AIM: The purpose of this study was to identify psychosocial determinants for maintaining weight loss. METHODS: 42 obese individuals who achieved a 12% weight loss before entering a 52-week weight maintenance program were interviewed qualitatively. Psychosocial factors related to weight loss maintenance were identified in two contrasting groups: weight reducers and weight regainers. Groups were defined by health-relevant weight maintenance (additional weight loss > 3% at week 52, n = 9 versus weight gain > 3%, at week 52, n = 20). RESULTS: Weight reducers reported structured meal patterns (p = 0.008), no comfort eating (p = 0.016) and less psychosocial stress (p = 0.04) compared to weight regainers. The ability to instrumentalize eating behavior emerged as an important factor (p = 0.007). Nutritional knowledge, motivation or exercise level did not differ between groups (p > 0.05). CONCLUSIONS: Successful weight loss maintenance was associated with an interplay between behavioral, affective and contextual changes. 'Instrumentalization of eating behavior' seems to be an important element in long-term weight maintenance.
AIM: The purpose of this study was to identify psychosocial determinants for maintaining weight loss. METHODS: 42 obese individuals who achieved a 12% weight loss before entering a 52-week weight maintenance program were interviewed qualitatively. Psychosocial factors related to weight loss maintenance were identified in two contrasting groups: weight reducers and weight regainers. Groups were defined by health-relevant weight maintenance (additional weight loss > 3% at week 52, n = 9 versus weight gain > 3%, at week 52, n = 20). RESULTS: Weight reducers reported structured meal patterns (p = 0.008), no comfort eating (p = 0.016) and less psychosocial stress (p = 0.04) compared to weight regainers. The ability to instrumentalize eating behavior emerged as an important factor (p = 0.007). Nutritional knowledge, motivation or exercise level did not differ between groups (p > 0.05). CONCLUSIONS: Successful weight loss maintenance was associated with an interplay between behavioral, affective and contextual changes. 'Instrumentalization of eating behavior' seems to be an important element in long-term weight maintenance.
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Authors: Mette S Nielsen; Bodil Just Christensen; Julie Berg Schmidt; Louise Tækker; Lotte Holm; Susanne Lunn; Christian Ritz; Nicolai J Wewer Albrechtsen; Jens Juul Holst; Theresia M Schnurr; Torben Hansen; Carel W le Roux; Thomas Bøker Lund; Andrea Karen Floyd; Anders Sjödin Journal: Int J Obes (Lond) Date: 2020-04-23 Impact factor: 5.095
Authors: Bodil Just Christensen; Julie Berg Schmidt; Mette Søndergaard Nielsen; Louise Tækker; Lotte Holm; Susanne Lunn; Wender L P Bredie; Christian Ritz; Jens Juul Holst; Torben Hansen; Anja Hilbert; Carel W le Roux; Oliver J Hulme; Hartwig Siebner; Tobias Morville; Lars Naver; Andrea Karen Floyd; Anders Sjödin Journal: Contemp Clin Trials Commun Date: 2018-02-17