The primary aim of this study is to evaluate the extent to which an exercise intervention timed after diet-induced weight loss (rather than initiated at the same time) improves exercise adherence and long-term weight loss. An 18 month randomized trial will be used to compare two behavioral weight loss programs; standard behavioral therapy (Standard BT) and sequential behavioral therapy (Sequential BT). The Standard BT group will receive a traditional behavioral weight loss program where diet and exercise changes are initiated at the same time. The Sequential BT group will receive a program that focuses solely on dietary changes in the initial 6 months, and then incorporates exercise in the ensuing 6 months. Both groups will be followed for 18 months to assess long-term weight loss. The hypothesis is that delivery of diet and exercise interventions in sequence will result in improved adherence to exercise and weight loss at 18 months when compared to a traditional program in which identical diet and exercise interventions are initiated at the same time. This study could identify a strategy that could aid in the development of more effective obesity treatment programs and help more people achieve and sustain a weight loss.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
170
Both study arms (Standard BT and Sequential BT) will receive an identical 6 month group-based weight loss program, followed by an identical 6 month group-based weight maintenance program, followed by an identical 6 months of weight maintenance phone support. Both groups will also receive an identical 6 month exercise intervention. Groups will differ only in the timing of exercise initiation. Sequential BT will be asked not to begin exercise during months 0-6. They will receive a progressive exercise program and exercise behavior support during months 7-12.
Both study arms (Standard BT and Sequential BT) will receive an identical 6 month group-based weight loss program, followed by an identical 6 month group-based weight maintenance program, followed by an identical 6 months of weight maintenance phone support. Both groups will also receive an identical 6 month exercise intervention. Groups will differ only in the timing of exercise initiation. Standard BT will begin exercise immediately upon starting the 6 month dietary weight loss intervention. They will receive a progressive exercise program and exercise behavior support during months 0-6.
University of Colorado, Anschutz Health and Wellness Center
Aurora, Colorado, United States
Change in Body Weight
Body weight will be assessed.
Time frame: Baseline, 3, 6, 9, 12, 15, and 18 months.
Change in Body Composition
Body composition will be assessed.
Time frame: Baseline, 6, 12, and 18 months.
Objectively Measured Change in Physical Activity
Physical activity will be measured with activity monitors.
Time frame: Baseline, 6, 12, and 18 months.
Change in Maximal Aerobic Capacity
Maximal aerobic capacity will be measured.
Time frame: Baseline, 6, 12, and 18 months.
Change in Diet Composition
Dietary energy intake (calories/day) and fat intake (grams/day) will be measured.
Time frame: Baseline, 6, 12, and 18 months.
Change in Engagement in Weight Control Eating Behaviors
Engagement in weight control eating behaviors will be measured with a questionnaire.
Time frame: Baseline, 6, 12, and 18 months.
Change in Dietary Weight Loss Program Attendance and Adherence
Dietary weight loss program attendance and adherence will be assessed throughout the 18 month program.
Time frame: 18 months
Change in Exercise Program Attendance and Adherence
Exercise program attendance and adherence will be assessed throughout the 18 month program.
Time frame: 18 months
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