Instrumentalization of Eating Improves Weight Loss Maintenance in Obesity

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 maintena...

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Main Authors: Bodil Just Christensen, Eva Winning Iepsen, Julie Lundgren, Lotte Holm, Sten Madsbad, Jens Juul Holst, Signe Sørensen Torekov
Format: Article
Language:English
Published: Karger Publishers 2017-12-01
Series:Obesity Facts
Subjects:
Online Access:https://www.karger.com/Article/FullText/481138
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author Bodil Just Christensen
Eva Winning Iepsen
Julie Lundgren
Lotte Holm
Sten Madsbad
Jens Juul Holst
Signe Sørensen Torekov
author_facet Bodil Just Christensen
Eva Winning Iepsen
Julie Lundgren
Lotte Holm
Sten Madsbad
Jens Juul Holst
Signe Sørensen Torekov
author_sort Bodil Just Christensen
collection DOAJ
description 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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spelling doaj.art-575ab4aca3b141049d853ae5989b01ec2022-12-22T00:00:51ZengKarger PublishersObesity Facts1662-40251662-40332017-12-0110663364710.1159/000481138481138Instrumentalization of Eating Improves Weight Loss Maintenance in ObesityBodil Just ChristensenEva Winning IepsenJulie LundgrenLotte HolmSten MadsbadJens Juul HolstSigne Sørensen TorekovAim: 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.https://www.karger.com/Article/FullText/481138ObesityBody weight maintenancePsychosocial aspectsInterviewsQuantificationQualitative research
spellingShingle Bodil Just Christensen
Eva Winning Iepsen
Julie Lundgren
Lotte Holm
Sten Madsbad
Jens Juul Holst
Signe Sørensen Torekov
Instrumentalization of Eating Improves Weight Loss Maintenance in Obesity
Obesity Facts
Obesity
Body weight maintenance
Psychosocial aspects
Interviews
Quantification
Qualitative research
title Instrumentalization of Eating Improves Weight Loss Maintenance in Obesity
title_full Instrumentalization of Eating Improves Weight Loss Maintenance in Obesity
title_fullStr Instrumentalization of Eating Improves Weight Loss Maintenance in Obesity
title_full_unstemmed Instrumentalization of Eating Improves Weight Loss Maintenance in Obesity
title_short Instrumentalization of Eating Improves Weight Loss Maintenance in Obesity
title_sort instrumentalization of eating improves weight loss maintenance in obesity
topic Obesity
Body weight maintenance
Psychosocial aspects
Interviews
Quantification
Qualitative research
url https://www.karger.com/Article/FullText/481138
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