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Obes Facts. 2017;10(6):633-647. doi: 10.1159/000481138. Epub 2017 Dec 6.

Instrumentalization of Eating Improves Weight Loss Maintenance in Obesity.

Author information

1
Institute of Food and Resource Economics, University of Copenhagen, Copenhagen, Denmark.

Abstract

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.

KEYWORDS:

Body weight maintenance; Interviews; Obesity; Psychosocial aspects; Qualitative research; Quantification

PMID:
29207396
PMCID:
PMC5836264
DOI:
10.1159/000481138
[Indexed for MEDLINE]
Free PMC Article

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