Mediators of relations of obesity treatment-associated changes in mood and weight: extending cross-sectional research

2021 ◽  
Author(s):  
James J Annesi
Keyword(s):  
Weight Loss ◽  
Weight Change ◽  
Emotional Eating ◽  
Eating Behaviors ◽  
Self Regulation ◽  
Mood Change ◽  
Cross Sectional ◽  
Regulation Change ◽  
Obesity Treatments ◽  
Mood Depression

Abstract Significant cross-sectional associations between mood and weight have been made in women; however, data on associated longitudinal effects and their psychological and behavioral mechanisms are required to inform obesity treatments that mostly have limited success beyond the very short term. Women participating in behavioral obesity treatments were assessed on psychological and behavioral measures, and weight change over 12 months. A treatment focused on physical activity and self-regulation (n = 67) had significantly better improvements than a treatment centered around weight-loss education (n = 64) on measures of mood (overall mood, depression, anxiety), self-regulation, emotional eating, eating behaviors, physical activity, and weight in women with obesity. Incorporating a lagged variable design, 12-month weight loss was significantly predicted (separately) by changes in overall negative mood, depression, and anxiety. When changes in measures of self-regulation, emotional eating, and eating behaviors were sequentially entered as mediators, mood change–weight change relationships were rendered non-significant. Significant mediation paths were: mood change→self-regulation change→weight change, and mood change→self-regulation change→eating behavior change→weight change. They were unaffected by the treatment group. Findings contributed to both theory and obesity intervention architectures via a design sensitive to the dynamic psychological and behavioral changes occurring within weight-loss processes.

scholarly journals Relationship of Weight-Related Eating Behaviors and Weight Loss of Participants Enrolled in a Proprietary Weight Loss Program

2020 ◽  
Vol 13 ◽  
pp. 117863882092841
Author(s):  
Megan Block ◽  
Kendra K Kattelmann ◽  
Jessica Meendering ◽  
Lacey McCormack
Keyword(s):  
Weight Loss ◽  
Emotional Eating ◽  
Eating Behaviors ◽  
Health Coaching ◽  
Weight Loss Program ◽  
Meal Replacement ◽  
Cross Sectional ◽  
Weight Loss Programs ◽  
Clinically Significant ◽  
The Relationship

Background: There is a need for improving long-term success in meal replacement programs and identifying the variables that affect weight loss and maintenance in a proprietary weight loss program that includes health coaching. Objective: The aim of this study is to evaluate weight-related eating behaviors of participants with clinically significant weight loss (CSWL) in a proprietary weight loss program. Study Design, Setting, and Participants: A cross-sectional sample of participants (n=1,454) enrolled in a proprietary weight-loss program that includes meal replacements and health coaching were queried via an on-line survey for weight-related eating behaviors and weight history. Main Outcome Measures and Analysis: Weight-related eating behaviors of routine restraint (RR), compensatory restraint (CR), susceptibility to external cues (SEC), and emotional eating (EE) were assessed using the Weight Related Eating Questionnaire. CSWL was defined as having achieved a weight loss greater than 10% of starting weight. Participants were dichotomized into those with CSWL (n=973) and with no CSWL (n=481). The relationship between CSWL (controlling for age and sex) as the dependent variable and weight-related eating behaviors (RR, CR, SEC, and EE) as the independent variables was assessed using logistic regression (Stata/SE 14). Results: Those with CSWL have higher odds of having RR (OR: 1.3, p<0.05) and CR (OR: 1.1, p<0.05) and lower odds of SEC (OR: 0.7, p<0.05) and EE (OR: 0.8, p<0.05) eating behaviors than those without CSWL. Conclusions: Weight-related eating behaviors of participants in proprietary meal replacement weight-loss programs who have successfully lost weight differ compared to those who have not. Knowledge of the relationship between CSWL and weight-related eating behaviors can be used by coaches to assist participants in reinforcing those behaviors that support weight-loss. These results are limited to participants who self-select for proprietary meal-replacement weight-loss programs and cannot be generalized to other weight-loss or maintenance programs.

scholarly journals Eating behaviors and weight loss outcomes in a 12-month randomized trial of diet and/or exercise intervention in postmenopausal women

