Instrumentalization of Eating Improves Weight Loss Maintenance in Obesity

Bodil Just Christensen; Eva Winning Iepsen; Julie Lundgren; Lotte Holm; Sten Madsbad; Jens Juul Holst; Signe Sørensen Torekov

doi:10.1159/000481138

Instrumentalization of Eating Improves Weight Loss Maintenance in Obesity

Bodil Just Christensen, Eva Winning Iepsen, Julie Lundgren, Lotte Holm, Sten Madsbad, Jens Juul Holst, Signe Sørensen Torekov

Endokrinologisk Afdeling

22 Citationer (Scopus)

Abstract

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.

Originalsprog	Engelsk
Tidsskrift	Obesity Facts
Vol/bind	10
Udgave nummer	6
Sider (fra-til)	633-647
Antal sider	15
ISSN	1662-4025
DOI	https://doi.org/10.1159/000481138
Status	Udgivet - dec. 2017

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10.1159/000481138

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title = "Instrumentalization of Eating Improves Weight Loss Maintenance in Obesity",

abstract = "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.",

keywords = "Journal Article",

author = "Christensen, {Bodil Just} and Iepsen, {Eva Winning} and Julie Lundgren and Lotte Holm and Sten Madsbad and Holst, {Jens Juul} and Torekov, {Signe S{\o}rensen}",

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year = "2017",

month = dec,

doi = "10.1159/000481138",

language = "English",

volume = "10",

pages = "633--647",

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T1 - Instrumentalization of Eating Improves Weight Loss Maintenance in Obesity

AU - Christensen, Bodil Just

AU - Iepsen, Eva Winning

AU - Lundgren, Julie

AU - Holm, Lotte

AU - Madsbad, Sten

AU - Holst, Jens Juul

AU - Torekov, Signe Sørensen

PY - 2017/12

Y1 - 2017/12

N2 - 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.

AB - 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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DO - 10.1159/000481138

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SN - 1662-4025

VL - 10

SP - 633

EP - 647

JO - Obesity Facts

JF - Obesity Facts

IS - 6

ER -

Instrumentalization of Eating Improves Weight Loss Maintenance in Obesity

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