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Introduction

Nearly 7% of the world population is obese1 and about 66% of the adults in the United States are overweight or obese.2 Obesity is associated with a number of adverse medical conditions including increased risk of gallbladder disease, hypertension, type 2 diabetes mellitus, coronary heart disease (CHD), osteoarthritis, cancer death and reduced life expectancy.3–8 Obesity is also associated with adverse social and psychological consequences, including bias, discrimination and decreased quality of life.9,10

More effective treatment strategies are urgently needed for obesity management. The total caloric intake or energy density of one’s diet appears to be associated with obesity11–14 and a diet that induces a negative energy balance continues to be an important part of obesity management. Strategies to achieve the difficult task of eating less than desired include reduction of the energy density of foods by increasing food volume by the addition of fluids,15,16 bulk17–19 or their combination;20 or by increasing satiety by various anorectic drugs or macronutrient combinations of high satiety value.

Satiety is positively associated with the protein, fiber and water content of foods and negatively with fat and palatability ratings.21,22 However, within food groups, there may be as much as a twofold difference in satiety values, suggesting that certain foods promote greater satiety independent of macronutrient content or energy density. An egg is an example of such a food that has a 50% greater satiety index compared to white bread or ready-to-eat breakfast cereal.21 Compared to an isocaloric bagel breakfast of equal weight, an egg breakfast had a greater satiating effect, which translated into a lower caloric intake at lunch.23 The resulting decrease in energy consumption lasted for at least 24 h after the egg breakfast.

This study was undertaken to exploit the short-term satiating benefits of an egg breakfast23 for weight loss in a longer-term trial. The objectives were to determine if the incorporation of an egg breakfast in the diet by overweight or obese subjects would (1) induce reduced energy intake and unintentional weight loss, even when not attempting weight reduction; or (2) enhance weight loss when following a reduced energy diet. We compared the effects of an egg vs isocaloric bagel breakfast of equal weight on weight loss, indices of body size and composition, dietary compliance, food cravings and health-specific quality of life.Materials and methods

The study was approved by the institutional review boards at Pennington Biomedical Research Center and at Saint Louis University. Written informed consent was obtained from the participants. We certify that all applicable institutional and governmental regulations regarding the ethical use of human volunteers were followed during this research.

Participants

Of the 160 participants enrolled, 8 did not complete the trial. The final study sample included 152 participants (131 women and 21 men; mean age 45.0±9.4 years; black participants 47.7% and white participants 52.3%). Demographic characteristics of the participants are provided inTable 1

The Loy Krathong festival is a popular and beautiful event celebrated annually in Thailand. The festival takes place on the full moon night of the twelfth lunar month, which usually falls in November. The name "Loy Krathong" comes from the Thai words "loy" meaning "to float" and "krathong" referring to the small, handmade baskets that are floated on water during the festival.

The tradition of Loy Krathong dates back to the ancient Sukhothai Kingdom, and is believed to have originated as a way to pay respect to the water goddess, Phra Mae Khongkha. The festival also marks the end of the rainy season and the beginning of the rice harvest.

During Loy Krathong, people gather by rivers, canals, and lakes to release their krathongs onto the water. The krathongs are made from banana leaves, flowers, candles, and incense sticks, and are believed to carry away bad luck and negative energies. Many people also release small boats decorated with candles, incense, and offerings, known as "krathong sai," into the water.

In addition to the water-based activities, Loy Krathong also involves cultural performances, parades, and fireworks displays. The festival is also an opportunity for families and friends to come together and enjoy traditional Thai foods such as "khao tom mat," sticky rice cooked in bamboo tubes, and "khanom tom," a sweet dessert made of sticky rice and coconut milk.

One of the most spectacular places to experience Loy Krathong is in the ancient city of Sukhothai, where the festival is celebrated in a grand and traditional manner. The city is illuminated with candles and lanterns, and there are cultural performances and fireworks displays throughout the night.

Overall, Loy Krathong is a beautiful and meaningful festival that showcases the rich culture and traditions of Thailand. It is a time for reflection, gratitude, and the coming together of communities to celebrate the beauty and abundance of nature.

You will consider how people relate, how they think and behave, their experiences of the world and how they function in their everyday life. This will include exploring people’s social, economic, cultural, spiritual and physical health experiences. Counselling psychologists use psychological and psychotherapeutic theory and research. They work to reduce psychological distress and to promote the well-being of individuals, groups and families.

The relationship between you and your client is considered to be central to understanding particular psychological difficulties and how they apply to them. To help recognise the relationship between personal development and professional practice, you will be required to have personal therapy as a client as part of your training and continued professional development.