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Caitlin Mason ◽  
Jean de Dieu Tapsoba ◽  
Catherine Duggan ◽  
Ching-Yun Wang ◽  
Catherine M. Alfano ◽  
...  
Keyword(s):  
Weight Loss ◽  
Binge Eating ◽  
Postmenopausal Women ◽  
Eating Behavior ◽  
Emotional Eating ◽  
Eating Behaviors ◽  
Dietary Intervention ◽  
Restrained Eating ◽  
Dietary Weight Loss ◽  
Uncontrolled Eating

Abstract Background Certain eating behaviors are common among women with obesity. Whether these behaviors influence outcomes in weight loss programs, and whether such programs affect eating behaviors, is unclear. Methods Our aim was to examine the effect of baseline eating behaviors on intervention adherence and weight among postmenopausal women with overweight or obesity, and to assess intervention effects on eating behaviors. Four hundred and 39 women (BMI ≥25 kg/m2) were randomized to 12 months of: i) dietary weight loss with a 10% weight loss goal (‘diet’; n = 118); ii) moderate-to-vigorous intensity aerobic exercise for 225 mins/week (‘exercise’; n = 117); iii) combined dietary weight loss and exercise (‘diet + exercise’; n = 117); or iv) no-lifestyle change control (n = 87). At baseline and 12 months, restrained eating, uncontrolled eating, emotional eating and binge eating were measured by questionnaire; weight and body composition were assessed. The mean change in eating behavior scores and weight between baseline and 12 months in the diet, exercise, and diet + exercise arms were each compared to controls using the generalized estimating equation (GEE) modification of linear regression adjusted for age, baseline BMI, and race/ethnicity. Results Baseline restrained eating was positively associated with change in total calories and calories from fat during the dietary intervention but not with other measures of adherence. Higher baseline restrained eating was associated with greater 12-month reductions in weight, waist circumference, body fat and lean mass. Women randomized to dietary intervention had significant reductions in binge eating (− 23.7%, p = 0.005 vs. control), uncontrolled eating (− 24.3%, p < 0.001 vs. control), and emotional eating (− 31.7%, p < 0.001 vs. control) scores, and a significant increase in restrained eating (+ 60.6%, p < 0.001 vs. control); women randomized to diet + exercise reported less uncontrolled eating (− 26.0%, p < 0.001 vs. control) and emotional eating (− 22.0%, p = 0.004 vs. control), and increased restrained eating (+ 41.4%, p < 0.001 vs. control). Women randomized to exercise alone had no significant change in eating behavior scores compared to controls. Conclusions A dietary weight loss intervention helped women modify eating behaviors. Future research should investigate optimal behavioral weight loss interventions for women with both disordered eating and obesity. Trial registration NCT00470119 (https://clinicaltrials.gov). Retrospectively registered May 7, 2007.

scholarly journals Music listening as a potential aid in reducing emotional eating: An exploratory study

2018 ◽  
Vol 24 (1) ◽  
pp. 78-95 ◽  
Author(s):  
Annemieke J. M. van den Tol ◽  
Helen Coulthard ◽  
Waldie E. Hanser
Keyword(s):  
Emotional Eating ◽  
Self Regulation ◽  
Music Listening ◽  
Emotional Needs ◽  
Mental Work ◽  
Regulation Strategies ◽  
Low Levels ◽  
Listening Strategies ◽  
The Brain ◽  
Mood Depression

Emotional Eating (EE) is understood as a maladaptive self-regulation strategy to satisfy emotional needs instead of hunger. Consequently, EE has been associated with negative health consequences. Enjoyment of food and music share similar neural activations in the brain and are both used by people for regulating affect. This suggests that music listening could potentially be a healthier alternative to EE. The present study was designed to investigate associations between EE, disordered mood, and music-related mood regulation. A total of 571 participants completed measures of EE, music listening strategies, and disordered mood. Associations between seven different music listening strategies and EE were examined, and also whether these regulation strategies were associated with depression, anxiety, and stress. Finally, we explored associations between music listening and EE in people with low and high (non-clinical) levels of disordered mood (depression, anxiety, and stress). The findings of this research indicated that music listening for discharge (releasing anger or sadness through music that expresses these same emotions) and EE were positively associated with one another. In addition, EE and the music listening strategies of entertainment, diversion or mental work were associated in people with low levels of disordered mood. When disordered mood was high, EE was higher, but was not associated with music listening strategies. These associations point towards the possibility of some music listening strategies being useful as healthier alternatives for EE.

