Adherence
A worksite-based behavioral intervention emphasizing hunger and craving management via diet composition produces significant, sustained weight loss (approx. 9%) and improvements in cardiometabolic risk factors (glucose, triglycerides) over 18 months, regardless of whether meal replacements are used.
Adopt a behavioral program that focuses on managing hunger and cravings through diet composition rather than just calorie counting. This approach can lead to significant, sustained weight loss (around 9%) and improved heart health markers over 18 months. You do not necessarily need meal replacements to lose weight, though they may help lower cholesterol further. The key is a low-burden, sustainable behavioral change.
At 6 months, average weight loss was 9.2 ± 7.2% for BI and 8.3 ± 7.0% for BI + MR. Weight loss was significantly greater in both IGs than the CG (both P < 0.001)... Clinically significant reductions in weight and cardiometabolic risk factors were sustained in the IGs at 12 and 18 months.
Why this rating
Cluster-randomized controlled trial with a relatively large sample size (n=259) and long duration (18 months), though funded by a nutrient food company.
Source
Sustained Weight Loss and Improvements in Cardiometabolic Risk Factors in a Worksite-based Behavioral Program (FS18-04-19)
Sai Krupa Das et al. · Current Developments in Nutrition · 2019
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