Psychological Variables Associated with Weight Loss in Obese Patients Seeking Treatment at Medical Centers

Grave, Riccardo Dalle; Calugi, Simona; Corica, Francesco; Domizio, Silvia Di; Marchesini, Giulio

doi:10.1016/j.jada.2009.09.011

Cited by 73 publications

(70 citation statements)

References 53 publications

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“…Where interventions that focus on relaxation of restraint (a so-called 'undieting' approach) have been compared with those promoting restraint, the inclusion of restraint produces better weight loss results. [49][50][51][52] Longitudinal studies overwhelmingly show that increases in restraint over time are associated with greater weight loss, 45,[53][54][55] and also with better weight maintenance after weight loss. [56][57][58][59][60] Studies of long-term weight suppressors (people who have successfully maintained a weight loss) show that this group have high levels of restraint together with low levels of disinhibition 42,[61][62][63] and report vigilant self-monitoring of eating behaviors and weight.…”

Section: Widely Used Methods Of Measuring Dietary Restraint Confound mentioning

confidence: 99%

Dietary restraint and self-regulation in eating behavior

2011

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Self-control is generally viewed as highly desirable. In the eating behavior domain, however, the dominance of restraint theory has made the proposition that individuals should attempt to control their eating more controversial. This review discusses evidence from the dietary restraint literature and from studies of self-regulation processes to examine how far self-imposed control around food can be seen as beneficial for effective weight management. Epidemiological and field study evidence provides little support for the proposition that restrained eating causes disinhibited eating patterns. Restraint is often initiated as a response to weight gain, and the co-occurrence of disinhibited and restrained eating patterns on an individual level might better be explained by restraint acting as a marker for overeating tendencies. A sustained effort to monitor and control food intake characterizes successful long-term weight maintenance, suggesting that self-regulation in the eating domain is essential for those with a tendency to gain weight. Evidence from the literature on cognitive self-regulation suggests that there may be potential for people to learn to self-regulate better, both through training and controlled exposure techniques. Integration of the disparate theories of self-regulation is needed to identify the best ways of promoting self-regulation in order to support effective weight control, both in clinical and community settings.

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Section: Widely Used Methods Of Measuring Dietary Restraint Confound mentioning

confidence: 99%

Dietary restraint and self-regulation in eating behavior

2011

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“…Dalle et al reported that successful weight loss was associated with increased dietary restraint and reduced disinhibition in obese patients seeking weight-loss treatment [17] . However, uncontrolled and emotional eating at post-intervention did not predict weight regain.…”

Section: Discussionmentioning

confidence: 99%

Eating Behavior Associated With Weight Regain after Dietary Intervention in Obese Female

Sakane¹

2016

JDO

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The aim of this study was to test the association of eating behavior with weight loss and weight regain after dietary intervention in obese females. Twenty-nine obese females were included in this study. Eating behavior using the Three-Factor Eating Questionnaire (TFEQ), which measures uncontrolled eating, emotional eating, and cognitive restraint eating, was tested for its association with weight loss (baseline to 3 months) and weight regain (3 to 15 months). Uncontrolled and emotional eating at the baseline was associated with weight regain, although cognitive restraint eating was associated with weight loss. Information on eating behavior may help to identify people who require additional support to maintain a reduced body weight after dietary intervention in obese females.

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“…For example, short sleep has been identified as an obstacle to weight loss [31,32]. Furthermore, disinhibition, a behaviour trait associated with a general tendency to overeat, has been shown to be an obstacle to weight loss and weight loss maintenance [33][34][35]. And, despite some evidence showing dietary restraint to be associated with successful weight loss and weight loss maintenance [34][35][36][37], other evidence has associated it with weight gain in women [15,38].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, disinhibition, a behaviour trait associated with a general tendency to overeat, has been shown to be an obstacle to weight loss and weight loss maintenance [33][34][35]. And, despite some evidence showing dietary restraint to be associated with successful weight loss and weight loss maintenance [34][35][36][37], other evidence has associated it with weight gain in women [15,38]. More importantly, the two behaviour traits in concert have been shown to be a problematic eating style associated with dieting in adults [39]; dieting and higher body weight in adolescents [40,41], higher scores on eating disorder scales [39], higher energy intake during a negative affect condition [42] and during a pre-load manipulation [43].…”

Section: Discussionmentioning

confidence: 99%

Characteristics of individuals who report present and past weight loss behaviours: results from a Canadian university community

et al. 2013

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Purpose To characterise individuals who reported present and past weight loss behaviours on psycho-behavioural factors known to influence body weight, e.g. overeating, dietary restriction. Methods An online questionnaire was distributed to a university community. Questions pertaining to present weight loss, previous weight loss, eating behaviour tendencies, perceived stress and sleep quality were answered by 3,069 individuals. Body weight and height were selfreported. Results Present and past weight loss behaviours were prevalent in the sample, with 33.3 % of the participants who reported trying to lose weight, 33.1 % who reported having previously lost weight ([10 lbs), and 18.8 % who reported repeated weight loss behaviour (i.e. present and past weight loss behaviours). Trying to lose weight and previous weight loss were both independently associated with increased risk for psycho-behavioural characteristics known to be associated with obesity, e.g. overeating tendencies, perceived stress, short sleep duration. This risk was particularly elevated among the underweight/normalweight individuals who reported repeated weight loss behaviours. Indeed, adjusted odds ratios for reporting restrictive and overeating tendencies, perceived stress and short sleep for these individuals were significantly higher compared to their underweight/normal-weight peers who did not report repeated weight loss behaviours (adjusted odds ratios 4.7, 2.7, 1.8, and 1.8, respectively, p \ 0.01 to \0.0001). Conclusions Normal-weight individuals reporting weight loss behaviours are characterised by a psycho-behaviour profile which may further increase their risk of weight gain.

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Psychological Variables Associated with Weight Loss in Obese Patients Seeking Treatment at Medical Centers

Cited by 73 publications

References 53 publications

Dietary restraint and self-regulation in eating behavior

Dietary restraint and self-regulation in eating behavior

Eating Behavior Associated With Weight Regain after Dietary Intervention in Obese Female

Characteristics of individuals who report present and past weight loss behaviours: results from a Canadian university community

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