scholarly journals Influence of Parental Mindful Eating Practices on Child Emotional Eating: A Systematic Review of the Literature

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 396-396
Author(s):  
Caroline Brantley ◽  
Linda Knol ◽  
Joy Douglas
Keyword(s):  
Systematic Review ◽  
Children And Adolescents ◽  
Emotional Eating ◽  
English Language ◽  
Eating Behaviors ◽  
Experimental Studies ◽  
Quality Data ◽  
Mindful Eating ◽  
Cross Sectional ◽  
Eating Practices

Abstract Objectives Parents and caregivers shape the social and environmental factors that influence a child's intake and eating behaviors. Parental feeding practices may lead to recurring emotional eating in the child. Mindful eating practices may decrease emotional eating behaviors in adults and adolescents. The purpose of this systematic review was to investigate the influence of parental mindful eating on emotional eating behaviors of their children and adolescents. A second purpose of this systematic review was to determine whether parental or child participation in a mindful eating intervention improves emotional eating among children. Methods This review (PROSPERO 168,265) was conducted utilizing EBSCOhost to search five databases. The search was limited to full-text, peer-reviewed studies in the English language from 2014–2020. Studies included must have evaluated parental mindful eating and child emotion- or stress-related eating. Studies were excluded if parents were not involved and mindful eating/feeding/or parenting and child emotional eating were not measured. Authors used standard Cochrane methodological procedures. The process identified seven studies. Results Among the four cross-sectional studies, parental mindful eating/feeding/parenting skills were either directly or indirectly related to decreased emotional eating in the child or adolescent. However, the effect was unclear among the experimental studies. Most of these studies were pilot feasibility studies. Measures of mindful and emotional eating differed across studies. Conclusions Parental mindful eating may improve emotional eating behaviors among children and adolescents. Randomized controlled trials are needed to evaluate parent mindful eating interventions on child and adolescent eating behaviors. Future trials need to use similar validated measures to ensure consistent quality data collection and allow for comparison of findings across studies. Funding Sources N/A.

scholarly journals Food reward sensitivity, impulsivity, and weight change during and after a 3-month weight loss program

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243530
Author(s):  
Kathryn M. Ross ◽  
Abraham Eastman ◽  
Umelo A. Ugwoaba ◽  
Kathryn E. Demos ◽  
Jason Lillis ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Change ◽  
Food Reward ◽  
Weight Loss Program ◽  
Reward Sensitivity ◽  
Initial Weight Loss ◽  
Cross Sectional ◽  
Mixed Effect ◽  
Management Interventions ◽  
Power Of Food Scale

Background Greater sensitivity to food rewards and higher levels of impulsivity (and an interaction between these variables, termed “reinforcement pathology”) have been associated with obesity in cross-sectional studies. Less is known regarding how these constructs may impact attempts at weight loss or longer-term weight loss maintenance. Methods We provided 75 adults (69%Female, 84%White, age = 50.8y, BMI = 31.2kg/m2) with a 3-month Internet-based weight loss program and assessed weight, food reward sensitivity (via the Power of Food Scale [PFS]), and impulsivity (via Go No-Go [GNG] and Delay Discounting [DD] computer tasks) at baseline and at Months 3, 6, 9, and 12. No additional intervention was provided Months 3–12. Multi-level mixed-effect models were used to examine changes in PFS, GNG, and DD over time and associations between these measures and weight loss/regain. Results Participants lost 6.0±1.1kg Months 0–3 and regained 2.4±1.1kg Months 3–12. Across time points, higher PFS scores were associated with higher weight, p = .007; however, there were no significant associations between GNG or DD and weight nor between the interactions of PFS and GNG or DD and weight, ps>.05. There were significant decreases from Months 0–3 in PFS, GNG, and DD, ps < .05; however, neither baseline values nor changes were significantly associated with weight change and there were no significant associations between the interactions of PFS and GNG or DD and weight change, ps>.05. Conclusion Results demonstrated an association between food reward sensitivity and weight. Further, decreases in both food reward sensitivity and impulsivity were observed during an initial weight loss program, but neither baseline levels nor improvements were associated with weight change. Taken together, results suggest that the constructs of food reward sensitivity, impulsivity, and reinforcement pathology may have limited clinical utility within behavioral weight management interventions. Future intervention studies should examine whether food-related impulsivity tasks lead to a similar pattern of results.

