Perceived stress as a predictor of eating behavior during the 3-year PREVIEW lifestyle intervention
Abstract Background To better support participants to achieve long-lasting results within interventions aiming for weight loss and maintenance, more information is needed about the maintenance of behavioral changes. Therefore, we examined whether perceived stress predicts the maintenance of changes...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Publishing Group
2022-11-01
|
| Series: | Nutrition & Diabetes |
| Online Access: | https://doi.org/10.1038/s41387-022-00224-0 |
| _version_ | 1828201151385829376 |
|---|---|
| author | Elli Jalo Hanna Konttinen Margriet Westerterp-Plantenga Tanja Adam Mathijs Drummen Maija Huttunen-Lenz Pia Siig Vestentoft J. Alfredo Martinez Svetoslav Handjiev Ian Macdonald Jennie Brand-Miller Sally Poppitt Nils Swindell Tony Lam Santiago Navas-Carretero Teodora Handjieva-Darlenska Moira Taylor Roslyn Muirhead Marta P. Silvestre Anne Raben Mikael Fogelholm |
| author_facet | Elli Jalo Hanna Konttinen Margriet Westerterp-Plantenga Tanja Adam Mathijs Drummen Maija Huttunen-Lenz Pia Siig Vestentoft J. Alfredo Martinez Svetoslav Handjiev Ian Macdonald Jennie Brand-Miller Sally Poppitt Nils Swindell Tony Lam Santiago Navas-Carretero Teodora Handjieva-Darlenska Moira Taylor Roslyn Muirhead Marta P. Silvestre Anne Raben Mikael Fogelholm |
| author_sort | Elli Jalo |
| collection | DOAJ |
| description | Abstract Background To better support participants to achieve long-lasting results within interventions aiming for weight loss and maintenance, more information is needed about the maintenance of behavioral changes. Therefore, we examined whether perceived stress predicts the maintenance of changes in eating behavior (flexible and rigid restraint of eating, disinhibition, and hunger). Methods The present study was a secondary analysis of the PREVIEW intervention including participants with overweight (BMI ≥ 25 kg/m2) at baseline and high risk of type 2 diabetes (n = 1311). Intervention included a 2-month low-energy diet phase and a 34-month subsequent weight maintenance phase. The first 6 months were considered an active behavior change stage and the remaining 2.5 years were considered a behavior maintenance stage. Eating behavior was measured using the Three Factor Eating Questionnaire and stress using the Perceived Stress Scale. The associations between stress and eating behavior were analyzed using linear mixed effects models for repeated measurements. Results Perceived stress measured after the active behavior change stage (at 6 months) did not predict changes in eating behavior during the behavior maintenance stage. However, frequent high stress during this period was associated with greater lapse of improved flexible restraint (p = 0.026). The mean (SD) change in flexible restraint from 6 to 36 months was −1.1 (2.1) in participants with frequent stress and −0.7 (1.8) in participants without frequent stress (Cohen’s ds (95% CI) = 0.24 (0.04–0.43)). Higher perceived stress at 6 months was associated with less flexible restraint and more disinhibition and hunger throughout the behavior maintenance stage (all p < 0.001). Conclusions Perceived stress was associated with features of eating behavior that may impair successful weight loss maintenance. Future interventions should investigate, whether incorporating stress reduction techniques results in more effective treatment, particularly for participants experiencing a high stress level. |
| first_indexed | 2024-04-12T11:25:05Z |
| format | Article |
| id | doaj.art-1192046b77634117a416597a73898ea4 |
| institution | Directory Open Access Journal |
| issn | 2044-4052 |
| language | English |
| last_indexed | 2024-04-12T11:25:05Z |
| publishDate | 2022-11-01 |
| publisher | Nature Publishing Group |
| record_format | Article |
| series | Nutrition & Diabetes |
| spelling | doaj.art-1192046b77634117a416597a73898ea42022-12-22T03:35:15ZengNature Publishing GroupNutrition & Diabetes2044-40522022-11-011211810.1038/s41387-022-00224-0Perceived stress as a predictor of eating behavior during the 3-year PREVIEW lifestyle interventionElli Jalo0Hanna Konttinen1Margriet Westerterp-Plantenga2Tanja Adam3Mathijs Drummen4Maija Huttunen-Lenz5Pia Siig Vestentoft6J. Alfredo Martinez7Svetoslav Handjiev8Ian Macdonald9Jennie Brand-Miller10Sally Poppitt11Nils Swindell12Tony Lam13Santiago Navas-Carretero14Teodora Handjieva-Darlenska15Moira Taylor16Roslyn Muirhead17Marta P. Silvestre18Anne Raben19Mikael Fogelholm20Department of Food and Nutrition, University of HelsinkiDepartment of Food and Nutrition, University of HelsinkiDepartment of Nutrition and Movement Sciences, NUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht UniversityDepartment of Nutrition and Movement Sciences, NUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht UniversityDepartment of Nutrition and Movement Sciences, NUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht UniversityInstitute of Nursing Science, University of Education Schwäbisch Gmünd, SchwäbischDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of CopenhagenCentre for Nutrition Research, School of Pharmacy and Nutrition, University of Navarra, PamplonaDepartment of Pharmacology and Toxicology, Medical University of SofiaDivision of Physiology, Pharmacology and Neuroscience, School of Life Sciences, Queen’s Medical Centre, National Institute for Health Research (NIHR) Nottingham Biomedical Research CentreSchool of Life and Environmental Sciences and Charles Perkins Centre, University of SydneyHuman Nutrition Unit, School of Biological Sciences, Department of Medicine, University of AucklandApplied Sports Technology, Exercise, and Medicine (A-STEM) Research Centre, College of Engineering, Swansea