A SHORT-TERM COGNITIVE GROUP TREATMENT SUBSTANTIALLY IMPROVED THE SNACKING BEHAVIOUR OF OVERWEIGHT INDIAN WOMEN – A RANDOMIZED CONTROL TRIAL
DOI:
https://doi.org/10.48165/abr.2024.26.01.7Keywords:
Cognitive, fat mass, muscle mass, nutrients, overweight, snacking, womenAbstract
Obesity, a global health challenge, particularly affecting Asian populations due to inappropriate snacking behaviour and food choices, prompted this study. The research aimed to evaluate the impact of a 10-week cognitive group treatment on snacking behaviour among overweight women aged 30-60 years. In a randomized control trial with 66 female working participants (BMI > 25 kg m-²), the groups were categorized as control (n = 34) and experimental (n = 32). Initially, snacking contributed significantly to daily energy (29.39%), carbohydrates (21.11%), protein (35.53%), and fat (50.61%) intake in the experimental group. After the cognitive group treatment, there was a substantial (p≤0.01) reduction in the contribution of these nutrients through snacking, with percentages dropping to 11.62, 14.60, 10.04, and 7.67, respectively. Post-treatment, significant (p≤0.01) reductions were observed in body weight (4%), fat mass (2%), waist circumference (4.9%), and hip circumference (2.7%) among the subjects. The study emphasized that the behavioural changes leading to healthier snacking can be a sustainable approach for weight management and that making healthier snack choices can aid in the battle against overweight and obesity.
Downloads
References
Barnes, T.L., Simone, A. French, L.J., Harnack, N.R., Mitchell, and Wolfson, J. 2015. Snacking behaviours, diet quality, and body mass index in a community sample of working adults. Journal of the Academy of Nutrition and Dietetics, 115(7): 1117-1123. [https://doi.org/10.1016/j.jand.2015.01.009].
Barrington, W.E. and Beresford, S.A.A. 2018. Applying multiple statistical methods to derive an index of dietary behaviours most related to obesity. American Journal of Epidemiology, 187(7): 1559-1569. [https://doi.org/10.1093/aje/kwx370]
Barrington, W.E. and Beresford, SA.A. 2019. Eating occasions, obesity and related behaviors in working adults: does it matter when you snack? Nutrients, 11(10): 2320 [doi: 10.3390/nu11102320].
Muskan Rangi et al.
Berg, C. and Bertéus Forslund, H. 2015. The influence of portion size and timing of meals on weight balance and obesity. Current Obesity Reports, 4(1): 11-18. [https://doi.org/10.1007/s13679-015-0138-y]
Cole, N. and Fox, M.K. 2008. Diet Quality of American School-age Children by School Lunch Participation Status: Data from the National Health and Nutrition Examination Survey, 1999- 2004. WIC-08-NH. US Department of Agriculture, Washington, USA. [https://files.eric.ed.gov/fulltext/ED505591.pdf].
Cowan, A.E., Higgins, K., Fisher, J.O., Tripicchio, G.L., Mattes, R.D., Zou, P. and Bailey, R.L. 2020. Examination of different definitions of snacking frequency and associations with weight status among U.S. adults. Plos One, 15(6): e0234355. [https://doi.org/10.1371/journal.pone.0234355].
Dhir, R. 2012. Effect of Dietary Protein and Exercise on Body Composition During a Weight Loss Regimen in Adult Women. M.Sc. dissertation, Department of Food & Nutrition, Punjab Agricultural University, Ludhiana, India.
Fayet-Moore, F., Peters, V., McConnell, A., Petocz, P. and Eldridge, A.L. 2017. Weekday snacking prevalence, frequency, and energy contribution have increased while foods consumed during snacking have shifted among Australian children and adolescents: 1995, 2007 and 2011-12 national nutrition surveys. Nutrition Journal, 16(1): 1-14. [https://doi.org/10.1186/s12937-017-
-8].
Hess, J.M., Jonnalagadda, S.S. and Slavin, J.L. 2016. What is a snack, why do we snack, and how can we choose better snacks? A review of the definitions of snacking, motivations to snack, contributions to dietary intake, and recommendations for improvement. Advances in Nutrition, 7(3): 466-475. [https://doi.org/10.3945/an.115.009571].
Hetherington, M.M. and Blundell-Birtill, P. 2018. The portion size effect and overconsumption - towards downsizing solutions for children and adolescents. Nutrition Bulletin, 43(1): 61-68. Kaur, G. 2018. Diet Cal-A Tool for Dietary Assessment and Planning. AIIMS, New Delhi, India. {http://dietcal.in/].
Li, Z., Daniel, S., Fujioka, K. and Umashanker, D. 2023. Obesity among Asian American people in the United States: A review. Obesity, 31(2): 316-328. [https://doi.org/10.1002/oby.23639]. Richard, A., Meule, A., Reichenberger, J. and Blechert, J. 2017. Food cravings in everyday life: An
EMA study on snack-related thoughts, cravings, and consumption. Appetite, 113: 215-223. [https://doi.org/10.1016/j.appet.2017.02.037].
Rogers, J.M., Ferrari, M., Mosely, K., Lang, C.P. and Brennan, L. 2017. Mindfulness-based interventions for adults who are overweight or obese: a meta-analysis of physical and psychological health outcomes. Obesity Reviews, 18(1): 51-67. [https://doi.org/10.1111/obr.12461]
Stahre, L. 2017. Effects of Cognitive Behavioural Therapy Targeting Eating Behaviour (CBT-TEB): A Novel Obesity Treatment. Doctoral dissertation, Karolinska Institutet, Sweden. [https://openarchive.ki.se/xmlui/handle/10616/45392]
Tsiros, M.D., Sinn, N., Brennan, L., Coates, A.M., Walkley, J.W., Petkov, J., Howe, P.R. and Buckley, J.D. 2008. Cognitive behavioural therapy improves diet and body composition in overweight and obese adolescents. The American Journal of Clinical Nutrition, 87(5): 1134- 1140. [https://doi.org/10.1093/ajcn/87.5.1134]
Whybrow, S., Mayer, C., Kirk, T.R., Mazlan, N. and Stubbs, R.J. 2007. Effects of two weeks' mandatory snack consumption on energy intake and energy balance. Obesity, 15(3): 673-685. [https://doi.org/10.1038/oby.2007.567].
Zendegui, E.A., West, J.A. and Zandberg, L.J. 2014. Binge eating frequency and regular eating adherence: The role of eating pattern in cognitive behavioural guided self-help. Eating Behaviours, 15(2): 241-243. [https://doi.org/10.1016/j.eatbeh.2014.03.002].