weight (53.3%); four gained weight. Healthy eating self‐efficacy increased overall (t = ‐2.54, p = .024). Increased protein and fat intake was associated with weight loss, while reduced protein, carbohydrate, and fat intake resulted in weight gain. Conclusions Healthy Measures shows promise for prevention of weight gain, with evidence of feasibility and positive outcomes. Further research is needed to establish efficacy relative to alternative approaches.
ISSN:0737-1209
1525-1446
DOI:10.1111/phn.12937