ArticleNutrition & metabolism2010
Sustained self-regulation of energy intake. Loss of weight in overweight subjects. Maintenance of weight in normal-weight subjects.
Article in Nutrition & metabolism, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health, not weight loss, focused programmes versus conventional weight loss programmes for cardiovascular risk factors: a systematic review and meta-analysis.Systematic reviews · 2019Pooled it
- Hunger Training as a Self-regulation Strategy in a Comprehensive Weight Loss Program for Breast Cancer Prevention: A Randomized Feasibility Study.Cancer prevention research (Philadelphia, Pa.) · 2022Trial
- Trial
- Trial
- Adherence to Hunger Training over 6 Months and the Effect on Weight and Eating Behaviour: Secondary Analysis of a Randomised Controlled Trial.Nutrients · 2017Trial
- Determining how best to support overweight adults to adhere to lifestyle change: protocol for the SWIFT study.BMC public health · 2015Trial
- Real-World Effectiveness of Glucose-Guided Eating Using the Data-Driven Fasting App Among Adults Interested in Weight and Glucose Management: Observational Study.JMIR formative research · 2025Observational
- A low-glucose eating pattern is associated with improvements in glycemic variability among women at risk for postmenopausal breast cancer: an exploratory analysis.Frontiers in nutrition · 2024Article
- Using pre-prandial blood glucose to assess eating in the absence of hunger in free-living individuals.Eating behaviors · 2020Observational
- Validation of an instrument to measure registered dietitians'/nutritionists' knowledge, attitudes and practices of an intuitive eating approach.Public health nutrition · 2016Article
- Residue, Fiber, and Subjectivity.Advances in nutrition (Bethesda, Md.) · 2016Article
- Adherence to hunger training using blood glucose monitoring: a feasibility study.Nutrition & metabolism · 2015Article
- Modifying eating behavior: novel approaches for reducing body weight, preventing weight regain, and reducing chronic disease risk.Advances in nutrition (Bethesda, Md.) · 2014Article
- Hunger can be taught: Hunger Recognition regulates eating and improves energy balance.International journal of general medicine · 2013Article
- Interruption of scheduled, automatic feeding and reduction of excess energy intake in toddlers.International journal of general medicine · 2013Article
- Requested meals versus scheduled meals.International journal of general medicine · 2012Article
- Differences in maintenance of mean blood glucose (BG) and their association with response to "recognizing hunger".International journal of general medicine · 2011Article
- Sustained self-regulation of energy intake: initial hunger improves insulin sensitivity.Journal of nutrition and metabolism · 2010Article
- The preferred intervention characteristics and acceptability of intuitive eating as a lifestyle approach for polycystic ovary syndrome: A convergent mixed methods analysis.Women's health (London, England)Article
- Reliability and concurrent and construct validity of the Strategies for Weight Management measure for adults.Obesity research & clinical practiceArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDietary restraint is largely unsuccessful for controlling obesity. As an alternative, subjects can easily be trained to reliably recognize sensations of initial hunger (IH) a set of physiological sensations which emerge spontaneously, not necessarily at planned mealtimes, and may be the afferent arm of a homeostatic system of food intake regulation. Previously we have reported that IH is associated with blood glucose concentration (BG) below 81.8 mg/dL (4.55 mmol/l), (low blood glucose, LBG), and that a pattern of meals in which IH is present pre-meal (IHMP) improved insulin sensitivity, HbA1c and other cardiovascular risk factors. Here we report the effect upon weight in overweight and normal weight subjects.
objectiveTo investigate whether the IHMP is associated with sustained loss of weight in overweight subjects over a 5 month period.
methodsSEVENTY FOUR OVERWEIGHT SUBJECTS (OW: BMI > 25) and 107 normal weight (NW) subjects were randomly allocated to either trained (OW: N = 51; NW N = 79) or control (OW: N = 23; NW: N = 28) groups. All subjects were allocated post-randomization into either low or high mean pre-meal BG groups (LBG and HBG groups) using a demarcation point of 81.8 mg/dL.
resultsA SIGNIFICANT LONGITUDINAL DECREASE WAS FOUND IN BODY WEIGHT (TRAINED NW: -2.5 +/- 4.6 kg; OW -6.7 +/- 4.5 kg; controls: NW +3.5 +/- 4.0 kg and OW -3.4 +/- 4.0 kg; P = 0.006 and 0.029) and in energy intake, mean BG, standard deviation of diary BG (BG as recorded by subjects' 7-day diary), BMI, and arm and leg skin-fold thickness in (OW and NW) HBG subjects. OW LBG subjects significantly decreased body weight (trained: -4.0 +/- 2.4 kg; controls: -0.4 +/- 3.7 kg; P = 0.037). 26 NW LBG subjects showed no longitudinal difference after training as did 9 control subjects.
conclusionOver a 5 month period the IHMP resulted in significant loss of weight in OW subjects compared to controls practicing dietary restraint. NW subjects maintained weight overall, however NW HBG subjects also lost weight compared to controls.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.