scholarly journals Intuitive eating is associated with weight loss after bariatric surgery in women

2019 ◽  
Vol 110 (1) ◽  
pp. 10-15
Author(s):  
Muriel Nogué ◽  
Erika Nogué ◽  
Nicolas Molinari ◽  
Valérie Macioce ◽  
Antoine Avignon ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Eating Behaviors ◽  
Cross Sectional Study ◽  
Therapeutic Education ◽  
Intuitive Eating ◽  
Postoperative Phase ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
The Mean

ABSTRACT Background Although the data on eating behavior after bariatric surgery are substantial, data on “intuitive eating” are lacking. Objective The aim of this study was to evaluate the link between intuitive eating and weight loss after bariatric surgery. Methods This cross-sectional study used a self-administered questionnaire freely available on social networks and targeted women who had undergone bariatric surgery. Intuitive eating was evaluated with the Intuitive Eating Scale-2 (IES-2). The 3 questionnaire subscores (Eating for Physical Rather than Emotional Reasons, Reliance on Hunger and Satiety Cues, and Unconditional Permission to Eat) were also analyzed. The relation between IES-2 scores and the relative variation in body mass index [BMI (in kg/m2)] was assessed with linear regression models. Adjusted β (βAdj) and standardized β $( {{\rm{\beta }}_{{\rm{Adj}}}^{{\rm{STD}}}} )$ were reported. Results We analyzed the responses of 401 women with a mean age of 39 ± 11 y, a mean preoperative BMI of 45.5 ± 7.9, and a mean current BMI of 30.5 ± 7. The mean relative BMI loss was 32.7 ± 12.9%, and the mean IES-2 score was 3.3 ± 0.6. The total IES-2 score was associated with the relative BMI loss, with ∼2.6% BMI loss for each 1-point increase in the IES-2 score [PAdj = 0.007; βAdj = −2.57 (95% CI: −4.44, −0.70); ${\rm{\beta }}_{{\rm{Adj}}}^{{\rm{STD}}}$= −0.12] after adjusting for elapsed time since surgery and type of surgery. Eating for Physical Rather than Emotional Reasons was the subscore most strongly associated with BMI change after adjustment [PAdj = 0.002; βAdj = −2.08 (95% CI: −3.37, 0.79); ${\rm{\beta }}_{{\rm{Adj}}}^{{\rm{STD}}}$ = −0.14]. Conclusions This study highlights a significant association between intuitive eating and BMI decrease after bariatric surgery. Furthermore, eating behaviors changed with increasing time since surgery. An intuitive nutritional approach may be complementary with bariatric surgery in the postoperative phase, which should prompt complementary prospective studies to evaluate the effectiveness of therapeutic education programs centered on intuitive eating in the postoperative period.

scholarly journals Obesity Related Eating Behaviors and Weight Loss Maintenance.

2021 ◽  
Author(s):  
Yiannis Koutras ◽  
Stavri Chrysostomou ◽  
Konstantinos Giannakou ◽  
Mary Yannakoulia
Keyword(s):  
Weight Loss ◽  
Eating Behavior ◽  
Eating Behaviors ◽  
Weight Loss Maintenance ◽  
Cross Sectional ◽  
Intentional Weight Loss ◽  
Logistic Regression Models ◽  
Healthy Eating Behavior ◽  
Successful Weight Loss ◽  
Behavior Index

Abstract Background: This study examined the differences between maintainers and regainers regarding obesity related eating behaviors. A secondary objective was to develop an eating behavior index predicting the likelihood of successful weight loss maintenance. Methods: The current cross-sectional evaluation was based on the Cypriot cohort of the MedWeight study (Greece). Eligible participants (maintainers=145; regainers=87) were adult men and women who reported being at least overweight (BMI ≥25 kg/m²) and experienced an intentional weight loss of ≥10% of their maximum weight, at least 1 year before participation. Among other assessments, obesity-related behaviors were evaluated through a Healthy Eating Behavior Index (HEBI). Results: Statistically significant differences between the two groups were observed regarding meals per day (P=0.008), frequency of eating home cooked meals (P=0.004) and HEBI total score (P=0.022). Results from logistic regression models indicated that the odds of maintaining weight loss increase at 23% (Model 1: P<0.05, OR 1.230, 1.062-1.424 95% C.I., Model 2: P<0.05, OR 1.233, 1.064-1.428 95% C.I.) and to almost 30% after adjusting for physical activity (Model 3: P<0.05, OR 1.293, 1.077-1.552 95% C.I.) for each point scored in HEBI total score. Conclusions: Eating more frequently home cooked meals and less eating away from home meals may be beneficially associated with weight loss maintenance. HEBI seems as a useful tool when dealing with patients who have previously lost significant weight.

