Jacqueline F Hayes1, Leah M Schumacher2, Emily Panza2, Shira I Dunsiger3, Rena R Wing2, Jessica L Unick2. 1. Alpert Medical School of Brown University, Miriam Hospital, Providence, RI, United States of America. Electronic address: Jacqueline_Hayes@brown.edu. 2. Alpert Medical School of Brown University, Miriam Hospital, Providence, RI, United States of America. 3. Center for Health Promotion and Health Equity, Brown School of Public Health, Providence, RI, United States of America.
Abstract
BACKGROUND: Much research has focused on precursors to dietary lapses in weight loss programs, but less is known about how individual responses to lapses may influence future non-adherence and program success. The current study examined affective responses to overeating lapses and their influence on subsequent overeating and overall weight loss. METHODS: Women (n = 60) with overweight or obesity (BMI (mean ± SD): 34.3 ± 3.9 kg/m2; age: 48.1 ± 10.1 years) participated in a 3-month group behavioral weight loss intervention (BWLI). At baseline and 3 months, participants completed anthropometric assessments and a 10-day ecological momentary assessment protocol sent 5 times per day reporting on overeating and affect (stress, shame, anxiety, and feeling good about oneself). Across time points, multilevel models were used to examine affective responses to overeating and to predict likelihood of subsequent overeating. Linear regression models were used to examine the effect of affective responses to overeating (at baseline and collapsed across time points) on weight loss. RESULTS: Following self-reported overeating episodes, compared to non-overeating episodes, feeling good about oneself decreased. These decreases lessened with time from overeating. Overeating predicted subsequent overeating episodes, with decreases in feeling good about oneself following overeating marginally predicting increased likelihood (p = 0.065). Neither overeating frequency at baseline nor change in overeating frequency predicted weight loss; however, greater decreases in anxiety following overeating were associated with less weight loss. CONCLUSIONS: Self-reported overeating during a BWLI was associated with negative affective responses and may have increased the likelihood of subsequent overeating, but did not affect overall weight loss in this sample.
BACKGROUND: Much research has focused on precursors to dietary lapses in weight loss programs, but less is known about how individual responses to lapses may influence future non-adherence and program success. The current study examined affective responses to overeating lapses and their influence on subsequent overeating and overall weight loss. METHODS: Women (n = 60) with overweight or obesity (BMI (mean ± SD): 34.3 ± 3.9 kg/m2; age: 48.1 ± 10.1 years) participated in a 3-month group behavioral weight loss intervention (BWLI). At baseline and 3 months, participants completed anthropometric assessments and a 10-day ecological momentary assessment protocol sent 5 times per day reporting on overeating and affect (stress, shame, anxiety, and feeling good about oneself). Across time points, multilevel models were used to examine affective responses to overeating and to predict likelihood of subsequent overeating. Linear regression models were used to examine the effect of affective responses to overeating (at baseline and collapsed across time points) on weight loss. RESULTS: Following self-reported overeating episodes, compared to non-overeating episodes, feeling good about oneself decreased. These decreases lessened with time from overeating. Overeating predicted subsequent overeating episodes, with decreases in feeling good about oneself following overeating marginally predicting increased likelihood (p = 0.065). Neither overeating frequency at baseline nor change in overeating frequency predicted weight loss; however, greater decreases in anxiety following overeating were associated with less weight loss. CONCLUSIONS: Self-reported overeating during a BWLI was associated with negative affective responses and may have increased the likelihood of subsequent overeating, but did not affect overall weight loss in this sample.
Authors: Leah M Schumacher; Gerald J Martin; Stephanie P Goldstein; Stephanie M Manasse; Ross D Crosby; Meghan L Butryn; Jason Lillis; Evan M Forman Journal: Health Psychol Date: 2017-11-27 Impact factor: 4.267
Authors: Evan M Forman; Leah M Schumacher; Ross Crosby; Stephanie M Manasse; Stephanie P Goldstein; Meghan L Butryn; Emily P Wyckoff; J Graham Thomas Journal: Ann Behav Med Date: 2017-10
Authors: Thomas A Wadden; Delia Smith West; Linda Delahanty; John Jakicic; Jack Rejeski; Don Williamson; Robert I Berkowitz; David E Kelley; Christine Tomchee; James O Hill; Shiriki Kumanyika Journal: Obesity (Silver Spring) Date: 2006-05 Impact factor: 5.002
Authors: Tyler B Mason; Kathryn E Smith; Ross D Crosby; Stephen A Wonderlich; Scott J Crow; Scott G Engel; Carol B Peterson Journal: Eat Weight Disord Date: 2017-06-22 Impact factor: 4.652
Authors: Kyle P De Young; Jason M Lavender; Stephen A Wonderlich; Ross D Crosby; Scott G Engel; James E Mitchell; Scott Crow; Carol B Peterson; Daniel Le Grange Journal: J Psychiatr Res Date: 2012-12-11 Impact factor: 4.791