Weight loss treatment influences untreated spouses and the home environment: Evidence of a ripple effect

A. A. Gorin; R. R. Wing; J. L. Fava; J. M. Jakicic; R. Jeffery; D. S. West; K. Brelje; V. G. Dilillo; Renee Bright; Vincent Pera; Deborah Tate; Kara Gallagher; Amy Bach; Barbara Bancroft; Anna Bertorelli; Richard Carey; Tatum Charron; Heather Chenot; Kimberley Chula-Maguire; Pamela Coward; Lisa Cronkite; Julie Currin; Maureen Daly; Caitlin Egan; Erica Ferguson; Linda Foss; Jennifer Gauvin; Don Kieffer; Lauren Lessard; Deborah Maier; J. P. Massaro; Monk Tammy; Rob Nicholson; Erin Patterson; Suzanne Phelan; Hollie Raynor; Douglas Raynor; Natalie Robinson; Deborah Robles; Jane Tavares; Cora E. Lewis; Sheikilya Thomas; Monika Safford; Charlotte Bragg; Amy Dobelstein; Stacey Gilbert; Stephen Glasser; Sara Hannum; Anne Hubbell; Jennifer Jones; Delavallade Lee; Ruth Luketic; Karen Marshall; L. Christie Oden; Janet Raines; Cathy Roche; Janet Truman; Nita Webb; Audrey Wrenn; Carolyn Thorson; John P. Bantle; J. Bruce Redmon; Richard S. Crow; Scott Crow; Susan K. Raatz; Carolyne Campbell; Jeanne Carls; Tara Carmean-Mihm; Emily Finch; Anna Fox; Elizabeth Hoelscher; La Donna James; Vicki A. Maddy; Therese Ockenden; Birgitta I. Rice; Tricia Skarphol; Ann D. Tucker; Mary Susan Voeller; Cara Walcheck

doi:10.1038/ijo.2008.150

Weight loss treatment influences untreated spouses and the home environment: Evidence of a ripple effect

A. A. Gorin, R. R. Wing, J. L. Fava, J. M. Jakicic, R. Jeffery, D. S. West, K. Brelje, V. G. Dilillo, Renee Bright, Vincent Pera, Deborah Tate, Kara Gallagher, Amy Bach, Barbara Bancroft, Anna Bertorelli, Richard Carey, Tatum Charron, Heather Chenot, Kimberley Chula-Maguire, Pamela CowardLisa Cronkite, Julie Currin, Maureen Daly, Caitlin Egan, Erica Ferguson, Linda Foss, Jennifer Gauvin, Don Kieffer, Lauren Lessard, Deborah Maier, J. P. Massaro, Monk Tammy, Rob Nicholson, Erin Patterson, Suzanne Phelan, Hollie Raynor, Douglas Raynor, Natalie Robinson, Deborah Robles, Jane Tavares, Cora E. Lewis, Sheikilya Thomas, Monika Safford, Charlotte Bragg, Amy Dobelstein, Stacey Gilbert, Stephen Glasser, Sara Hannum, Anne Hubbell, Jennifer Jones, Delavallade Lee, Ruth Luketic, Karen Marshall, L. Christie Oden, Janet Raines, Cathy Roche, Janet Truman, Nita Webb, Audrey Wrenn, Carolyn Thorson, John P. Bantle, J. Bruce Redmon, Richard S. Crow, Scott Crow, Susan K. Raatz, Carolyne Campbell, Jeanne Carls, Tara Carmean-Mihm, Emily Finch, Anna Fox, Elizabeth Hoelscher, La Donna James, Vicki A. Maddy, Therese Ockenden, Birgitta I. Rice, Tricia Skarphol, Ann D. Tucker, Mary Susan Voeller, Cara Walcheck