scholarly journals Longitudinal Associations between Emotion Regulation and Adiposity in Late Adolescence: Indirect Effects through Eating Behaviors

Nutrients ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 517 ◽  
Author(s):  
Lenka Shriver ◽  
Jessica Dollar ◽  
Meg Lawless ◽  
Susan Calkins ◽  
Susan Keane ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Indirect Effects ◽  
Emotional Eating ◽  
Eating Behaviors ◽  
Dietary Restraint ◽  
Self Regulation ◽  
Body Composition Assessment ◽  
Unhealthy Eating ◽  
Prevalence Of Obesity

The prevalence of obesity among U.S. youth continues to increase, with many adolescents engaging in unhealthy eating behaviors. Increasingly, research points to the role of self-regulation in obesity development, yet existing work has largely focused on young children and/or clinical adult populations. This multi-method longitudinal study (N = 153) utilized a path analysis to delineate links between emotion regulation (age 15), emotional eating and dietary restraint (age 16), and adiposity (% body fat) using a BodPod for body composition assessment (age 19). Emotion regulation was negatively associated with emotional eating (β = −0.30, p < 0.001) and positively associated with dietary restraint (β = 0.15, p < 0.05) at age 16, but was not associated with age 19 adiposity (β = −0.01, p = ns). Emotional eating was positively associated with adiposity (β = 0.24, p < 0.01). Indirect effects suggested that emotional eating, but not dietary restraint, at age 16 serves as a mechanism that helps explain the associations between emotion regulation and adiposity four years later. Results from this study suggest that both emotion regulation and emotional eating represent promising targets for that should be included in future interventions aimed at preventing adolescent obesity.

Effect of HIIT versus MICT on body composition and energy intake in dietary restrained and unrestrained adolescents with obesity

2020 ◽  
Vol 45 (4) ◽  
pp. 437-445 ◽  
Author(s):  
Maud Miguet ◽  
Nicole S. Fearnbach ◽  
Lore Metz ◽  
Marwa Khammassi ◽  
Valérie Julian ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Composition ◽  
Energy Intake ◽  
Emotional Eating ◽  
Eating Behaviors ◽  
Moderate Intensity ◽  
Continuous Training ◽  
Ad Libitum ◽  
Unrestrained Eaters ◽  
The Impact

High-intensity interval training (HIIT) has been suggested as an effective alternative to traditional moderate-intensity continuous training (MICT) that can yield improvements in a variety of health outcomes. Yet, despite the urgent need to find effective strategies for the treatment of pediatric obesity, only a few studies have addressed the impact of HIIT on eating behaviors and body composition in this population. This study aimed to compare the effect of HIIT versus MICT on eating behaviors in adolescents with obesity and to assess if the participants’ baseline dietary status is associated with the success of the intervention. Forty-three adolescents with obesity were randomly assigned to a 16-week MICT or HIIT intervention. Body composition and 24-h ad libitum energy intake were assessed at baseline and at the end of the program. Restrained eating, emotional eating, and external eating were assessed using the Dutch Eating Behavior Questionnaire at baseline. Both interventions led to significant weight, body mass index (BMI), and fat mass percentage (FM%) reductions, with better improvements in FM% in the HIIT group; whereas 24-h ad libitum energy intake increased to a similar extent in both groups. HIIT provides better body composition improvements over MICT, despite a similar increase in energy intake. Restrained eaters experienced less weight loss and smaller BMI reduction compared with unrestrained eaters; higher baseline cognitively restrained adolescents showed a greater increase of their ad libitum energy intake. Novelty HIIT favors better body composition improvements compared with MICT. Both MICT and HIIT increased ad libitum energy intake in adolescents with obesity. Weight loss achievement is better among unrestrained eaters.

Sign in / Sign up

Export Citation Format

Share Document