Diet quality of adults using intuitive eating for weight loss - pilot study.

As the incidence of obesity and related disease steadily increases, researchers and medical practitioners are continuously examining new approaches to prevent and manage the epidemic. Intuitive eating (IE) is a new and innovative approach that uses an individual's response to internal cues of hunger, satiety, and appetite, and replaces calorie restriction (CR). CR is the standard approach for weight reduction. This study was a randomized controlled trial with two groups in which we accessed records of the dietary intake of obese adults using CR and IE to achieve weight loss. The participants were sedentary obese individuals with no history of chronic diseases. They engaged in physical activity three times per week for 30 min and recorded their daily food intake in a food diary. Instructions were given for CR and IE at the start and midpoint of the study. The duration of the study was six weeks. Weight and waist circumference were measured, and body mass index (BMI) calculated. The CR group's total weight loss was significantly (p = 0.03) lower than that of the IE group. The CR group had consistent weight loss throughout the study, while the IE group's weight loss was significantly less at the endpoint compared to the midpoint. CR is a superior approach to weight management than IE.

Healthy lifestyle intervention for African American uterine cancer survivors: Study protocol.

BACKGROUND: Cancer of the uterine corpus is the most common gynecologic malignancy and the fourth most common cancer in U.S. women. There is a racial disparity in the survival from endometrial cancer and this may be addressed by culturally-tailored lifestyle interventions to help African American (AA) endometrial cancer survivors lose weight or maintain a healthy weight. OBJECTIVE: The overall purpose of this pilot study is to develop and evaluate a culturally-tailored lifestyle intervention to help AA uterine cancer survivors reduce their risk of cancer recurrence and improve their quality of life through healthy eating, physical activity, and weight management. While many interventions have been evaluated to assist cancer survivors through diet and physical activity, few have focused on AA women with a uterine cancer diagnosis. METHODS: Community-engaged research principles are being followed. This study was developed with input from the Augusta University (AU) College of Nursing Community Advisory Board (CAB) and the Division of Gynecologic Oncology at the Georgia Cancer Center at AU. Weekly sessions throughout a 12-week intervention will include physical activity and lectures on improving nutritional status. The pre/post-test design includes baseline and 6-month follow-up, where participants will complete a questionnaire that assesses knowledge and attitudes about physical activity, nutrition, uterine cancer, social support, and quality of life. CONCLUSIONS: From this pilot study, we will learn more about the feasibility and integration of healthy lifestyle interventions in this patient population, and the results can provide an opportunity for a larger-scale, multi-center study with a randomized controlled design.