A Call for an End to the Diet Debates
This commentary published in the Journal of the American Medical Association calls for an end to the “diet debates" in the scientific community and reported in the media.
Available from: Gabriella Barabas
- "Treatment of overweight and obesity is a frequently discussed topic in the scientific community as well as in the public debate world-wide123. From the numerous trials published in the past years, comparing diets with various macronutrient composition, it can be concluded that interest in the dietary treatment field has increased profoundly . "
Available from: Traci Mann
- "A starting point to determine the patient populations for whom dieting should be approved is examining the exclusion criteria for the original trials. Adherence to dieting is the most consistent predictor of weight loss and changes in health outcomes (Pagoto and Appelhans, 2013), and as noted above, non-adherent individuals are often excluded from trials. Despite the importance of adherence, dieting interventions are not evaluated based on whether participants are able to adhere to the regimen. "
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ABSTRACT: Behavioral treatments for obesity are not evaluated by the same criteria as pharmaceutical drugs, even though treatments such as low-calorie dieting are widely prescribed, require patients' time and investment, and may have risks. The Food and Drug Administration (FDA) has a procedure for evaluating drugs, in which drugmakers must answer the following questions: (1) Is the treatment safe? (2) How dangerous is the condition the intervention is treating? (3) Is the treatment effective? (4) Is the treatment safe and effective for large numbers of people? We argue that using this framework to evaluate behavioral interventions could help identify unanswered research questions on their efficacy and effectiveness, and we use the example of low-calorie dieting to illustrate how FDA criteria might be applied in the context of behavioral medicine.
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ABSTRACT: Macchi and colleagues propose a theoretical model that merges concepts from the biopsychosocial model and family systems theory to produce a broader framework for understanding weight loss and maintenance (see record 2013-28564-001). The Shifting Processes Model views individual weight loss and maintenance in the context of family dynamics, including family eating and exercise habits, home environment, and family relationships. The authors reason that traditional models put the burden of change on the individual rather than the family system, when the latter is an important context of individual behavior. (PsycINFO Database Record (c) 2013 APA, all rights reserved).
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