Accuracy of weight status perception related to weight loss stage of change among medically underserved adults

Background: Despite evidence that emotional eating is associated with weight gain in adults, less is known about this association in adolescents. The purpose of the current study was to conduct a systematic review to assess the association between emotional eating and weight status in adolescents. This study also sought to describe existing measures of emotional eating in adolescents and explore weight-loss interventions that assessed emotional eating in relation to weight status in this population. Methods: Two independent reviewers searched the database PubMed for published or in press peer-reviewed studies that assessed the association between emotional eating and weight status in adolescents aged 12 to 19 years. Studies were excluded from this review if they were not written in the English language, did not include a measure of emotional eating, or were a dissertation study. Results: A total of 13 studies met full inclusion criteria and were included in the systematic review. Of the six longitudinal studies in the review, only one found a prospective association between emotional eating and weight status. The Dutch Eating Behavior Questionnaire was the most widely used measure of emotional eating in the systematic review (n = 6; 46.2%). The one intervention study included in this review found that baseline emotional eating was not associated with weight outcomes 2 years following gastric bypass surgery in obese Swedish adolescents (13–18 years). Conclusions: While there were some inconsistent findings across the studies included in this review, taken as a whole, the results largely do not support an association between emotional eating and elevated weight status or reduced weight loss in adolescents.

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Weight Loss Attempts and Attitudes toward Body Size, Eating, and Physical Activity in American Indian Children: Relationship to Weight Status and Gender

Obesity Research ◽

10.1038/oby.2001.46 ◽

2001 ◽

Vol 9 (6) ◽

pp. 356-363 ◽

Cited By ~ 34

Author(s):

Mary Story ◽

June Stevens ◽

Marguerite Evans ◽

Carol E. Cornell ◽

Juhaeri ◽

...

Keyword(s):

Physical Activity ◽

Weight Loss ◽

Body Size ◽

American Indian ◽

Weight Status ◽

Indian Children ◽

And Gender

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Retinol-Binding Protein 4 and Its Relation to Insulin Resistance in Obese Children before and after Weight Loss

The Journal of Clinical Endocrinology & Metabolism ◽

10.1210/jc.2007-2745 ◽

2008 ◽

Vol 93 (6) ◽

pp. 2287-2293 ◽

Cited By ~ 56

Author(s):

Thomas Reinehr ◽

Birgit Stoffel-Wagner ◽

Christian L. Roth

Keyword(s):

Insulin Resistance ◽

Body Mass Index ◽

Weight Loss ◽

Body Mass ◽

Weight Status ◽

Retinol Binding Protein ◽

Homa Index ◽

Obese Children ◽

Retinol Binding Protein 4 ◽

Lean Children

Abstract Context: There are limited and controversial data concerning the relationships between retinol-binding protein 4 (RBP4), weight status, and insulin resistance in obese humans and especially in children. Objective: Our objective was to study the longitudinal relationships among RBP4, insulin resistance and weight status in obese children. Design, Setting, and Patients: We conducted a 1-yr longitudinal follow-up study in a primary-care setting with 43 obese children (median age 10.8 yr) and 19 lean children of same the age and gender. Intervention: Our outpatient 1-yr intervention program was based on exercise, behavior, and nutrition therapy. Main Outcomes Measures: Changes of weight status (body mass index sd score), RBP4, molar RBP4/serum retinol (SR) ratio, insulin resistance index homeostasis model assessment (HOMA), and quantitative insulin sensitivity check index (QUICKI). Results: Obese children had significantly (P < 0.01) higher RBP4 concentrations and a higher RBP4/SR ratio compared with lean children. In multiple linear regression analyses adjusted to age, gender, and pubertal stage, RBP4 was significantly correlated to insulin and body mass index. Pubertal children demonstrated significantly decreased QUICKI and significantly increased HOMA index, insulin, and RBP4 concentrations compared with prepubertal children. Changes of RBP4 correlated significantly to changes of insulin (r = 0.29), HOMA index (r = 0.29), QUICKI (r = 0.22), and weight status (r = 0.31). Substantial weight loss in 25 children led to a significant (P < 0.001) decrease of RBP4, RBP4/SR, blood pressure, triglycerides, insulin, and HOMA index and an increase in QUICKI in contrast to the 18 children without substantial weight loss. Conclusion: RBP4 levels were related to weight status and insulin resistance in both cross-sectional and longitudinal analyses, suggesting a relationship between RBP4, obesity, and insulin resistance in children.

