The H2020 “NoHoW Project”: A Position Statement on Behavioural Approaches to Longer-Term Weight Management
There is substantial evidence documenting the effects of behavioural interventions on weight loss (WL). However, behavioural approaches to initial WL are followed by some degree of longer-term weight regain, and large trials focusing on evidence-based approaches to weight loss maintenance (WLM) have...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2021-03-01
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| Series: | Obesity Facts |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/513042 |
| _version_ | 1818933185347584000 |
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| author | R. James Stubbs Cristiana Duarte Ruairi O’Driscoll Jake Turicchi Dominika Kwasnicka Falko F. Sniehotta Marta M. Marques Graham Horgan Sofus Larsen António Palmeira Inês Santos Pedro J. Teixeira Jason Halford Berit Lilienthal Heitmann |
| author_facet | R. James Stubbs Cristiana Duarte Ruairi O’Driscoll Jake Turicchi Dominika Kwasnicka Falko F. Sniehotta Marta M. Marques Graham Horgan Sofus Larsen António Palmeira Inês Santos Pedro J. Teixeira Jason Halford Berit Lilienthal Heitmann |
| author_sort | R. James Stubbs |
| collection | DOAJ |
| description | There is substantial evidence documenting the effects of behavioural interventions on weight loss (WL). However, behavioural approaches to initial WL are followed by some degree of longer-term weight regain, and large trials focusing on evidence-based approaches to weight loss maintenance (WLM) have generally only demonstrated small beneficial effects. The current state-of-the-art in behavioural interventions for WL and WLM raises questions of (i) how we define the relationship between WL and WLM, (ii) how energy balance (EB) systems respond to WL and influence behaviours that primarily drive weight regain, (iii) how intervention content, mode of delivery and intensity should be targeted to keep weight off, (iv) which mechanisms of action in complex interventions may prevent weight regain and (v) how to design studies and interventions to maximise effective longer-term weight management. In considering these issues a writing team within the NoHoW Consortium was convened to elaborate a position statement, and behaviour change and obesity experts were invited to discuss these positions and to refine them. At present the evidence suggests that developing the skills to self-manage EB behaviours leads to more effective WLM. However, the effects of behaviour change interventions for WL and WLM are still relatively modest and our understanding of the factors that disrupt and undermine self-management of eating and physical activity is limited. These factors include physiological resistance to weight loss, gradual compensatory changes in eating and physical activity and reactive processes related to stress, emotions, rewards and desires that meet psychological needs. Better matching of evidence-based intervention content to quantitatively tracked EB behaviours and the specific needs of individuals may improve outcomes. Improving objective longitudinal tracking of energy intake and energy expenditure over time would provide a quantitative framework in which to understand the dynamics of behaviour change, mechanisms of action of behaviour change interventions and user engagement with intervention components to potentially improve weight management intervention design and evaluation. |
| first_indexed | 2024-12-20T04:44:22Z |
| format | Article |
| id | doaj.art-e97d82544ae44958ba7584afe63cb055 |
| institution | Directory Open Access Journal |
| issn | 1662-4025 1662-4033 |
| language | English |
| last_indexed | 2024-12-20T04:44:22Z |
| publishDate | 2021-03-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Obesity Facts |
| spelling | doaj.art-e97d82544ae44958ba7584afe63cb0552022-12-21T19:53:03ZengKarger PublishersObesity Facts1662-40251662-40332021-03-0111310.1159/000513042513042The H2020 “NoHoW Project”: A Position Statement on Behavioural Approaches to Longer-Term Weight ManagementR. James StubbsCristiana DuarteRuairi O’DriscollJake TuricchiDominika KwasnickaFalko F. SniehottaMarta M. MarquesGraham HorganSofus LarsenAntónio PalmeiraInês SantosPedro J. TeixeiraJason HalfordBerit Lilienthal HeitmannThere is substantial evidence documenting the effects of behavioural interventions on weight loss (WL). However, behavioural approaches to initial WL are followed by some degree of longer-term weight regain, and large trials focusing on evidence-based approaches to weight loss maintenance (WLM) have generally only demonstrated small beneficial effects. The current state-of-the-art in behavioural interventions for WL and WLM raises questions of (i) how we define the relationship between WL and WLM, (ii) how energy balance (EB) systems respond to WL and influence behaviours that primarily drive weight regain, (iii) how intervention content, mode of delivery and intensity should be targeted to keep weight off, (iv) which mechanisms of action in complex interventions may prevent weight regain and (v) how to design studies and interventions to maximise effective longer-term weight management. In considering these issues a writing team within the NoHoW Consortium was convened to elaborate a position statement, and behaviour change and obesity experts were invited to discuss these positions and to refine them. At present the evidence suggests that developing the skills to self-manage EB behaviours leads to more effective WLM. However, the effects of behaviour change interventions for WL and WLM are still relatively modest and our understanding of the factors that disrupt and undermine self-management of eating and physical activity is limited. These factors include physiological resistance to weight loss, gradual compensatory changes in eating and physical activity and reactive processes related to stress, emotions, rewards and desires that meet psychological needs. Better matching of evidence-based intervention content to quantitatively tracked EB behaviours and the specific needs of individuals may improve outcomes. Improving objective longitudinal tracking of energy intake and energy expenditure over time would provide a quantitative framework in which to understand the dynamics of behaviour change, mechanisms of action of behaviour change interventions and user engagement with intervention components to potentially improve weight management intervention design and evaluation.https://www.karger.com/Article/FullText/513042behaviour changeenergy balanceweight lossweight loss maintenance |
| spellingShingle | R. James Stubbs Cristiana Duarte Ruairi O’Driscoll Jake Turicchi Dominika Kwasnicka Falko F. Sniehotta Marta M. Marques Graham Horgan Sofus Larsen António Palmeira Inês Santos Pedro J. Teixeira Jason Halford Berit Lilienthal Heitmann The H2020 “NoHoW Project”: A Position Statement on Behavioural Approaches to Longer-Term Weight Management Obesity Facts behaviour change energy balance weight loss weight loss maintenance |
| title | The H2020 “NoHoW Project”: A Position Statement on Behavioural Approaches to Longer-Term Weight Management |
| title_full | The H2020 “NoHoW Project”: A Position Statement on Behavioural Approaches to Longer-Term Weight Management |
| title_fullStr | The H2020 “NoHoW Project”: A Position Statement on Behavioural Approaches to Longer-Term Weight Management |
| title_full_unstemmed | The H2020 “NoHoW Project”: A Position Statement on Behavioural Approaches to Longer-Term Weight Management |
| title_short | The H2020 “NoHoW Project”: A Position Statement on Behavioural Approaches to Longer-Term Weight Management |
| title_sort | h2020 nohow project a position statement on behavioural approaches to longer term weight management |
| topic | behaviour change energy balance weight loss weight loss maintenance |
| url | https://www.karger.com/Article/FullText/513042 |
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