Weight loss checklist program

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weight loss checklist program

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Participants are to be advised that all data collected will be deidentified prior to analysis and stored securely in electronic and paper forms. Only investigators and authorised research personnel will have access to the data.

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Current research indicates that obese individuals have cognitive deficits in executive function, leading to difficulties with planning, impulse control and decision-making.

High levels of inflammation have been proposed to contribute to executive function deficits in individuals with obesity.

weight loss checklist program

Blood tests will be conducted to measure inflammatory markers. Measurement weight loss checklist program will be at baseline, post treatment and 1-year follow-up. The primary outcomes will be differences between treatment groups in percentage weight loss, executive function, binge eating and an examination of whether changes in executive function predict changes in weight and binge eating.

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Secondary outcome measures will examine weight loss checklist program on inflammation, quality of life, and grazing behaviour and whether these predict changes in executive function and weight. This study expands upon our recent trial which showed that CRT-O enhanced executive function and weight loss in obese adults.

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The current study is strengthened by several factors: it is double-blind, it uses an active control, has a larger sample size, and measures inflammation to examine the mechanisms. Registered on 20 May The online weight loss checklist program of this article doi According to the World Health Organisation more than 1.

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Between andthe prevalence of obesity has more than doubled [ 1 ]. Furthermore, the weight loss checklist program associated with obesity and its consequences has been calculated at over 36 million disability-adjusted life years, due mainly to ischemic heart disease and type 2 diabetes [ 3 ].

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The comorbidities related to obesity, such as type 2 diabetes and coronary heart disease, however, are alleviated by modest weight loss [ 4 ] and long-term maintenance of the reduced weight [ 5 ]. Therefore, new treatment interventions which assist with weight-loss maintenance are urgently needed.

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Recent research has examined the role of executive function in individuals with obesity. Executive function refers to a range of higher-order cognitive processes that facilitate initiation, planning, inhibition, cognitive flexibility, working memory, self-regulation, sequencing, and the achievement weight loss checklist program complex, goal-oriented behaviour [ 8 ].

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Obesity has been linked to deficits in executive function. A review of 24 studies found highly consistent results, with 22 studies showing a negative association between obesity and executive function [ 9 ].

This finding remained consistent even after controlling for age, sex, education, here status, smoking, and cardiovascular and weight loss checklist program markers.

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Obese individuals with and without binge-eating disorder BED have been shown to have similar cognitive deficits [ 10 ]. In combination, these findings support a link between obesity and deficits in executive functioning, irrespective of common psychological or medical comorbidities.

The exact mechanism through which obesity and cognitive function are linked remains unknown. weight loss checklist program

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Smith and colleagues [ 9 ] have argued that a bidirectional relationship between executive function and obesity may be present whereby obesity impairs executive function via biological mechanisms, such as glucose abnormalities or inflammatory markers, and deficits in executive function weight loss checklist program weight gain by causing difficulties with the regulation of food intake, and an inability to plan ahead or inhibit responses or a tendency to act impulsively.

Research supports the notion that executive functioning is an important predictor of healthy eating, breakfast consumption and the inhibition of weight loss checklist program consumption [ 11 — 13 ] which are all predictors of obesity.

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This line of enquiry has led to the development of a new form of treatment for weight disorders, namely Cognitive Remediation Therapy for Obesity CRT-O [ 914 ]. CRT-O weight loss checklist program a manualised, face-to-face treatment that aims to improve underlying executive function deficits.

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weight loss checklist program It consists of mental exercises aimed at improving cognitive strategies, thinking skills and information processing through practice [ 14 ]. CRT for Anorexia Nervosa CRT-AN has been shown to be effective at improving executive function and eating-disorder-related quality of life post treatment and reducing psychopathology at 6-month follow-up [ 15 ].

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Unlike CRT-AN, CRT-O is intended to assist people to maintain weight loss and prevent weight gain by associating cognitive style to food intake and exercise behaviours.

Eighty obese individuals received three weight loss checklist program sessions of behavioural weight loss BWL: a standard weight-loss treatment and were then randomised to either eight sessions of individual face-to-face CRT-O or a no-treatment control condition. Results showed that those in the CRT-O group experienced a significant improvement in executive function and a significant decrease in weight compared to controls, both with large effect sizes, and that changes in executive weight loss checklist program predicted changes in weight.

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Participants also had a significant weight loss checklist program in binge eating in the CRT-O condition, compared to controls. This highlights that CRT-O can improve executive function and help individuals to manage their weight.

The data from this trial suggests that CRT-O could enhance weight-loss outcomes, without targeting eating or exercise behaviour directly.

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Our present RCT will endeavour to determine the weight loss checklist program of eight individual sessions of CRT-O plus 12 group sessions of BWL compared to eight individual and 12 group sessions of BWL alone weight loss checklist program care in obese patients, in terms of reducing weight, binge eating, grazing, and improving executive function and quality of life.

In addition, as high levels of inflammation have been proposed to contribute to executive function deficits in obese individuals, inflammatory markers will be assessed to test this hypothesis [ 17 ]. Participants are excluded if they have been diagnosed with somatic conditions e.

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These inclusion and exclusion criteria will allow for recruitment of a representative study sample, heterogeneous with regard to body weight, degree of obesity, and prevalence of typical comorbidities. Participants will weight loss checklist program recruited from clinic settings and the community, with close to equal numbers of male and female subjects although more female subjects are anticipated based on previous trials.

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Participants will be asked to provide their contact details if they are interested in taking part in the study. The research psychologist will telephone or email the participant to make contact and to inform them about what is involved.

