Maria Neumann1, Christina Holzapfel2, Astrid Müller1, Anja Hilbert3, Ross D Crosby4, Martina de Zwaan1. 1. Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany. 2. Institute for Nutritional Medicine, Technical University of Munich, University Hospital "Klinikum rechts der Isar,", Munich, Germany. 3. Integrated Research and Treatment Center AdiposityDiseases, Department of Medical Psychology and Medical Sociology, Leipzig University Medical Center, Leipzig, Germany. 4. Neuropsychiatric Research Institute, Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota, USA.
Abstract
OBJECTIVE: Eating behaviors such as dietary restraint and disinhibition caused by emotional and external cues play a relevant role in weight-loss maintenance. METHODS: Four hundred forty individuals with successful weight-loss maintenance included in the prospective German Weight Control Registry completed the Dutch Eating Behavior Questionnaire. Participants were categorized into the following two weight groups: stable weight trajectory (WS) (n = 280) and unstable weight trajectory (WUS) (n = 160) over the 2-year assessment period. RESULTS: Those with successful weight-loss maintenance had significantly higher scores on the restrained and emotional eating subscales compared with a general population (GP) sample. At baseline, the WS individuals had lower restrained, emotional, and external eating scores compared with the WUS individuals. Over the 2-year follow-up period, the trajectories of the restraint scores decreased in both groups but stayed elevated compared with the GP sample. Scores of the emotional and external eating subscales remained stable in the WS group but increased in the WUS group. CONCLUSIONS: A certain degree of restraint seems to be necessary for successful weight-loss maintenance; however, high emotional and external eating may counteract this effect, resulting in weight regain in the long run.
OBJECTIVE: Eating behaviors such as dietary restraint and disinhibition caused by emotional and external cues play a relevant role in weight-loss maintenance. METHODS: Four hundred forty individuals with successful weight-loss maintenance included in the prospective German Weight Control Registry completed the Dutch Eating Behavior Questionnaire. Participants were categorized into the following two weight groups: stable weight trajectory (WS) (n = 280) and unstable weight trajectory (WUS) (n = 160) over the 2-year assessment period. RESULTS: Those with successful weight-loss maintenance had significantly higher scores on the restrained and emotional eating subscales compared with a general population (GP) sample. At baseline, the WS individuals had lower restrained, emotional, and external eating scores compared with the WUS individuals. Over the 2-year follow-up period, the trajectories of the restraint scores decreased in both groups but stayed elevated compared with the GP sample. Scores of the emotional and external eating subscales remained stable in the WS group but increased in the WUS group. CONCLUSIONS: A certain degree of restraint seems to be necessary for successful weight-loss maintenance; however, high emotional and external eating may counteract this effect, resulting in weight regain in the long run.
Authors: Elena Andreeva; Maria Neumann; Mariel Nöhre; Elmar Brähler; Anja Hilbert; Martina de Zwaan Journal: Obes Facts Date: 2019-07-02 Impact factor: 3.942
Authors: Tiffany Naets; Leentje Vervoort; Ann Tanghe; Ann De Guchtenaere; Caroline Braet Journal: Front Psychiatry Date: 2020-04-16 Impact factor: 4.157
Authors: Suzanne Phelan; James Roake; Noemi Alarcon; Sarah M Ng; Hunter Glanz; Michelle I Cardel; Gary D Foster Journal: Obesity (Silver Spring) Date: 2022-02-09 Impact factor: 9.298
Authors: Jacob Young; Suzanne Phelan; Noemi Alarcon; James Roake; Chad D Rethorst; Gary D Foster Journal: J Hum Nutr Diet Date: 2021-12-30 Impact factor: 2.995
Authors: Catarina Paixão; Carlos M Dias; Rui Jorge; Eliana V Carraça; Mary Yannakoulia; Martina de Zwaan; Sirpa Soini; James O Hill; Pedro J Teixeira; Inês Santos Journal: Obes Rev Date: 2020-02-12 Impact factor: 10.867