Research output: Contribution to journal › Article › peer-review

168 Scopus citations

Abstract

Objectives: To examine whether a weight loss program delivered to one spouse has beneficial effects on the untreated spouse and the home environment. Methods: We assessed untreated spouses of participants in three sites of Look AHEAD, a multicenter randomized controlled trial evaluating the impact of intentional weight loss on cardiovascular outcomes in overweight individuals with type 2 diabetes. Participants and spouses (n=357 pairs) were weighed and completed measures of diet and physical activity at 0 and 12 months. Spouses completed household food and exercise environment inventories. We examined differences between spouses of participants assigned to the intensive lifestyle intervention (ILI) or to the enhanced usual care (DSE; diabetes support and education). Results: Spouses of ILI participants lost -2.2±4.5 kg vs -0.2±3.3 kg in spouses of DSE participants (P<0.001). In addition, more ILI spouses lost ≥5% of their body weight than DSE spouses (26 vs 9%, P<0.001). Spouses of ILI participants also had greater reductions in reported energy intake (P=0.007) and percent of energy from fat (P=0.012) than DSE spouses. Spouse weight loss was associated with participant weight loss (P<0.001) and decreases in high-fat foods in the home (P=0.05). Conclusion: The reach of behavioral weight loss treatment can extend to a spouse, suggesting that social networks can be utilized to promote the spread of weight loss, thus creating a ripple effect.

Original language	English (US)
Pages (from-to)	1678-1684
Number of pages	7
Journal	International Journal of Obesity
Volume	32
Issue number	11
DOIs	https://doi.org/10.1038/ijo.2008.150
State	Published - Nov 2008

Bibliographical note

Funding Information:
This ancillary study was supported by the National Institute of Nursing Research NR07960. The parent trial was supported by the Department of Health and Human Services through the following cooperative agreements from the National Institutes of Health: DK57136, DK57149, DK56990, DK57177, DK57171, DK57151, DK57182, DK57131, DK57002, DK57078, DK57154, DK57178, DK57219, DK57008, DK57135 and DK56992. The following federal agencies also contributed support National Institute of Diabetes and Digestive and Kidney Diseases; National Heart, Lung, and Blood Institute; National Institute of Nursing Research; National Center on Minority Health and Health Disparities; Office of Research on Women’s Health and the Centers for Disease Control and Prevention. This research was supported in part by the Intramural Research Program of the National Institute of Diabetes and Digestive and Kidney Diseases. All researchers are independent of the funding agencies.The study represents the collective efforts of the Home Environment Research Group (noted below) as well as the Look AHEAD Research Group. The full list of acknowledgments has been previously published in the Look AHEAD 1-year result paper.

Keywords

Home environment
Ripple effect
Social network
Weight loss

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1038/ijo.2008.150

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Gorin, A. A., Wing, R. R., Fava, J. L., Jakicic, J. M., Jeffery, R., West, D. S., Brelje, K., Dilillo, V. G., Bright, R., Pera, V., Tate, D., Gallagher, K., Bach, A., Bancroft, B., Bertorelli, A., Carey, R., Charron, T., Chenot, H., Chula-Maguire, K., ... Walcheck, C. (2008). Weight loss treatment influences untreated spouses and the home environment: Evidence of a ripple effect. International Journal of Obesity, 32(11), 1678-1684. https://doi.org/10.1038/ijo.2008.150

Gorin, AA, Wing, RR, Fava, JL, Jakicic, JM, Jeffery, R, West, DS, Brelje, K, Dilillo, VG, Bright, R, Pera, V, Tate, D, Gallagher, K, Bach, A, Bancroft, B, Bertorelli, A, Carey, R, Charron, T, Chenot, H, Chula-Maguire, K, Coward, P, Cronkite, L, Currin, J, Daly, M, Egan, C, Ferguson, E, Foss, L, Gauvin, J, Kieffer, D, Lessard, L, Maier, D, Massaro, JP, Tammy, M, Nicholson, R, Patterson, E, Phelan, S, Raynor, H, Raynor, D, Robinson, N, Robles, D, Tavares, J, Lewis, CE, Thomas, S, Safford, M, Bragg, C, Dobelstein, A, Gilbert, S, Glasser, S, Hannum, S, Hubbell, A, Jones, J, Lee, D, Luketic, R, Marshall, K, Oden, LC, Raines, J, Roche, C, Truman, J, Webb, N, Wrenn, A, Thorson, C, Bantle, JP, Redmon, JB, Crow, RS, Crow, S, Raatz, SK, Campbell, C, Carls, J, Carmean-Mihm, T, Finch, E, Fox, A, Hoelscher, E, James, LD, Maddy, VA, Ockenden, T, Rice, BI, Skarphol, T, Tucker, AD, Voeller, MS & Walcheck, C 2008, 'Weight loss treatment influences untreated spouses and the home environment: Evidence of a ripple effect', International Journal of Obesity, vol. 32, no. 11, pp. 1678-1684. https://doi.org/10.1038/ijo.2008.150

