Sitting Time, Type, and Context Among Long‐Term Weight‐Loss Maintainers

Roake, James; Phelan, Suzanne; Alarcon, Noemi; Keadle, Sarah Kozey; Rethorst, Chad D.; Foster, Gary D.

doi:10.1002/oby.23148

Cited by 11 publications

(16 citation statements)

References 42 publications

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“…Standard behavior modification strategies for weight loss have consistently included goal setting, self-monitoring, stimulus control, contingency management, problem solving, thought restructuring, social support, and stress management ( 77 ). Self-monitoring remains a core component in obesity treatment and the necessary strategies for weight maintenance are measuring body weight consistently, tracking food intake, and tracking activity level ( 78 , 79 ).…”

Section: Enhanced Behavioral Strategies For Driven Overeatingmentioning

confidence: 99%

“…Inquiring about what postbariatric surgery patients’ current habit strengths are, such as taking vitamins, staying hydrated, focusing on protein intake, or using a sit-to-stand desk at work may help regain focus and build confidence for adding additional weight maintenance behaviors. Regarding physical activity level, weight loss maintainers (BMI 27.6) reduced their sedentary behavior (i.e., sitting or lying down) and spent three more hours per day engaged in light- or moderate-intensity activities (i.e., walking, taking stairs) compared to weight-stable individuals who had obesity (BMI 38.9; total energy expenditure of 1,835 kcal/week vs. 785 kcals per week, respectively) ( 79 ). Therefore, reducing sedentary behavior and increasing light activity during leisure time may be a helpful strategy for maintaining weight loss, particularly for postbariatric patients who have low levels of activity and/or dislike engaging in higher intensity physical activities.…”

Section: Enhanced Behavioral Strategies For Driven Overeatingmentioning

confidence: 99%

“…For instance, focusing only on the negative aspects, having a general dislike of physical activity, or discounting efforts that fall short of personal goals were described as stressful and anxiety-provoking. Reminding patients that while goal setting around reaching a certain frequency, intensity, or time of physical activity is useful, there are other meaningful ways to incorporate activity, like focusing on reducing sedentary behavior during leisure time and increasing light activity throughout the day ( 79 , 99 ). For patients who have sedentary work lives (e.g., telework), discussing strategies to limit or break up time spent sitting can be beneficial.…”

Section: Enhanced Behavioral Strategies For Driven Overeatingmentioning

confidence: 99%

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Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery

2022

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Weight regain after bariatric surgery is associated with problematic eating behaviors that have either recurred after a period of improvement or are new-onset behaviors. Problematic eating behaviors after bariatric surgery have been conceptualized in different ways in the literature, such as having a food addiction and experiencing a loss of control of eating. The intersection of these constructs appears to be driven overeating defined as patients’ experiences of reduced control of their eating which results in overeating behavior. The purpose of this review is to define patient experiences of driven overeating through the behavioral expression of emotion-based eating, reward-based eating, and executive functioning deficits—namely impulsivity—which is associated with weight regain after having bariatric surgery. Delineating concepts in this way and determining treatment strategies accordingly may reduce distress related to the inevitable return of increased hunger, cravings, portion sizes, and tolerance for highly palatable foods after surgery. Along with standard behavioral weight maintenance strategies, topics including acceptance, motivation, emotion-based eating, reward-based/impulsive eating, physical activity, and self-compassion are discussed. These concepts have been adapted for patients experiencing weight regain after having bariatric surgery and may be particularly helpful in attenuating driven overeating and weight regain.

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Section: Enhanced Behavioral Strategies For Driven Overeatingmentioning

confidence: 99%

Section: Enhanced Behavioral Strategies For Driven Overeatingmentioning

confidence: 99%

Section: Enhanced Behavioral Strategies For Driven Overeatingmentioning

confidence: 99%

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Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery

2022

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“…The WW Success Registry (WWSR) is an observational study of individuals who have lost weight in the WW International, Inc. program and were successful at longterm (≥1 year) maintenance of substantial (≥9.1 kg) weight loss. 1,13,14 In this cross-sectional study, long-term WLM following the weight management program (WW) are compared with weight stable individuals with obesity ("controls") to distinguish the factors associated with successful maintenance of weight loss.…”

