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Obes Sci Pract. 2015 Dec 10;1(2):110-118. doi: 10.1002/osp4.16. eCollection 2015 Dec.

A pilot randomized controlled trial testing the effects of a routine-based intervention on outcomes in a behavioural weight loss programme.

Obesity science & practice

K E Demos, T M Leahey, C N Hart, J Trautvetter, P R Coward, J Duszlak, R R Wing

Affiliations

  1. Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University The Miriam Hospital, Weight Control and Diabetes Research Center Providence, RI USA.
  2. Department of Allied Health Sciences, College of Agriculture, Health, and Natural Resources University of Connecticut Storrs USA.
  3. Center for Obesity Research and Education, Department of Social and Behavioral Sciences College of Public Health, Temple University Philadelphia USA.

PMID: 29071095 PMCID: PMC5523682 DOI: 10.1002/osp4.16

Abstract

BACKGROUND: Structured routines aimed at eating and sleep have been successfully employed in weight loss interventions for children. Although such routines are discussed in lifestyle modification programmes for adults, they are not a primary focus.

PURPOSE: The purpose of this study is to determine if establishing healthy eating and sleep routines may improve outcomes in a behavioural weight loss (BWL) intervention.

METHODS: Twenty-five overweight/obese participants (age = 52.4 ± 9.8; body mass index = 33.5 ± 4.1) were randomly assigned to either a 4-week routine-based intervention (ROU) targeting regular eating and sleep or an education control before beginning an 18-week BWL intervention.

RESULTS: Routine-based intervention participants reported adhering to eating routines, with increased 'on-schedule' eating (

CONCLUSIONS: Focusing initially on establishing healthy sleep and eating routines led to poorer, rather than better, subsequent weight loss outcomes. Further studies using a longer initial intervention period or focusing on only sleep or eating behaviour are needed to determine whether establishing routines for eating and sleep behaviours can enhance weight loss in adults.

Keywords: Behavioural weight loss intervention; multiple behaviour change; obesity; weight loss

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