Simple Changes Weight Loss Intervention
Simple Changes Weight Loss Intervention
The investigators examined feasibility and acceptability of a non-restrictive diet focused on
 increasing dietary fiber and lean protein for weight loss. Fifteen obese adults enrolled in a
 12-week assessment which included 6 bi-weekly individual dietary counseling sessions to
 attain a daily goal of higher fiber (>35 g/day) and lean protein (0.8 g per kilogram/day of
 individual's ideal body weight).
Participants were instructed to increase both their dietary fiber intake to 35 g/day and
 protein intake to 0.8 g per kilogram/day of their ideal body weight. Loss of 5% of their body
 weight are considered to achieve the weight-loss goal. The intervention included 6 bi-weekly,
 30-minute individual dietary counseling sessions over 12-weeks. Behavioral strategies
 including self-monitoring, problem solving, goal setting, stimulus control, food
 substitution, and relapse prevention were taught to assist participants in meeting their
 fiber and protein goals.
Inclusion Criteria:

 1. interested in losing weight and have a body mass index (BMI) 30-45 kg/m2;

 2. ages 21 to 70;

 3. able to provide informed consent;

 4. physician's approval of his/her patients to participate;

 5. non-smoker (given nicotine's effect on weight suppression, on HDL, and smoking
 cessation's effect on weight

 Exclusion Criteria:

 1. clinically diagnosed diabetes, or an HbA1c ≥ 6.5%;

 2. an acute coronary event within the previous 6 months;

 3. pregnant or lactating;

 4. plans to move out of the area within the 12-week study period;

 5. diagnosis of a medical condition that precludes adherence to study dietary
 recommendations (e.g., inflammatory bowel disease, active diverticulitis, renal
 disease);

 6. following a low-carbohydrate, high-fat dietary regimen such as the Atkins' Diet or
 participating in a weight loss program;

 7. previously had bariatric surgery;

 8. currently using weight loss medication;

 9. diagnosis of an eating disorder (anorexia nervosa, bulimia nervosa or binge eating);

 10. unable to provide consent.