Section: Designmentioning

confidence: 99%

Factors associated with food choice among long‐term weight loss maintainers

Young

Phelan

Alarcon

et al. 2021

J Human Nutrition Diet

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Background The present study aimed to examine motivations for food choice among long‐term weight loss maintainers (WLM) in a widely used commercial weight management program. Methods A cross‐sectional study was employed where determinants of food choice were measured in the USA using validated scales: Food Choice Questionnaire, Consideration of Future Consequences, and Eating in the Absence of Hunger. Participants were 3806 WLM following a commercial weight management program (WW International, Inc.) who had maintained a weight loss ≥ 9.1 kg (mean 24.7 kg) for 3.3 years and had a body mass index (BMI) of 27.6 kg m2. A control group of weight stable individuals with obesity (controls; n = 519) had a BMI of 38.9 kg m2 and a weight change < 2.3 kg over the previous 5 years. Results WLM vs. controls made food decisions more based on health (18.9 vs. 16.3; ηp2 = 0.052) and weight control (9.9 vs. 7.5; ηp2 = 0.16) and less based on price (8.4 vs. 9.1; ηp2 = 0.10). WLM also scored higher than controls with respect to considering future consequences of behaviours (44.3 vs. 38.4; ηp2 = 0.060) and reported less external eating in the absence of hunger (7.1 vs. 7.5; ηp2 = 0.058). Standard canonical coefficients indicated that making food choices based on weight (0.717) with less value placed on price (−0.33) and greater consideration of future consequences (0.262) contributed independently and most (overall r = 0.593; p = 0.0001) to discriminating WLM from controls. Conclusions In a widely used commercial weight management program, successful WLM reported food decisions based more on weight and less on price and considered future consequences of current behaviours.

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“…Research of weight‐loss maintainers from the WW International, Inc., (formerly Weight Watchers) Success Registry (WWSR), the National Weight Control Registry, and the German and Portuguese Weight Control Registries have characterized factors that allow some people to succeed at long‐term weight‐loss maintenance ( 4 , 5 , 6 , 7 ). Among the modifiable factors are eating a lower‐calorie diet, engaging in high levels of physical activity, frequent self‐monitoring, problem solving, setting daily intake goals, limiting sitting time, and keeping low‐calorie foods accessible ( 6 , 8 , 9 , 10 ). Psychological strategies include cognitive restraint ( 11 ) and frequent practice of healthy coping skills such as “thinking about past successes” and “remaining positive in the face of weight regain” ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

In their own words: Topic analysis of the motivations and strategies of over 6,000 long‐term weight‐loss maintainers

Phelan

Roake

Alarcon

et al. 2022

Obesity

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Objective This study aimed to identify major themes of a large cohort experiencing long‐term weight‐loss maintenance who answered open‐ended questions about weight‐loss triggers, current motivations, strategies, and experiences. Methods Machine learning and topic modeling were used to analyze responses to six open‐ended questions among 6,139 WW International, Inc., (formerly Weight Watchers) members with weight‐loss maintenance; inclusion criteria included ≥9.1‐kg loss with weight‐loss maintenance for ≥1 year. Results Participants (mean age = 53.6 years; 94.3% White; mean BMI = 27.8 kg/m2) had lost 24.5 kg and maintained the loss for 3.4 years. Descriptions of factors triggering weight loss coalesced into five topics: medical status, appearance, mobility, social prompts, and change needed. Factors currently motivating weight‐loss maintenance yielded two topics: looking back at experiences at higher weight and health/appearance concerns. Advice for others to succeed in weight‐loss maintenance coalesced on two recommendations: perseverance in the face of setbacks and consistency in tracking. Rewards for weight management included improved confidence, pain, mobility, fitness, body image, medical status, and affect. Two thematic negative consequences were clothing costs and sagging skin. Conclusions Future weight‐maintenance research should include more diverse populations and investigate weight‐loss maintenance as a journey with highs and lows, perseverance in the face of setbacks, sustained tracking, and making changes in medical status more salient during the weight‐maintenance journey.

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Sitting Time, Type, and Context Among Long‐Term Weight‐Loss Maintainers

Cited by 11 publications

References 42 publications

Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery

Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery

Factors associated with food choice among long‐term weight loss maintainers

In their own words: Topic analysis of the motivations and strategies of over 6,000 long‐term weight‐loss maintainers

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