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Randomized trial of Tapas Acupressure Technique for weight loss maintenance.

Elder CR, Gullion CM, Debar LL, Funk KL, Lindberg NM, Ritenbaugh C, Meltesen G, Gallison C, Stevens VJ - BMC Complement Altern Med (2012)

Bottom Line: In the primary outcome model, there was no significant difference in weight regain between the two arms (1.72 kg (se 0.85) weight regain for TAT and 2.96 kg (se 0.96) weight regain for SS, p < 0.097) Tests of between- arm differences for secondary outcomes were also not significant.A secondary analysis showed a significant interaction between treatment and initial weight loss (p < .036), with exploratory post hoc tests showing that greater initial weight loss was associated with more weight regain for SS but less weight regain for TAT.The primary analysis showed no significant difference in weight regain between TAT and SS, while secondary and post hoc analyses indicate direction for future research.

View Article: PubMed Central - HTML - PubMed

Affiliation: Kaiser Permanente Center for Health Research, 3800 N, Interstate Ave,, Portland, OR 97227, USA. Charles.Elder@kpchr.org

ABSTRACT

Background: Obesity is an urgent public health problem, yet only a few clinical trials have systematically tested the efficacy of long-term weight-loss maintenance interventions. This randomized clinical trial tested the efficacy of a novel mind and body technique for weight-loss maintenance.

Methods: Participants were obese adults who had completed a six-month behavioral weight-loss program prior to randomization. Those who successfully lost weight were randomized into either an experimental weight-loss maintenance intervention, Tapas Acupressure Technique (TAT®), or a control intervention comprised of social-support group meetings (SS) led by professional facilitators. TAT combines self-applied light pressure to specific acupressure points accompanied by a prescribed sequence of mental steps. Participants in both maintenance conditions attended eight group sessions over six months of active weight loss maintenance intervention, followed by an additional 6 months of no intervention. The main outcome measure was change in weight from the beginning of the weight loss maintenance intervention to 12 months later. Secondary outcomes were change in depression, stress, insomnia, and quality of life. We used analysis of covariance as the primary analysis method. Missing values were replaced using multiple imputation.

Results: Among 285 randomized participants, 79% were female, mean age was 56 (standard deviation (sd) = 11), mean BMI at randomization was 34 (sd = 5), and mean initial weight loss was 9.8 kg (sd = 5). In the primary outcome model, there was no significant difference in weight regain between the two arms (1.72 kg (se 0.85) weight regain for TAT and 2.96 kg (se 0.96) weight regain for SS, p < 0.097) Tests of between- arm differences for secondary outcomes were also not significant. A secondary analysis showed a significant interaction between treatment and initial weight loss (p < .036), with exploratory post hoc tests showing that greater initial weight loss was associated with more weight regain for SS but less weight regain for TAT.

Conclusions: The primary analysis showed no significant difference in weight regain between TAT and SS, while secondary and post hoc analyses indicate direction for future research.

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Study Design.
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Figure 1: Study Design.

Mentions: Details of the study rationale, design, and procedures of the LIFE study have already been published [28], so a brief summary is given here. The study used a two-arm randomized design. (Figure 1). Participants were obese adults who participated in an initial, six-month behavioral weight-loss program (WLP). Those who lost at least 4.54 kg (10 lb) and attended greater than 70% of the weekly WLP group sessions were eligible for randomization into one of two arms of the weight-loss maintenance phase of the trial. The experimental intervention arm consisted of instruction and application of the Tapas Acupressure Technique (TAT, a form of self-acupressure described below), while the control intervention arm consisted of social support-group meetings (SS). Both arms had identical group meeting schedules over about six months, totaling 13 contact hours in eight group sessions. The main outcome measure for the trial was change in weight from randomization to 12 months post randomization. Each participant was thus enrolled in the trial for 18 months: 6 month weight loss program plus 12 months weight loss maintenance phase, with the active weight loss maintenance intervention confined to the first six months of the weight loss maintenance phase.


