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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

Weight Loss Goals For The New Year: How To Make Sure They’re Realistic

Weight loss goals are never easy to stick to in the new year: we all know how many people give up even before the end of January! But if you set your goals the right way, making sure they’re realistic, then you really can use the new year as a way of achieving the fitness levels you’ve always wanted.

Understanding Why People FailThe main reason why people fail to meet their weight loss goals is because they aren’t motivated enough. When you aren’t motivated it’s easy to find other things to do instead of exercising, and it’s easy to start seeing exercise as a bore or a burden. This is why it’s important to set a resolution that really matters to you, instead of choosing an arbitrary goal.

How To Set Achievable Goals

The key is to make sure that the weight loss goals you set are achievable – both physically and mentally. First, you’ll need to start with motivation. Simply sitting down and thinking about all of the reasons why you want to lose weight or start exercising can get you excited about the prospect. Maybe you want to gain confidence, maybe you want to feel more energized again. Whatever it is, know what you are working for!

Next, you’re going to have to be honest with yourself and recognize your weaknesses. You’ve let things go for a reason – maybe you have a really sweet tooth, or maybe you got so busy or tired in your day to day life that exercise became less of a priority. By being really honest about what has stopped you in the past you can make sure you don’t repeat your mistakes.

Putting Together A Realistic Plan

Now that you’ve recognized your motivations and weaknesses, it’s time to put together a realistic plan. The more specific you are, the better – it’ll help keep you on track even through the tough days. This means setting a plan on how often you’ll exercise, where you’ll do it, and how long for. You’ll soon realize that it isn’t too difficult to fit 30 minutes of exercise into your day to day life!

Don’t forget that you’ll also need to combine dietary changes with your exercise. But don’t take on too much at once! Many people choose to go on crash diets in the new year only to give up within a few weeks. Start with something small, such as reducing the amount of sugar you put in your coffee. When you’re used to it, make another small change to your diet. The key is to make sure you’re not left craving all the foods you used to love – remember, the goal is to be realistic.

You will work with individuals, (children, young people, adults and older adults), couples, families, with groups and at an organisational and community level.

You may work as part of multi-professional teams including doctors, nurses and allied health professionals and a range of other psychological professionals.

In a management or leadership role, you could contribute to the design and implementation of services for patients.