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title = "Weight loss treatment influences untreated spouses and the home environment: Evidence of a ripple effect",

abstract = "Objectives: To examine whether a weight loss program delivered to one spouse has beneficial effects on the untreated spouse and the home environment. Methods: We assessed untreated spouses of participants in three sites of Look AHEAD, a multicenter randomized controlled trial evaluating the impact of intentional weight loss on cardiovascular outcomes in overweight individuals with type 2 diabetes. Participants and spouses (n=357 pairs) were weighed and completed measures of diet and physical activity at 0 and 12 months. Spouses completed household food and exercise environment inventories. We examined differences between spouses of participants assigned to the intensive lifestyle intervention (ILI) or to the enhanced usual care (DSE; diabetes support and education). Results: Spouses of ILI participants lost -2.2±4.5 kg vs -0.2±3.3 kg in spouses of DSE participants (P<0.001). In addition, more ILI spouses lost ≥5% of their body weight than DSE spouses (26 vs 9%, P<0.001). Spouses of ILI participants also had greater reductions in reported energy intake (P=0.007) and percent of energy from fat (P=0.012) than DSE spouses. Spouse weight loss was associated with participant weight loss (P<0.001) and decreases in high-fat foods in the home (P=0.05). Conclusion: The reach of behavioral weight loss treatment can extend to a spouse, suggesting that social networks can be utilized to promote the spread of weight loss, thus creating a ripple effect.",

keywords = "Home environment, Ripple effect, Social network, Weight loss",

author = "Gorin, {A. A.} and Wing, {R. R.} and Fava, {J. L.} and Jakicic, {J. M.} and R. Jeffery and West, {D. S.} and K. Brelje and Dilillo, {V. G.} and Renee Bright and Vincent Pera and Deborah Tate and Kara Gallagher and Amy Bach and Barbara Bancroft and Anna Bertorelli and Richard Carey and Tatum Charron and Heather Chenot and Kimberley Chula-Maguire and Pamela Coward and Lisa Cronkite and Julie Currin and Maureen Daly and Caitlin Egan and Erica Ferguson and Linda Foss and Jennifer Gauvin and Don Kieffer and Lauren Lessard and Deborah Maier and Massaro, {J. P.} and Monk Tammy and Rob Nicholson and Erin Patterson and Suzanne Phelan and Hollie Raynor and Douglas Raynor and Natalie Robinson and Deborah Robles and Jane Tavares and Lewis, {Cora E.} and Sheikilya Thomas and Monika Safford and Charlotte Bragg and Amy Dobelstein and Stacey Gilbert and Stephen Glasser and Sara Hannum and Anne Hubbell and Jennifer Jones and Delavallade Lee and Ruth Luketic and Karen Marshall and Oden, {L. Christie} and Janet Raines and Cathy Roche and Janet Truman and Nita Webb and Audrey Wrenn and Carolyn Thorson and Bantle, {John P.} and Redmon, {J. Bruce} and Crow, {Richard S.} and Scott Crow and Raatz, {Susan K.} and Carolyne Campbell and Jeanne Carls and Tara Carmean-Mihm and Emily Finch and Anna Fox and Elizabeth Hoelscher and James, {La Donna} and Maddy, {Vicki A.} and Therese Ockenden and Rice, {Birgitta I.} and Tricia Skarphol and Tucker, {Ann D.} and Voeller, {Mary Susan} and Cara Walcheck",

