Promoting positive body image and intuitive eating in women with overweight and obesity via an online intervention: Results from a pilot feasibility study.


Journal

Eating behaviors
ISSN: 1873-7358
Titre abrégé: Eat Behav
Pays: United States
ID NLM: 101090048

Informations de publication

Date de publication:
08 2019
Historique:
received: 11 01 2019
revised: 07 06 2019
accepted: 10 06 2019
pubmed: 21 6 2019
medline: 18 12 2019
entrez: 21 6 2019
Statut: ppublish

Résumé

Body dissatisfaction and dietary restraint are established risk factors for eating disorders and are also prevalent in individuals who are overweight and obese. Studies have shown that online prevention programs can lower these risk factors. The aim of this feasibility pilot study was to estimate effects of a 12-week online health promotion and eating disorder prevention program in a sample of women with overweight or obesity, but without binge eating. The program was evaluated in an uncontrolled pre-post-follow-upstudy over 12 months. Outcome measures were eating disorder related cognitions and attitudes. Participants were recruited via flyers, online posts, press releases, and mailings through cooperating health insurances. 371 women who completed the screening met the inclusion criteria. 323 women took part in the baseline assessment and were granted access to the intervention. 50 women completed all sessions. An intention-to-treat analysis showed significant and long-term reductions in weight and shape concerns, restrictive eating and increases in life satisfaction and self-esteem (d = 0.31-0.86), and a short-term increase in fruit and vegetable consumption (d = 0.70). everyBody fit seems a feasible program for improving body image and reducing disordered eating in overweight and obese women, with medium to large effects on various outcomes. The efficacy of the intervention needs to be established in a randomized controlled trial.

Sections du résumé

BACKGROUND
Body dissatisfaction and dietary restraint are established risk factors for eating disorders and are also prevalent in individuals who are overweight and obese. Studies have shown that online prevention programs can lower these risk factors. The aim of this feasibility pilot study was to estimate effects of a 12-week online health promotion and eating disorder prevention program in a sample of women with overweight or obesity, but without binge eating.
METHODS
The program was evaluated in an uncontrolled pre-post-follow-upstudy over 12 months. Outcome measures were eating disorder related cognitions and attitudes. Participants were recruited via flyers, online posts, press releases, and mailings through cooperating health insurances.
RESULTS
371 women who completed the screening met the inclusion criteria. 323 women took part in the baseline assessment and were granted access to the intervention. 50 women completed all sessions. An intention-to-treat analysis showed significant and long-term reductions in weight and shape concerns, restrictive eating and increases in life satisfaction and self-esteem (d = 0.31-0.86), and a short-term increase in fruit and vegetable consumption (d = 0.70).
CONCLUSION
everyBody fit seems a feasible program for improving body image and reducing disordered eating in overweight and obese women, with medium to large effects on various outcomes. The efficacy of the intervention needs to be established in a randomized controlled trial.

Identifiants

pubmed: 31220739
pii: S1471-0153(19)30012-1
doi: 10.1016/j.eatbeh.2019.101307
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

101307

Informations de copyright

Copyright © 2019 Elsevier Ltd. All rights reserved.

Auteurs

Ina Beintner (I)

Chair of Clinical Psychology and E-Mental-Health, Technische Universität Dresden, 01062 Dresden, Germany. Electronic address: ina.beintner@tu-dresden.de.

Olivia Lucia Marie Emmerich (OLM)

Chair of Clinical Psychology and E-Mental-Health, Technische Universität Dresden, 01062 Dresden, Germany.

Bianka Vollert (B)

Chair of Clinical Psychology and E-Mental-Health, Technische Universität Dresden, 01062 Dresden, Germany.

C Barr Taylor (CB)

Department of Psychiatry and Behavioral Sciences, Stanford University Medical Center, Stanford, CA, USA; Center for m(2) Health, Palo Alto University, Palo Alto, CA, USA.

Corinna Jacobi (C)

Chair of Clinical Psychology and E-Mental-Health, Technische Universität Dresden, 01062 Dresden, Germany.

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Classifications MeSH