Randomized trial of Tapas Acupressure Technique for weight loss maintenance.

Elder CR, Gullion CM, Debar LL, Funk KL, Lindberg NM, Ritenbaugh C, Meltesen G, Gallison C, Stevens VJ - BMC Complement Altern Med (2012)

Study Design.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3375195&req=5

Figure 1: Study Design.
Mentions: Details of the study rationale, design, and procedures of the LIFE study have already been published [28], so a brief summary is given here. The study used a two-arm randomized design. (Figure 1). Participants were obese adults who participated in an initial, six-month behavioral weight-loss program (WLP). Those who lost at least 4.54 kg (10 lb) and attended greater than 70% of the weekly WLP group sessions were eligible for randomization into one of two arms of the weight-loss maintenance phase of the trial. The experimental intervention arm consisted of instruction and application of the Tapas Acupressure Technique (TAT, a form of self-acupressure described below), while the control intervention arm consisted of social support-group meetings (SS). Both arms had identical group meeting schedules over about six months, totaling 13 contact hours in eight group sessions. The main outcome measure for the trial was change in weight from randomization to 12 months post randomization. Each participant was thus enrolled in the trial for 18 months: 6 month weight loss program plus 12 months weight loss maintenance phase, with the active weight loss maintenance intervention confined to the first six months of the weight loss maintenance phase.

Bottom Line: In the primary outcome model, there was no significant difference in weight regain between the two arms (1.72 kg (se 0.85) weight regain for TAT and 2.96 kg (se 0.96) weight regain for SS, p < 0.097) Tests of between- arm differences for secondary outcomes were also not significant.A secondary analysis showed a significant interaction between treatment and initial weight loss (p < .036), with exploratory post hoc tests showing that greater initial weight loss was associated with more weight regain for SS but less weight regain for TAT.The primary analysis showed no significant difference in weight regain between TAT and SS, while secondary and post hoc analyses indicate direction for future research.

View Article: PubMed Central - HTML - PubMed

Affiliation: Kaiser Permanente Center for Health Research, 3800 N, Interstate Ave,, Portland, OR 97227, USA. Charles.Elder@kpchr.org

ABSTRACT

Background: Obesity is an urgent public health problem, yet only a few clinical trials have systematically tested the efficacy of long-term weight-loss maintenance interventions. This randomized clinical trial tested the efficacy of a novel mind and body technique for weight-loss maintenance.

Methods: Participants were obese adults who had completed a six-month behavioral weight-loss program prior to randomization. Those who successfully lost weight were randomized into either an experimental weight-loss maintenance intervention, Tapas Acupressure Technique (TAT®), or a control intervention comprised of social-support group meetings (SS) led by professional facilitators. TAT combines self-applied light pressure to specific acupressure points accompanied by a prescribed sequence of mental steps. Participants in both maintenance conditions attended eight group sessions over six months of active weight loss maintenance intervention, followed by an additional 6 months of no intervention. The main outcome measure was change in weight from the beginning of the weight loss maintenance intervention to 12 months later. Secondary outcomes were change in depression, stress, insomnia, and quality of life. We used analysis of covariance as the primary analysis method. Missing values were replaced using multiple imputation.

Results: Among 285 randomized participants, 79% were female, mean age was 56 (standard deviation (sd) = 11), mean BMI at randomization was 34 (sd = 5), and mean initial weight loss was 9.8 kg (sd = 5). In the primary outcome model, there was no significant difference in weight regain between the two arms (1.72 kg (se 0.85) weight regain for TAT and 2.96 kg (se 0.96) weight regain for SS, p < 0.097) Tests of between- arm differences for secondary outcomes were also not significant. A secondary analysis showed a significant interaction between treatment and initial weight loss (p < .036), with exploratory post hoc tests showing that greater initial weight loss was associated with more weight regain for SS but less weight regain for TAT.

Conclusions: The primary analysis showed no significant difference in weight regain between TAT and SS, while secondary and post hoc analyses indicate direction for future research.

Show MeSH
Related in: MedlinePlus