A Healthier Retail Food Environment Around the Home is Associated with Longer Duration of Weight-Loss Maintenance Among Successful Weight-Loss Maintainers

Clynes, Sasha; Moran, Alyssa J.; Wolfson, Julia A.; Gudzune, Kimberly A.; Shields, Timothy; Cardel, Michelle; Foster, Gary D.; Phelan, Suzanne

doi:10.2139/ssrn.4308144

Cited by 2 publications

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“…A more unhealthy food environment among gainers may have triggered uncomfortable cravings and intrinsic drives to consume unhealthy foods that conflicted with their weight‐control goals [35], although gainers and maintainers did not significantly differ in the home food environment as measured in the current study. More detailed measures of the home food environment and assessment of the environment outside the home are warranted [36]. Interventions that promote an ability to tolerate uncomfortable internal reactions to food triggers have shown promising results for long‐term weight control [37].…”

Section: Discussionmentioning

confidence: 99%

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Behavioral, psychological, and environmental predictors of weight regain in a group of successful weight losers in a widely available weight‐management program

Phelan,

Cardel,

Lee

et al. 2023

Obesity

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ObjectiveThe aim of this study was to identify predictors of weight regain and continued weight maintenance among individuals already successful at long‐term weight loss in a widely available weight‐management program.MethodsParticipants were 2843 weight‐loss maintainers in WeightWatchers who had maintained weight loss ≥9.1 kg for ≥1 year (average 25.5 kg for 3.5 years; BMI = 26.7 kg/m2). Validated behavioral, psychosocial, and home environmental questionnaires were administered at study entry and 1 year later. Discriminant analysis identified variables that discriminated gainers (≥2.3‐kg gain) from maintainers (±2.3‐kg change).ResultsOver the 1 year of follow‐up, 43% were gainers (mean [SD], 7.2 [5.4] kg), and 57% were maintainers (0.4 [1.2] kg). Compared with maintainers, gainers were younger and had higher initial weight, more recent weight losses, and larger initial weight losses. Standardized canonical coefficients indicated that the 1‐year changes that most discriminated gainers from maintainers were greater decreases in the ability to accept uncomfortable food cravings, urges, and desires to overeat (0.232); self‐monitoring (0.166); body image (0.363); and body satisfaction (0.194) and greater increases in disinhibition (0.309) and bodily pain (0.147). The canonical correlation was 0.505 (p < 0.001).ConclusionsFuture interventions to prevent regain should consider targeting overeating in response to internal and external food cues and declines in self‐monitoring and body image.

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Section: Discussionmentioning

confidence: 99%

“…detailed measures of the home food environment and assessment of the environment outside the home are warranted [36]. Interventions that promote an ability to tolerate uncomfortable internal reactions to food triggers have shown promising results for long-term weight control [37].…”

Section: Multiple Discriminant Analysis Of Behavioral and Psychologic...mentioning

confidence: 99%

Behavioral, psychological, and environmental predictors of weight regain in a group of successful weight losers in a widely available weight‐management program

Phelan,

Cardel,

Lee

et al. 2023

Obesity

Self Cite

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“…It is likely that such factors are also involved in the success of WLM. Individuals living in unhealthier environments, defined as ratio of unhealthy (e.g., fast food retail stores) to healthy (e.g., grocery stores), report more difficulty managing weight loss and ultimately do not exhibit as much WLM success [80].…”

Section: The Built Environmentmentioning

confidence: 99%

New insights in the mechanisms of weight‐loss maintenance: Summary from a Pennington symposium

Flanagan,

Spann,

Berry

et al. 2023

Obesity

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Obesity is a chronic disease that affects more than 650 million adults worldwide. Obesity not only is a significant health concern on its own, but predisposes to cardiometabolic comorbidities, including coronary heart disease, dyslipidemia, hypertension, type 2 diabetes, and some cancers. Lifestyle interventions effectively promote weight loss of 5% to 10%, and pharmacological and surgical interventions even more, with some novel approved drugs inducing up to an average of 25% weight loss. Yet, maintaining weight loss over the long‐term remains extremely challenging, and subsequent weight gain is typical. The mechanisms underlying weight regain remain to be fully elucidated. The purpose of this Pennington Biomedical Scientific Symposium was to review and highlight the complex interplay between the physiological, behavioral, and environmental systems controlling energy intake and expenditure. Each of these contributions were further discussed in the context of weight‐loss maintenance, and systems‐level viewpoints were highlighted to interpret gaps in current approaches. The invited speakers built upon the science of obesity and weight loss to collectively propose future research directions that will aid in revealing the complicated mechanisms involved in the weight‐reduced state.

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A Healthier Retail Food Environment Around the Home is Associated with Longer Duration of Weight-Loss Maintenance Among Successful Weight-Loss Maintainers

Cited by 2 publications

References 0 publications

Behavioral, psychological, and environmental predictors of weight regain in a group of successful weight losers in a widely available weight‐management program

Behavioral, psychological, and environmental predictors of weight regain in a group of successful weight losers in a widely available weight‐management program

New insights in the mechanisms of weight‐loss maintenance: Summary from a Pennington symposium

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