Researchers from Laval University in Quebec, Canada compared the effectiveness of two such strategies. For their study, the investigators assigned 68 overweight or obese postmenopausal women to one of two dietary interventions: (1) a restrictive approach using messages to limit high-fat foods [LOFAT group] or (2) a promotional approach where messages encouraged addition of fruits and vegetables to the diet [HIFV group]. Both groups received 3 group sessions and 10 individual counseling sessions with a registered dietitian. Changes in dietary intake, eating behaviors, and body size were determined at the beginning of the study, after 6 months when the intervention was completed, and after 12 and 18 months. The study investigators reported:
In the LOFAT group:
- Dietary intake of fat and overall energy was reduced at the end of the study period compared to the initial values.
- Energy and fat consumption remained lower than baseline as far out as 12 months after the study ended.
- Dietary restraint increased by the end of the study intervention period and remained high after 12 months of follow-up.
- Body weight was reduced by about 8 lbs after the first 6 months.
- Consumption of fruits and vegetables increased by the end of the 6-month study intervention period.
- During the 12-month follow-up period, fruit and vegetable consumption returned to levels observed at the beginning of the study.
- No substantial changes in dietary restraint were observed in the HIFV group.
- Body weight decreased by about 4 lbs after the 6-month study period.
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