Acceptability, Usability andWeight Loss Outcomes in a Randomized Cross-Over Study of Commercially Available Portion Size Tools in an Overweight South Asian Community

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Ellahi B., Aitken A., DİKMEN D., Seyhan-Erdoğan B., Makda M., Razaq R.

International Journal of Environmental Research and Public Health, vol.19, no.13, 2022 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 19 Issue: 13
  • Publication Date: 2022
  • Doi Number: 10.3390/ijerph19137714
  • Journal Name: International Journal of Environmental Research and Public Health
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Aqualine, Aquatic Science & Fisheries Abstracts (ASFA), CAB Abstracts, EMBASE, Food Science & Technology Abstracts, Geobase, MEDLINE, Pollution Abstracts, Veterinary Science Database, Directory of Open Access Journals
  • Keywords: portion size, portion control tools, migrant groups, weight loss, dietary change, co-creation, MINORITY ETHNIC-GROUPS, LIFE-STYLE CHANGE, PHYSICAL-ACTIVITY, DIETARY ASSESSMENT, UK, DISEASE, RISK, QUESTIONNAIRE, INTERVENTION, BANGLADESHI
  • Hacettepe University Affiliated: Yes


© 2022 by the authors. Licensee MDPI, Basel, Switzerland.South Asian women living in the UK are particularly at high risk of obesity-related complications, such as type 2 diabetes and cardiovascular disease. Exposure to large portion sizes is a risk factor for obesity. Specifically designed tableware helps individuals to manage weight by controlling food portion sizes. Thirty-one (n = 31) overweight or obese South Asian adult women participated in a randomised cross-over trial aimed to assess the efficacy, acceptance, and weight change of two guided/calibrated commercially available portion control tools (Utensil set and Crockery Set) used in free-living conditions. Data on acceptance, perceived changes in portion size, frequency, and meal type was collected using paper questionnaires and 3-day diet diaries. Scores describing acceptance, ease of use, and perceived effectiveness were derived from five-point Likert scales from which binary indicators (high/low) were analysed for significance using multivariate variance analysis for repeated measurements. A reduction in BMI was observed at each point of measurement (p = 0.007). For overall tool use, the crockery set scored higher in all areas of acceptance, ease of use, and perceived efficacy for all comparisons. Self-selected portion sizes increased for salads and decreased for cooking oil and breakfast cereals with both tools. Further research to scale up and evaluate similar weight management interventions for this group is warranted.