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Behavioral and Cardiovascular Effects of a Behavioral Weight Loss Program for People Living with HIV

AIDS and Behavior volume 24, pages 1032–1041 (2020)Cite this article

Abstract

We recently reported that a 12-week internet weight loss program produced greater weight losses than education control in overweight/obese people living with HIV (PLWH) (4.4 kg vs 1.0 kg; p < 0.05). This manuscript presents the changes in diet, physical activity, behavioral strategies, and cardio-metabolic parameters. Participants (N = 40; 21 males, 19 females) were randomly assigned to an internet behavioral weight loss (WT LOSS) program or internet education control (CONTROL) and assessed before and after the 12-week program. Compared to CONTROL, the WT LOSS arm reported greater use of behavioral strategies, decreases in intake (− 681 kcal/day; p = 0.002), modest, non-significant, increases in daily steps (+ 1079 steps/day) and improvements on the Healthy Eating Index. There were no significant effects on cardio-metabolic parameters. The study suggests that a behavioral weight loss program increases the use of behavioral strategies and modestly improves dietary intake and physical activity in PLWH. Further studies with larger sample sizes and longer follow-up are needed.

Clinical Trials Registration: NCT02421406.

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Acknowledgements

We wish to thank Whitney Howie for her contribution to the dietary analyses. This project was supported by the Providence/Boston Center for AIDS Research (Grant Number P30 A1042853); the ACTG Clinical Research Site 2951 (The Miriam Hospital; Grant Number UM1AI069412); and the Cardiovascular Behavioral and Preventive Medicine Training Grant (Grant Number KB T32 HL076134).

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Authors and Affiliations

  1. Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University and The Miriam Hospital, Providence, RI, USA

    Rena R. Wing, E. Whitney Evans & Jessica Unick

  2. Department of Kinesiology, University of Massachuetts Amherst, Amherst, MA, USA

    Katie Becofsky

  3. Department of Medicine, Alpert Medical School of Brown University, Providence, RI, USA

    Edward J. Wing

  4. Allied Health Science, University of Connecticut, Storrs, CT, USA

    Jeanne McCaffery

  5. Sacred Heart University Connecticut, Fairfield, CT, USA

    Matthew Boudreau

  6. Weight Control and Diabetes Research Center, 196 Richmond Street, Providence, RI, 02903, USA

    Rena R. Wing, E. Whitney Evans & Jessica Unick

Authors
  1. Rena R. Wing
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  2. Katie Becofsky
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Correspondence to Rena R. Wing.

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Wing, R.R., Becofsky, K., Wing, E.J. et al. Behavioral and Cardiovascular Effects of a Behavioral Weight Loss Program for People Living with HIV. AIDS Behav 24, 1032–1041 (2020). https://doi.org/10.1007/s10461-019-02503-x

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  • DOI: https://doi.org/10.1007/s10461-019-02503-x

Keywords

  • Weight loss
  • Diet quality
  • Physical activity
  • Behavior