note = "Funding Information: This ancillary study was supported by the National Institute of Nursing Research NR07960. The parent trial was supported by the Department of Health and Human Services through the following cooperative agreements from the National Institutes of Health: DK57136, DK57149, DK56990, DK57177, DK57171, DK57151, DK57182, DK57131, DK57002, DK57078, DK57154, DK57178, DK57219, DK57008, DK57135 and DK56992. The following federal agencies also contributed support National Institute of Diabetes and Digestive and Kidney Diseases; National Heart, Lung, and Blood Institute; National Institute of Nursing Research; National Center on Minority Health and Health Disparities; Office of Research on Women{\textquoteright}s Health and the Centers for Disease Control and Prevention. This research was supported in part by the Intramural Research Program of the National Institute of Diabetes and Digestive and Kidney Diseases. All researchers are independent of the funding agencies.The study represents the collective efforts of the Home Environment Research Group (noted below) as well as the Look AHEAD Research Group. The full list of acknowledgments has been previously published in the Look AHEAD 1-year result paper.",

year = "2008",

month = nov,

doi = "10.1038/ijo.2008.150",

language = "English (US)",

volume = "32",

pages = "1678--1684",

journal = "International Journal of Obesity",

issn = "0307-0565",

publisher = "Nature Publishing Group",

number = "11",

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TY - JOUR

T1 - Weight loss treatment influences untreated spouses and the home environment

T2 - Evidence of a ripple effect

AU - Gorin, A. A.

AU - Wing, R. R.

AU - Fava, J. L.

AU - Jakicic, J. M.

AU - Jeffery, R.

AU - West, D. S.

AU - Brelje, K.

AU - Dilillo, V. G.

AU - Bright, Renee

AU - Pera, Vincent

AU - Tate, Deborah

AU - Gallagher, Kara

AU - Bach, Amy

AU - Bancroft, Barbara

AU - Bertorelli, Anna

AU - Carey, Richard

AU - Charron, Tatum

AU - Chenot, Heather

AU - Chula-Maguire, Kimberley

AU - Coward, Pamela

AU - Cronkite, Lisa

AU - Currin, Julie

AU - Daly, Maureen

AU - Egan, Caitlin

AU - Ferguson, Erica

AU - Foss, Linda

AU - Gauvin, Jennifer

AU - Kieffer, Don

AU - Lessard, Lauren

AU - Maier, Deborah

AU - Massaro, J. P.

AU - Tammy, Monk

AU - Nicholson, Rob

AU - Patterson, Erin

AU - Phelan, Suzanne

AU - Raynor, Hollie

AU - Raynor, Douglas

AU - Robinson, Natalie

AU - Robles, Deborah

AU - Tavares, Jane

AU - Lewis, Cora E.

AU - Thomas, Sheikilya

AU - Safford, Monika

AU - Bragg, Charlotte

AU - Dobelstein, Amy

AU - Gilbert, Stacey

AU - Glasser, Stephen

AU - Hannum, Sara

AU - Hubbell, Anne

AU - Jones, Jennifer

AU - Lee, Delavallade

AU - Luketic, Ruth

AU - Marshall, Karen

AU - Oden, L. Christie

AU - Raines, Janet

AU - Roche, Cathy

AU - Truman, Janet

AU - Webb, Nita

AU - Wrenn, Audrey

AU - Thorson, Carolyn

AU - Bantle, John P.

AU - Redmon, J. Bruce

AU - Crow, Richard S.

AU - Crow, Scott

AU - Raatz, Susan K.

AU - Campbell, Carolyne

AU - Carls, Jeanne

AU - Carmean-Mihm, Tara

AU - Finch, Emily

AU - Fox, Anna

AU - Hoelscher, Elizabeth

AU - James, La Donna

AU - Maddy, Vicki A.

AU - Ockenden, Therese

AU - Rice, Birgitta I.

AU - Skarphol, Tricia

AU - Tucker, Ann D.

