TY - JOUR
T1 - A randomized controlled trial for obesity and binge eating disorder
T2 - Low-energy-density dietary counseling and cognitive-behavioral therapy
AU - Masheb, Robin M.
AU - Grilo, Carlos M.
AU - Rolls, Barbara J.
N1 - Funding Information:
This research was supported by Grant R01MH082629 from the National Institutes of Health/National Institute of Mental Health awarded to Robin M. Masheb, Ph.D. The authors thank Ralitza Gueorguieva, Ph.D. (Yale School of Public Health) for her expert statistical consultation, Megan Roehrig, Ph.D. (Yale School of Medicine; now with the Department of Preventive Medicine at Northwestern University School of Medicine) for serving as project director, and Diane Mitchell, M.S. (Diet Assessment Center at the Pennsylvania State University) for overseeing the dietary evaluations.
PY - 2011/12
Y1 - 2011/12
N2 - The present study examined a dietary approach - lowering energy density - for producing weight loss in obese patients with binge eating disorder (BED) who also received cognitive-behavioral therapy (CBT) to address binge eating. Fifty consecutive participants were randomly assigned to either a six-month individual treatment of CBT plus a low-energy-density diet (CBT. +. ED) or CBT plus General Nutrition counseling not related to weight loss (CBT. +. GN). Assessments occurred at six- and twelve-months. Eighty-six percent of participants completed treatment, and of these, 30% achieved at least a 5% weight loss with rates of binge remission ranging from 55% to 75%. The two treatments did not differ significantly in weight loss or binge remission outcomes. Significant improvements were found for key dietary and metabolic outcomes, with CBT. +. ED producing significantly better dietary outcomes on energy density, and fruit and vegetable consumption, than CBT. +. GN. Reductions in energy density and weight loss were significantly associated providing evidence for the specificity of the treatment effect. These favorable outcomes, and that CBT. +. ED was significantly better at reducing energy density and increasing fruit and vegetable consumption compared to CBT. +. GN, suggest that low-energy-density dietary counseling has promise as an effective method for enhancing CBT for obese individuals with BED.
AB - The present study examined a dietary approach - lowering energy density - for producing weight loss in obese patients with binge eating disorder (BED) who also received cognitive-behavioral therapy (CBT) to address binge eating. Fifty consecutive participants were randomly assigned to either a six-month individual treatment of CBT plus a low-energy-density diet (CBT. +. ED) or CBT plus General Nutrition counseling not related to weight loss (CBT. +. GN). Assessments occurred at six- and twelve-months. Eighty-six percent of participants completed treatment, and of these, 30% achieved at least a 5% weight loss with rates of binge remission ranging from 55% to 75%. The two treatments did not differ significantly in weight loss or binge remission outcomes. Significant improvements were found for key dietary and metabolic outcomes, with CBT. +. ED producing significantly better dietary outcomes on energy density, and fruit and vegetable consumption, than CBT. +. GN. Reductions in energy density and weight loss were significantly associated providing evidence for the specificity of the treatment effect. These favorable outcomes, and that CBT. +. ED was significantly better at reducing energy density and increasing fruit and vegetable consumption compared to CBT. +. GN, suggest that low-energy-density dietary counseling has promise as an effective method for enhancing CBT for obese individuals with BED.
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U2 - 10.1016/j.brat.2011.09.006
DO - 10.1016/j.brat.2011.09.006
M3 - Article
C2 - 22005587
AN - SCOPUS:80455122688
SN - 0005-7967
VL - 49
SP - 821
EP - 829
JO - Behaviour Research and Therapy
JF - Behaviour Research and Therapy
IS - 12
ER -
