Journal ArticleDOI
State of the Evidence Regarding Behavior Change Theories and Strategies in Nutrition Counseling to Facilitate Health and Food Behavior Change
Joanne Spahn,Rebecca S. Reeves,Kathryn S. Keim,Ida Laquatra,Molly Kellogg,Bonnie T. Jortberg,Nicole A. Clark +6 more
TLDR
Strong evidence exists to support the use of a combination of behavioral theory and cognitive behavioral theory, the foundation for cognitive behavioral therapy (CBT), in facilitating modification of targeted dietary habits, weight, and cardiovascular and diabetes risk factors.Abstract:
Behavior change theories and models, validated within the field of dietetics, offer systematic explanations for nutrition-related behavior change. They are integral to the nutrition care process, guiding nutrition assessment, intervention, and outcome evaluation. The American Dietetic Association Evidence Analysis Library Nutrition Counseling Workgroup conducted a systematic review of peer-reviewed literature related to behavior change theories and strategies used in nutrition counseling. Two hundred fourteen articles were reviewed between July 2007 and March 2008, and 87 studies met the inclusion criteria. The workgroup systematically evaluated these articles and formulated conclusion statements and grades based upon the available evidence. Strong evidence exists to support the use of a combination of behavioral theory and cognitive behavioral theory, the foundation for cognitive behavioral therapy (CBT), in facilitating modification of targeted dietary habits, weight, and cardiovascular and diabetes risk factors. Evidence is particularly strong in patients with type 2 diabetes receiving intensive, intermediate-duration (6 to 12 months) CBT, and long-term (>12 months duration) CBT targeting prevention or delay in onset of type 2 diabetes and hypertension. Few studies have assessed the application of the transtheoretical model on nutrition-related behavior change. Little research was available documenting the effectiveness of nutrition counseling utilizing social cognitive theory. Motivational interviewing was shown to be a highly effective counseling strategy, particularly when combined with CBT. Strong evidence substantiates the effectiveness of self-monitoring and meal replacements and/or structured meal plans. Compelling evidence exists to demonstrate that financial reward strategies are not effective. Goal setting, problem solving, and social support are effective strategies, but additional research is needed in more diverse populations. Routine documentation and evaluation of the effectiveness of behavior change theories and models applied to nutrition care interventions are recommended.read more
Citations
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Journal ArticleDOI
Nutrition Therapy Recommendations for the Management of Adults With Diabetes
Alison B. Evert,Jackie L. Boucher,Marjorie Cypress,Stephanie A. Dunbar,Marion J. Franz,Elizabeth J. Mayer-Davis,Joshua J. Neumiller,Robin Nwankwo,Cassandra L. Verdi,Patti Urbanski,William S. Yancy +10 more
TL;DR: The ADA also recognizes the integral role of nutrition therapy in overall diabetes management and has historically recommended that each person with diabetes be actively engaged in self-management, education, and treatment planning with his or her health care provider, which includes the collaborative development of an individualized eating plan as mentioned in this paper.
Journal ArticleDOI
Position of the Academy of Nutrition and Dietetics: Interventions for the Treatment of Overweight and Obesity in Adults
TL;DR: Current data and recommendations for the treatment of overweight and obesity in adults are presented and evidence on intrapersonal influences, such as dietary approaches, lifestyle intervention, pharmacotherapy, and surgery, are provided.
Journal ArticleDOI
Behaviour change techniques targeting both diet and physical activity in type 2 diabetes: A systematic review and meta-analysis.
Kevin A. Cradock,Gearóid ÓLaighin,Francis M. Finucane,Heather L. Gainforth,Leo R. Quinlan,Kathleen A. Martin Ginis +5 more
TL;DR: Diet and physical activity interventions achieved clinically significant reductions in HbA1c at three and six months, but not at 12 and 24 months.
Journal ArticleDOI
Social Position, Psychological Stress, and Obesity: A Systematic Review
TL;DR: Higher stress was associated with less healthy dietary behaviors and with higher body weight, and individuals in higher status positions tended to have lower stress levels, healthier eating patterns, and lower body weight.
Journal ArticleDOI
The relationship between obesity and hypertension: an updated comprehensive overview on vicious twins.
Massimo Leggio,Mario Lombardi,Elisa Caldarone,Paolo Severi,Stefania D'Emidio,Massimo Armeni,Veronica Bravi,Maria Grazia Bendini,Andrea Mazza +8 more
TL;DR: A comprehensive and exhaustive investigation of this relationship should analyze the pathogenetic factors and pathophysiological mechanisms linking obesity to hypertension as they provide the basis for a rational therapeutic strategy in the aim to fully describe and understand the obesity–hypertension link.
References
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Journal ArticleDOI
Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin.
William C. Knowler,Elizabeth Barrett-Connor,Sarah E. Fowler,Richard F. Hamman,John M. Lachin,Elizabeth A. Walker,David M. Nathan +6 more
TL;DR: In this paper, the authors compared a lifestyle intervention with metformin to prevent or delay the development of Type 2 diabetes in nondiabetic individuals. And they found that the lifestyle intervention was significantly more effective than the medication.
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Social Foundations of Thought and Action: A Social Cognitive Theory
TL;DR: In this paper, models of Human Nature and Casualty are used to model human nature and human health, and a set of self-regulatory mechanisms are proposed. But they do not consider the role of cognitive regulators.
Journal ArticleDOI
Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance.
Jaakko Tuomilehto,Jon Lindstrom,Johan G. Eriksson,Valle Tt,Helena Hämäläinen,Pirjo Ilanne-Parikka,Keinänen-Kiukaanniemi S,Mauri Laakso,Anne Louheranta,Rastas M,Salminen,Matti Uusitupa +11 more
TL;DR: Type 2 diabetes can be prevented by changes in the lifestyles of high-risk subjects by means of individualized counseling aimed at reducing weight, total intake of fat, and intake of saturated fat and increasing intake of fiber and physical activity.
Journal Article
Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults : the evidence report
Book
Cognitive Therapy and the Emotional Disorders
TL;DR: In cognitive therapy, a person's psychological difficulties stem from his own erroneous assumptions and faulty concepts of himself and the world as mentioned in this paper, and such a person can be helped to recognize and correct distortions in thinking that cause his emotional disturbance.