AU - Voeller, Mary Susan

AU - Walcheck, Cara

N1 - Funding Information: This ancillary study was supported by the National Institute of Nursing Research NR07960. The parent trial was supported by the Department of Health and Human Services through the following cooperative agreements from the National Institutes of Health: DK57136, DK57149, DK56990, DK57177, DK57171, DK57151, DK57182, DK57131, DK57002, DK57078, DK57154, DK57178, DK57219, DK57008, DK57135 and DK56992. The following federal agencies also contributed support National Institute of Diabetes and Digestive and Kidney Diseases; National Heart, Lung, and Blood Institute; National Institute of Nursing Research; National Center on Minority Health and Health Disparities; Office of Research on Women’s Health and the Centers for Disease Control and Prevention. This research was supported in part by the Intramural Research Program of the National Institute of Diabetes and Digestive and Kidney Diseases. All researchers are independent of the funding agencies.The study represents the collective efforts of the Home Environment Research Group (noted below) as well as the Look AHEAD Research Group. The full list of acknowledgments has been previously published in the Look AHEAD 1-year result paper.

PY - 2008/11

Y1 - 2008/11

N2 - Objectives: To examine whether a weight loss program delivered to one spouse has beneficial effects on the untreated spouse and the home environment. Methods: We assessed untreated spouses of participants in three sites of Look AHEAD, a multicenter randomized controlled trial evaluating the impact of intentional weight loss on cardiovascular outcomes in overweight individuals with type 2 diabetes. Participants and spouses (n=357 pairs) were weighed and completed measures of diet and physical activity at 0 and 12 months. Spouses completed household food and exercise environment inventories. We examined differences between spouses of participants assigned to the intensive lifestyle intervention (ILI) or to the enhanced usual care (DSE; diabetes support and education). Results: Spouses of ILI participants lost -2.2±4.5 kg vs -0.2±3.3 kg in spouses of DSE participants (P<0.001). In addition, more ILI spouses lost ≥5% of their body weight than DSE spouses (26 vs 9%, P<0.001). Spouses of ILI participants also had greater reductions in reported energy intake (P=0.007) and percent of energy from fat (P=0.012) than DSE spouses. Spouse weight loss was associated with participant weight loss (P<0.001) and decreases in high-fat foods in the home (P=0.05). Conclusion: The reach of behavioral weight loss treatment can extend to a spouse, suggesting that social networks can be utilized to promote the spread of weight loss, thus creating a ripple effect.

AB - Objectives: To examine whether a weight loss program delivered to one spouse has beneficial effects on the untreated spouse and the home environment. Methods: We assessed untreated spouses of participants in three sites of Look AHEAD, a multicenter randomized controlled trial evaluating the impact of intentional weight loss on cardiovascular outcomes in overweight individuals with type 2 diabetes. Participants and spouses (n=357 pairs) were weighed and completed measures of diet and physical activity at 0 and 12 months. Spouses completed household food and exercise environment inventories. We examined differences between spouses of participants assigned to the intensive lifestyle intervention (ILI) or to the enhanced usual care (DSE; diabetes support and education). Results: Spouses of ILI participants lost -2.2±4.5 kg vs -0.2±3.3 kg in spouses of DSE participants (P<0.001). In addition, more ILI spouses lost ≥5% of their body weight than DSE spouses (26 vs 9%, P<0.001). Spouses of ILI participants also had greater reductions in reported energy intake (P=0.007) and percent of energy from fat (P=0.012) than DSE spouses. Spouse weight loss was associated with participant weight loss (P<0.001) and decreases in high-fat foods in the home (P=0.05). Conclusion: The reach of behavioral weight loss treatment can extend to a spouse, suggesting that social networks can be utilized to promote the spread of weight loss, thus creating a ripple effect.

KW - Home environment

KW - Ripple effect

KW - Social network

KW - Weight loss

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Weight loss treatment influences untreated spouses and the home environment: Evidence of a ripple effect

Abstract

Bibliographical note

Keywords

UN SDGs

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