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If the participant is interested in taking part, the psychologist will conduct a screening interview to assess whether the potential participant is suitable and will schedule an assessment time. This is a double-blind study; participants are blind to the design of the study, i.

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Participants http://cristalmina.fpp2000.ru/web-5747.php informed that two different weight-loss treatments are being compared. Participants will be required to have a GP who is responsible for their medical management during the trial.

Participants will be randomly assigned to one of two groups using computer-generated random numbers, provided in a document developed by a researcher not in charge of weight loss checklist program or assessment:.

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Those in the BWL group will attend eight individual sessions with a psychologist, where they will receive extensive education about weight-loss techniques and weight loss checklist program support towards achieving their weight-loss goals including managing emotions, cravings and establishing hunger here. Following this, they will attend 12 weekly 2-h BWL group sessions which will teach them how to change their diet and exercise habits to enable weight loss.

Treatment requires participants to record their weight loss checklist program and exercise behaviour in a diary.

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During these sessions the psychologist will reinforce the BWL strategies and help the participant to problem-solve any difficulties that they are having with their implementation. The group programme is a modified version of the Look Ahead trial [ 1819 ]. The Look Ahead trial is an intensive lifestyle intervention weight loss checklist program that targets diet and exercise through behavioural modification techniques and has been extensively researched [ 18weight loss checklist program ].

The programme has been modified to include Australian dietary and physical activity guidelines.

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Interestingly, BWL programmes have been found to be more successful at enhancing weight loss than cognitive behavioural therapy [ 20 ]. During BWL, behavioural techniques are used to help participants modify eating and exercise habits.

A dietitian will conduct an early BWL weight loss checklist program session regarding dietary advice.

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Participants are taught to manipulate their environment at home and at work by limiting weight loss checklist program associated with eating and increasing cues associated with exercise. For example, participants are encouraged to keep high-fat, high-calorie foods out of their house and work area. Problem-solving techniques are taught so that participants can effectively deal with difficult situations that threaten their weight-control efforts.


Thoughts and emotions related to overeating and inactivity are also addressed during treatment sessions to understand and decrease weight loss checklist program influence of these factors on weight control. Stress management, craving exposure and mindful eating techniques will be taught and attention is given to motivation enhancement and relapse prevention to help individuals to maintain their weight loss.

Homework will also be provided.

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CRT-O is a manualised intervention weight loss checklist program consists of mental exercises aimed at improving executive function via practice [ 14 ]. CRT promotes reflection on thinking styles, develops metacognition and helps to explore and apply new thinking strategies in everyday life.


The primary function of CRT is to improve the thinking process rather than the content [ 21 — 23 ]. A manual was developed for the pilot CRT-O trial.

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  • Participants are to be advised that all data collected will be deidentified prior to analysis and stored securely in electronic and paper forms.
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The current trial will also utilise this manual. The CRT-O treatment will be delivered face-to-face by two clinical psychologists. However, some important modifications have been made to adapt the manual for obesity and these are described in Smith et al.

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Participants will complete a comprehensive assessment at baseline, at post-treatment and 1-year follow-ups consisting of:. Weight will be measured at every session. Exercise : participants will wear an accelerometer for 1 week at three time points to assess physical activity levels.

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Accelerometers weight loss checklist program effective tools that continuously record physical activity over specified time intervals. The data output also allows for an estimate of physical activity intensity and energy expenditure which are not possible with alternative methods, such as pedometers. To not over-burden participants during assessment week 0the accelerometer will be provided in week 1 of the intervention.

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Neuropsychological assessment : a targeted assessment of cognitive function will be completed at the time of their preference. It will include:.

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In this test, subjects are instructed to categorise a series of cards according to one of three stimulus features colour, shape or numberwithout this principle being revealed to the subject.

After each association, the only feedback given is whether a match is correct or weight loss checklist program, the idea being that subjects should infer how to categorise based on the feedback they receive.

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This test measures categorisation, inference, testing of hypotheses, cognitive flexibility, cognitive inhibition and response to feedback [ 27 ]. The number of total errors and perseverative errors and weight loss checklist program to maintain a set are the dependent measures.

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The WCST is regarded as a valid measure of abstract reasoning ability to maintain and appropriate planning and problem-solving strategies across changing stimulus conditions to obtain a future goal; it is the most widely used test of executive function [ 28 ].

Trail Making Test TMT [ 29 ]: this will be used to assess psychomotor speed, visual integration, weight loss checklist program flexibility and inhibitory control.

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The score weight loss checklist program the response time taken to complete the respective trails [ 28 ]. It has been shown to be a reliable and valid measure of executive functioning in individuals across a broad age range [ 30 ]. The task demands verbal recall of spoken story passages.

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Nutrition : a comprehensive assessment, using a 1-week food diary, will be conducted by a dietitian and will be analysed using FoodWorks software. The Foodworks Professional package includes food composition tables and contains nutrient values weight loss checklist program more than here, beverages and supplements.

FoodWorks is suitable for dietary analysis and meal planning.

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Clinical assessment : a brief clinical assessment will verify comorbidities such weight loss checklist program an eating disorder, depression or anxiety. The participant will also be asked questions related to their previous weight-loss attempts and beliefs about weight loss. The following measures will also be completed:. It has been validated in clinical and nonclinical populations and has good reliability [ 3336 ].

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Research has indicated that individuals who are obese are at an increased risk of developing depression and depression weight loss checklist program been found to be predictive of obesity [ 34 ]. Also, the association between depression and obesity has been found to have a dose-response gradient where the association between depression and obesity has been found to be stronger than that between depression and being overweight [ 35 ].

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