Perceived stress as a predictor of eating behavior during the 3-year PREVIEW lifestyle intervention.


Journal

Nutrition & diabetes
ISSN: 2044-4052
Titre abrégé: Nutr Diabetes
Pays: England
ID NLM: 101566341

Informations de publication

Date de publication:
05 11 2022
Historique:
received: 12 11 2021
accepted: 18 10 2022
revised: 12 10 2022
pubmed: 6 11 2022
medline: 9 11 2022
entrez: 6 11 2022
Statut: epublish

Résumé

To better support participants to achieve long-lasting results within interventions aiming for weight loss and maintenance, more information is needed about the maintenance of behavioral changes. Therefore, we examined whether perceived stress predicts the maintenance of changes in eating behavior (flexible and rigid restraint of eating, disinhibition, and hunger). The present study was a secondary analysis of the PREVIEW intervention including participants with overweight (BMI ≥ 25 kg/m Perceived stress measured after the active behavior change stage (at 6 months) did not predict changes in eating behavior during the behavior maintenance stage. However, frequent high stress during this period was associated with greater lapse of improved flexible restraint (p = 0.026). The mean (SD) change in flexible restraint from 6 to 36 months was -1.1 (2.1) in participants with frequent stress and -0.7 (1.8) in participants without frequent stress (Cohen's d Perceived stress was associated with features of eating behavior that may impair successful weight loss maintenance. Future interventions should investigate, whether incorporating stress reduction techniques results in more effective treatment, particularly for participants experiencing a high stress level.

Sections du résumé

BACKGROUND
To better support participants to achieve long-lasting results within interventions aiming for weight loss and maintenance, more information is needed about the maintenance of behavioral changes. Therefore, we examined whether perceived stress predicts the maintenance of changes in eating behavior (flexible and rigid restraint of eating, disinhibition, and hunger).
METHODS
The present study was a secondary analysis of the PREVIEW intervention including participants with overweight (BMI ≥ 25 kg/m
RESULTS
Perceived stress measured after the active behavior change stage (at 6 months) did not predict changes in eating behavior during the behavior maintenance stage. However, frequent high stress during this period was associated with greater lapse of improved flexible restraint (p = 0.026). The mean (SD) change in flexible restraint from 6 to 36 months was -1.1 (2.1) in participants with frequent stress and -0.7 (1.8) in participants without frequent stress (Cohen's d
CONCLUSIONS
Perceived stress was associated with features of eating behavior that may impair successful weight loss maintenance. Future interventions should investigate, whether incorporating stress reduction techniques results in more effective treatment, particularly for participants experiencing a high stress level.

Identifiants

pubmed: 36335092
doi: 10.1038/s41387-022-00224-0
pii: 10.1038/s41387-022-00224-0
pmc: PMC9637180
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

47

Subventions

Organisme : Department of Health
Pays : United Kingdom

Informations de copyright

© 2022. The Author(s).

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Auteurs

Elli Jalo (E)

Department of Food and Nutrition, University of Helsinki, Helsinki, Finland. elli.jalo@helsinki.fi.

Hanna Konttinen (H)

Department of Food and Nutrition, University of Helsinki, Helsinki, Finland.
Faculty of Social Sciences, University of Helsinki, Helsinki, Finland.

Margriet Westerterp-Plantenga (M)

Department of Nutrition and Movement Sciences, NUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.

Tanja Adam (T)

Department of Nutrition and Movement Sciences, NUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.

Mathijs Drummen (M)

Department of Nutrition and Movement Sciences, NUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.

Maija Huttunen-Lenz (M)

Institute of Nursing Science, University of Education Schwäbisch Gmünd, Schwäbisch, Gmünd, Germany.

Pia Siig Vestentoft (P)

Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Frederiksberg, Denmark.

J Alfredo Martinez (JA)

Centre for Nutrition Research, School of Pharmacy and Nutrition, University of Navarra, Pamplona, Navarra, Spain.
Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.
IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Navarra, Spain.
Precision Nutrition and Cardiometabolic Health Program. IMDEA-Food Institute (Madrid Institute for Advanced Studies), CEI UAM + CSIC, Madrid, Spain.

Svetoslav Handjiev (S)

Department of Pharmacology and Toxicology, Medical University of Sofia, Sofia, Bulgaria.

Ian Macdonald (I)

Division of Physiology, Pharmacology and Neuroscience, School of Life Sciences, Queen's Medical Centre, National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK.
MRC/ARUK Centre for Musculoskeletal Ageing Research, ARUK Centre for Sport, Exercise and Osteoarthritis, National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK.

Jennie Brand-Miller (J)

School of Life and Environmental Sciences and Charles Perkins Centre, University of Sydney, Sydney, NSW, Australia.

Sally Poppitt (S)

Human Nutrition Unit, School of Biological Sciences, Department of Medicine, University of Auckland, Auckland, New Zealand.

Nils Swindell (N)

Applied Sports Technology, Exercise, and Medicine (A-STEM) Research Centre, College of Engineering, Swansea University, Swansea, UK.

Tony Lam (T)

NetUnion SARL, Lausanne, Switzerland.

Santiago Navas-Carretero (S)

Centre for Nutrition Research, School of Pharmacy and Nutrition, University of Navarra, Pamplona, Navarra, Spain.
Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.
IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Navarra, Spain.

Teodora Handjieva-Darlenska (T)

Department of Pharmacology and Toxicology, Medical University of Sofia, Sofia, Bulgaria.

Moira Taylor (M)

Division of Physiology, Pharmacology and Neuroscience, School of Life Sciences, Queen's Medical Centre, National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK.

Roslyn Muirhead (R)

MRC/ARUK Centre for Musculoskeletal Ageing Research, ARUK Centre for Sport, Exercise and Osteoarthritis, National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK.

Marta P Silvestre (MP)

Human Nutrition Unit, School of Biological Sciences, Department of Medicine, University of Auckland, Auckland, New Zealand.
Centro de Investigaçao em Tecnologias e Serciços de Saûde (CINTESIS), NOVA Medical School, NOVA University of Lisbon, Lisbon, Portugal.

Anne Raben (A)

Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Frederiksberg, Denmark.
Steno Diabetes Center Copenhagen, Gentofte, Denmark.

Mikael Fogelholm (M)

Department of Food and Nutrition, University of Helsinki, Helsinki, Finland.

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