Research Publications

Bright Line Eating: Evaluation of a Commercial Telehealth Weight Loss and Management Program

Authors:
Win Guan, PhD
Andrew K. Thaw, PhD
Sabrina N. Grondhuis
Andi Schaechter
Published Date: November 16, 2018

Objective

This study assesses the effectiveness of the Bright Line Eating Boot Camp (BLE: BC), an eight-week
telehealth weight management program.

Methods

Data come from participants in the BLE: BC research program. The final sample (n=5,374) contained primarily white adults (92.8%), females (95.2%), and individuals who reported high socioeconomic status (96.0% had completed at least some college and 47.4% reported an annual family income of at least $100,000). We focus in this manuscript on the primary outcomes of percent weight loss and change in body mass index from baseline. Secondary outcomes include program satisfaction and perceptions of healthy eating.

Results

Approximately 95% of participants lost weight between baseline and completion of the BLE: BC. During the eight weeks, average percent weight loss was 7.8 (SD=7.5) and body mass index declined by an average of 2.6 (SD=2.3). Spearman’s correlation tests show that participants who reported expending more effort and participating more in the program reported greater percent weight loss (rs=0.39, p<0.001 and rs=0.34, p<0.001, respectively) and larger reduction in body mass index (rs=0.36, p<0.001 and rs=0.33, p<0.001, respectively). The majority of participants (88.6%) reported being satisfied with the program and 90.4% reported that healthy eating became easier.

Conclusions

The results of this study support the efficacy of the BLE: BC as a fully online, telehealth weight loss program. Future studies should assess the long-term weight loss and maintenance of BLE: BC participants and endeavor to specify mechanisms for the observed weight change. Although we acknowledge limitations in generalizability of the results due to the lack of a comparison group and selection bias in the sample, the results show clinically-significant weight loss among the majority of BLE: BC participants.

Read the full article here.


Bright Line Eating: Initial Phase Results From a Novel Telehealth Weight Management Program

Authors:
Mark G. Goetting, MD
Win Guan, PhD
Andrew K. Thaw, PhD
Susan Peirce Thompson, PhD
Published Date: November 13, 2018

Background

The design of weight loss programs has been shown to significantly affect the weight maintenance phase by exacerbating, reducing, or delaying weight regain. There is a growing recognition of the addictive-like qualities of some processed foods. Bright Line Eating (BLE) is a convenient and affordable novel telehealth weight loss program based on a processed food addiction framework that provides comprehensive tools for lifetime weight maintenance including continuous live peer support via private online chat groups. The present study describes weight loss outcomes in the initiation phase of the BLE Boot Camp (BC) program, an 8 week on-line course providing comprehensive teaching and behavioral/emotional support.

Methods

Data are from the baseline and exit surveys of participants of the BLE:BC program. The sample (n=3,280) includes those who 1) were overweight or obese (BMI≥25) at baseline, 2) chose to participate in the BLE Research and 3) completed both surveys. This sample represents 16.2% those who enrolled in BLE:BC, 41.0% of those who enrolled in BLE Research, and 42.7% of those who completed a baseline survey. Percent weight loss (%WL) and body mass index (BMI) were calculated using self-reported weight and height from both surveys.

Results

The sample contained mostly white women (95.3% female, 92.6% white). Women had a mean baseline weight and BMI of 91.2 kg (SD=18.6) and 34.1 (SD=7.0), respectively. Men had a mean baseline weight of 108.3 kg (SD=26.0) and BMI of 35.3 (SD=8.4). Over 95% of participants lost weight. Among those, participants averaged 9.0%WL (p<.001) and 3.1 decrease in BMI (p<.001). No significant differences were found for age, sex, or race.

Conclusions

BLE produces initial weight loss similar to other intensive programs. The convenience and affordability make it an attractive approach for those who may benefit from food addiction therapy or other intensive weight loss needs. Long term data are being analyzed.


Bright Line Eating: An Effective, Online Program for Sustained Weight Loss – P10-119

Authors:
Thaw, A.K.
Thaw, C.J.

Published Date: June 11, 2018

Conference: American Society for Nutrition, Boston, MA, 2018
Poster Topical Area: Energy and Macronutrient Metabolism
Location: Hall D
Poster Board Number: 518

Objectives

Obesity remains a pervasive preventable disease. Numerous weight loss options are available, however, few programs report even modest sustained weight loss. Here, we describe results from the Bright Line Eating program (BLE). BLE is a recently developed web-based weight loss program. The core principles of BLE consist of following clear, unambiguous boundaries referred to as bright lines. The four Bright Lines are: Sugar, Flour, Meals, and Quantities. Specifically, (1) no sugar consumption (2) no flour consumption, (3) eating 3 meals per day with no snacking, (4) weighing and measuring meals. BLE also contains a unique and comprehensive support mechanism based on 12-step programs.

Methods

Data from the BLE participant registry was analyzed to determine the effectiveness of the program to lead to sustained weight loss. Here we describe the findings from participants who have been voluntarily reporting their weight loss for up to two years while participating in the BLE program.

Results

Results show a sustained significant weight loss that is maintained for greater than 12 months for 20% of program participants. This represents a dramatically high rate of sustainable weight loss. Subsequently, BMI and waist circumference were also reduced. The sustained weight loss is correlated with specific components of the BLE program. For example, 90% of the respondents indicated that eliminating processed sugar from their diet was integral to their success. Adherence (remaining active in the program) also showed a strong correlation with sustained weight loss (25 pounds versus 3 pounds sustained weight loss for those with high adherence versus low adherence respectively). Other possible factors such as age or gender do not seem to be affecting sustained weight loss.

Conclusions

Initial results from the BLE program provide evidence of sustainable weight loss. Further analysis of BLE data will aim to determine positive health effects related to the program.


Bright Line Eating: A Novel Web-based Weight Loss Program

Author: Thaw, A.K.

Published Date: April 1, 2017
Published Online: The FASEB Journal. Vol. 31, No. 1 supplement.

Abstract Number: 796.14

Abstract

Obesity continues to be one of the most prevalent preventable diseases affecting persons from all backgrounds and geographic regions. Numerous commercial or free weight loss programs are now available to consumers via web-based platforms. This paper describes a recently developed web-based weight loss and weight maintenance program designed with a unique and comprehensive support mechanism for participants. The Bright Line Eating program has been tailored to address a variety of issues related to excess food consumption, including such challenging behaviors as food addiction. The program consists of an 8-week long instructional period, combined with several levels of support in the form of information, food plans, behavior change, phone or internet based discussions, and recorded materials, to promote weight loss. The program is intentionally modifiable such that anyone may participate regardless of their specific goals. Results from 182 participants reveal a 20 pound weight loss over the 8 week instructional period. Analysis of the main programmatic tools provide insight into which aspects of this web-based program are most useful to participants. Specifically, support from the program (coaching calls, discussion groups with other participants and Bright Line Eating staff support) represented 3 of the top 5 most used tools. Follow up studies are underway to monitor the long term weight loss of participants.