AWM: Non-Diet Approaches (2020-21)

AWM: Non-Diet Approaches (2020-21)

• Intervention
  In adults with overweight or obesity, what is the efficacy of Health at Every Size/Non-Diet interventions provided by RDNs, compared to usual care or no intervention from an RDN on BMI?

  • Conclusion

    In adults with overweight or obesity, Health at Every Size/Non-Diet interventions provided by the dietitian may result in little to no difference in BMI.

  • Grade: Low (C)
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In adults with overweight or obesity, what is the efficacy of Health at Every Size/Non-Diet interventions provided by RDNs, compared to usual care or no intervention from an RDN on BMI?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Carroll S, Marshall P, Ingle L, Borkoles E. Cardiorespiratory fitness and heart rate recovery in obese premenopausal women. Scandinavian Journal of Medicine & Science in Sports 2012; 22:e133-139
      • Hawley G, Horwath C, Gray A, Bradshaw A, Katzer L, Joyce J, O'Brien S. Sustainability of health and lifestyle improvements following a non-dieting randomised trial in overweight women. Preventive Medicine 2008; 47:593-599
      • Katzer L, Bradshaw A, Horwath C, Gray A, O'Brien S, Joyce J. Evaluation of a "nondieting" stress reduction program for overweight women: a randomized trial. American Journal of Health Promotion 2008; 22:264-274
      • Provencher V, Bégin C, Tremblay A, Mongeau L, Corneau L, Dodin S, Boivin S, Lemieux S. Health-at-every-size and eating behaviors: 1-year follow-up results of a size acceptance intervention. Journal of the American Dietetic Association 2009; 109:1854-1861
  • Search Plan and Results: AWM: HAES/Non-Diet Approach from a Dietitian (2021)
     
  In adults with overweight or obesity, what is the efficacy of Health at Every Size/Non-Diet interventions provided by RDNs, compared to usual care or no intervention from an RDN on percent weight loss?

  • Conclusion

    In adults with overweight or obesity, the evidence is limited regarding the effect of Health at Every Size/Non-Diet interventions provided by a dietitian on percent weight loss.

  • Grade: Very Low (D)
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In adults with overweight or obesity, what is the efficacy of Health at Every Size/Non-Diet interventions provided by RDNs, compared to usual care or no intervention from an RDN on percent weight loss?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Gagnon-Girouard, Begin, Provencher et al. Psychological Impact of a “Health-at-Every-Size” Intervention on Weight-Preoccupied Overweight/Obese Women. Journal of Obesity 2010; 2010:
  • Search Plan and Results: AWM: HAES/Non-Diet Approach from a Dietitian (2021)
     
  In adults with overweight or obesity, what is the efficacy of Health at Every Size/Non-Diet interventions provided by RDNs, compared to usual care or no intervention from an RDN on waist circumference?

  • Conclusion

    In adults with overweight or obesity, the evidence is very limited, but suggests no effect of Health at Every Size/Non-Diet interventions provided by a dietitian on waist circumference.

  • Grade: Very Low (D)
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In adults with overweight or obesity, what is the efficacy of Health at Every Size/Non-Diet interventions provided by RDNs, compared to usual care or no intervention from an RDN on waist circumference?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Leblanc V, Provencher V, Bégin C, Corneau L, Tremblay A, Lemieux S. Impact of a Health-At-Every-Size intervention on changes in dietary intakes and eating patterns in premenopausal overweight women: results of a randomized trial. Clinical Nutrition 2012; 31:481-488
      • Provencher V, Bégin C, Tremblay A, Mongeau L, Corneau L, Dodin S, Boivin S, Lemieux S. Health-at-every-size and eating behaviors: 1-year follow-up results of a size acceptance intervention. Journal of the American Dietetic Association 2009; 109:1854-1861
  • Search Plan and Results: AWM: HAES/Non-Diet Approach from a Dietitian (2021)
     
  In adults with overweight or obesity, what is the efficacy of Health at Every Size/Non-Diet interventions provided by RDNs, compared to usual care or no intervention from an RDN on blood pressure?

  • Conclusion

    In adults with overweight or obesity, the evidence is very limited, but suggests no effect of Health at Every Size/Non-Diet interventions provided by a dietitian on blood pressure.

  • Grade: Very Low (D)
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In adults with overweight or obesity, what is the efficacy of Health at Every Size/Non-Diet interventions provided by RDNs, compared to usual care or no intervention from an RDN on blood pressure?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Hawley G, Horwath C, Gray A, Bradshaw A, Katzer L, Joyce J, O'Brien S. Sustainability of health and lifestyle improvements following a non-dieting randomised trial in overweight women. Preventive Medicine 2008; 47:593-599
      • Katzer L, Bradshaw A, Horwath C, Gray A, O'Brien S, Joyce J. Evaluation of a "nondieting" stress reduction program for overweight women: a randomized trial. American Journal of Health Promotion 2008; 22:264-274
      • Provencher V, Bégin C, Tremblay A, Mongeau L, Corneau L, Dodin S, Boivin S, Lemieux S. Health-at-every-size and eating behaviors: 1-year follow-up results of a size acceptance intervention. Journal of the American Dietetic Association 2009; 109:1854-1861
  • Search Plan and Results: AWM: HAES/Non-Diet Approach from a Dietitian (2021)
     
  In adults with overweight or obesity, what is the efficacy of Health at Every Size/Non-Diet interventions provided by RDNs, compared to usual care or no intervention from an RDN on quality of life?

  • Conclusion

    In adults with overweight or obesity, Health at Every Size/Non-Diet interventions provided by a dietitian may result in little to no difference in quality of life.

  • Grade: Low (C)
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In adults with overweight or obesity, what is the efficacy of Health at Every Size/Non-Diet interventions provided by RDNs, compared to usual care or no intervention from an RDN on quality of life?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Gagnon-Girouard, Begin, Provencher et al. Psychological Impact of a “Health-at-Every-Size” Intervention on Weight-Preoccupied Overweight/Obese Women. Journal of Obesity 2010; 2010:
      • Ingraham N, Harbatkin D, Lorvick J, Plumb M, Minnis A. Women's Health and Mindfulness (WHAM): A Randomized Intervention Among Older Lesbian/Bisexual Women. Health Promotion Practice 2017; 18:348-357
  • Search Plan and Results: AWM: HAES/Non-Diet Approach from a Dietitian (2021)
     
  In adults with overweight or obesity, what is the efficacy of Health at Every Size/Non-Diet interventions provided by RDNs, compared to usual care or no intervention from an RDN on fasting blood glucose, cost-effectiveness and adverse events?

  • Conclusion

    There were no included studies that investigated the effect of a Health at Every Size (HAES)/Non-diet intervention from a dietitian for individuals with overweight or obesity and reported fasting blood glucose, cost-effectiveness or adverse events.

  • Grade: Ungraded
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Search Plan and Results: AWM: HAES/Non-Diet Approach from a Dietitian (2021)