UniversityNetUnion SARLCentre for Nutrition Research, School of Pharmacy and Nutrition, University of Navarra, PamplonaDepartment of Pharmacology and Toxicology, Medical University of SofiaDivision of Physiology, Pharmacology and Neuroscience, School of Life Sciences, Queen’s Medical Centre, National Institute for Health Research (NIHR) Nottingham Biomedical Research CentreMRC/ARUK Centre for Musculoskeletal Ageing Research, ARUK Centre for Sport, Exercise and Osteoarthritis, National Institute for Health Research (NIHR) Nottingham Biomedical Research CentreHuman Nutrition Unit, School of Biological Sciences, Department of Medicine, University of AucklandDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of CopenhagenDepartment of Food and Nutrition, University of HelsinkiAbstract Background To better support participants to achieve long-lasting results within interventions aiming for weight loss and maintenance, more information is needed about the maintenance of behavioral changes. Therefore, we examined whether perceived stress predicts the maintenance of changes in eating behavior (flexible and rigid restraint of eating, disinhibition, and hunger). Methods The present study was a secondary analysis of the PREVIEW intervention including participants with overweight (BMI ≥ 25 kg/m2) at baseline and high risk of type 2 diabetes (n = 1311). Intervention included a 2-month low-energy diet phase and a 34-month subsequent weight maintenance phase. The first 6 months were considered an active behavior change stage and the remaining 2.5 years were considered a behavior maintenance stage. Eating behavior was measured using the Three Factor Eating Questionnaire and stress using the Perceived Stress Scale. The associations between stress and eating behavior were analyzed using linear mixed effects models for repeated measurements. Results Perceived stress measured after the active behavior change stage (at 6 months) did not predict changes in eating behavior during the behavior maintenance stage. However, frequent high stress during this period was associated with greater lapse of improved flexible restraint (p = 0.026). The mean (SD) change in flexible restraint from 6 to 36 months was −1.1 (2.1) in participants with frequent stress and −0.7 (1.8) in participants without frequent stress (Cohen’s ds (95% CI) = 0.24 (0.04–0.43)). Higher perceived stress at 6 months was associated with less flexible restraint and more disinhibition and hunger throughout the behavior maintenance stage (all p < 0.001). Conclusions Perceived stress was associated with features of eating behavior that may impair successful weight loss maintenance. Future interventions should investigate, whether incorporating stress reduction techniques results in more effective treatment, particularly for participants experiencing a high stress level.https://doi.org/10.1038/s41387-022-00224-0 |
| spellingShingle | Elli Jalo Hanna Konttinen Margriet Westerterp-Plantenga Tanja Adam Mathijs Drummen Maija Huttunen-Lenz Pia Siig Vestentoft J. Alfredo Martinez Svetoslav Handjiev Ian Macdonald Jennie Brand-Miller Sally Poppitt Nils Swindell Tony Lam Santiago Navas-Carretero Teodora Handjieva-Darlenska Moira Taylor Roslyn Muirhead Marta P. Silvestre Anne Raben Mikael Fogelholm Perceived stress as a predictor of eating behavior during the 3-year PREVIEW lifestyle intervention Nutrition & Diabetes |
| title | Perceived stress as a predictor of eating behavior during the 3-year PREVIEW lifestyle intervention |
| title_full | Perceived stress as a predictor of eating behavior during the 3-year PREVIEW lifestyle intervention |
| title_fullStr | Perceived stress as a predictor of eating behavior during the 3-year PREVIEW lifestyle intervention |
| title_full_unstemmed | Perceived stress as a predictor of eating behavior during the 3-year PREVIEW lifestyle intervention |
| title_short | Perceived stress as a predictor of eating behavior during the 3-year PREVIEW lifestyle intervention |
| title_sort | perceived stress as a predictor of eating behavior during the 3 year preview lifestyle intervention |
| url | https://doi.org/10.1038/s41387-022-00224-0 |
| work_keys_str_mv | AT ellijalo perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT hannakonttinen perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT margrietwesterterpplantenga perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT tanjaadam perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT mathijsdrummen perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT maijahuttunenlenz perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT piasiigvestentoft perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT jalfredomartinez perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT svetoslavhandjiev perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT ianmacdonald perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT jenniebrandmiller perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT sallypoppitt perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT nilsswindell perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT tonylam perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT santiagonavascarretero perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT teodorahandjievadarlenska perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT moirataylor perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT roslynmuirhead perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT martapsilvestre perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT anneraben perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention AT mikaelfogelholm perceivedstressasapredictorofeatingbehaviorduringthe3yearpreviewlifestyleintervention |