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Long-term weight status in regainers after weight loss by lifestyle intervention: status and challenges

Proceedings of The Nutrition Society ◽

10.1017/s0029665114000718 ◽

2014 ◽

Vol 73 (4) ◽

pp. 509-518 ◽

Cited By ~ 19

Author(s):

Marta Stelmach-Mardas ◽

Marcin Mardas ◽

Jarosław Walkowiak ◽

Heiner Boeing

Keyword(s):

Weight Loss ◽

Weight Status ◽

Dietary Intervention ◽

Self Regulation ◽

Energy Restriction ◽

Behaviour Therapy ◽

Main Determinants ◽

The Individual

After having participated in a weight loss trial, most participants do not stabilise the obtained weight loss but return to their initial weight. The aim of this review is to describe the main determinants of continued low weight status after weight loss, and the effectiveness of physical activity (PA), energy restriction and macronutrient composition of the diet for low long-term weight regain. Studies with intervention periods of at least 3 months duration of weight reduction measures and a follow-up at least 2 years after the intervention period were considered as eligible for the review. Owing to limited data, the studies describing the role of PA in weight management were eligible with a follow-up of 1 year only. It appears that a diet with self-regulation of dietary intake seems to be given a prominent role in the strategy of successful long-term weight loss among the obese. This measure could be combined with behaviour therapy and PA and tailored to the individual situation. However, considering available evidence it is difficult to conclude regarding unambiguous measures and to recommend a specific dietary intervention. Nevertheless, interventions should be effective in promoting intrinsic motivation and self-efficacy. The harmonisation and standardisation of data collection in the follow-up period of long-term weight loss studies is a major challenge.

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Perceptions of unintentional weight loss among cancer survivors.

Journal of Clinical Oncology ◽

10.1200/jco.2018.36.7_suppl.138 ◽

2018 ◽

Vol 36 (7_suppl) ◽

pp. 138-138 ◽

Cited By ~ 1

Author(s):

Alexandra Katherine Zaleta ◽

Shauna McManus ◽

Thomas William LeBlanc ◽

Joanne S Buzaglo

Keyword(s):

Weight Loss ◽

Cancer Survivors ◽

Weight Status ◽

Online Survey ◽

Health Care Team ◽

Healthy Weight ◽

Unintentional Weight Loss ◽

Weight Category ◽

Perceived Weight ◽

The Impact

138 Background: Unintentional weight loss (WL) can be a disruptive symptom of cancer, yet its psychosocial impact is not well understood. We examined cancer survivors’ experiences with unintentional WL. Methods: 320 cancer survivors completed an online survey, provided demographic, health, and unintentional WL history, and rated (0 = not at all; 4 = extremely) 19 statements about WL outcomes. We examined bivariate associations between weight status, unintentional WL, and WL outcomes. Results: Participants were 90% White; mean age = 58.8 years, SD= 11; 41% breast cancer, 23% blood cancer, 8% prostate cancer, mean time since diagnosis = 6.0 years, SD= 5; 18% metastatic, 22% current recurrence/relapse, 51% remission. 55 participants (17%) reported unintentional WL in the past 6 months (mean = 16lbs; range = 2-70; mean BMI = 27.6, SD= 6.3). These participants were less likely to be in disease remission ( p< .05). Participants with unintentional WL tended to underestimate their weight category (e.g., of BMI-classified healthy weight participants, 26% believed they were underweight); κ = -.17, p< .01. 51% of participants felt (somewhat to extremely) positive about WL, 49% said their health care team was supportive of WL; these statements were more strongly endorsed by people describing themselves as overweight ( ps < .05). 27% believed WL caused physical weakness, 23% said WL resulted in lost control over nutrition/eating, 16% said WL made them feel like a burden, 14% said WL caused them to lose their identity; these statements were more strongly endorsed by people describing themselves as underweight ( ps < .01). 20% viewed their WL as a sign of approaching end of life, 13% believed WL meant they would not be able to continue treatment; these views did not differ by perceived weight status. Conclusions: Many cancer survivors experience unintentional weight loss and associate their weight loss with negative outcomes. Survivors also often underestimate their weight status, which is notable given that personal views of one’s weight status, not BMI-derived weight status, is associated with beliefs about the impact of unintentional weight loss. Our findings suggest that people believe unintentional WL meaningfully affects their quality of life.

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Longitudinal analyses of the steroid metabolome in obese PCOS girls with weight loss

Endocrine Connections ◽

10.1530/ec-17-0051 ◽

2017 ◽

Vol 6 (4) ◽

pp. 213-224 ◽

Cited By ~ 9

Author(s):

Thomas Reinehr ◽

Alexandra Kulle ◽

Juliane Rothermel ◽

Caroline Knop-Schmenn ◽

Nina Lass ◽

...

Keyword(s):

Weight Loss ◽

Steroid Hormones ◽

Weight Status ◽

Polycystic Ovarian Syndrome ◽

Longitudinal Analyses ◽

Steroid Profiling ◽

Underlying Mechanisms ◽

17 Hydroxyprogesterone ◽

One Year ◽

Ovarian Syndrome

Objective The underlying mechanisms of polycystic ovarian syndrome (PCOS) are not fully understood yet. The aim of the study was to get functional insights into the regulation of steroid hormones in PCOS by steroid metabolomics. Design This is a longitudinal study of changes of steroid hormones in 40 obese girls aged 13–16 years (50% with PCOS) participating in a 1-year lifestyle intervention. Girls with and without PCOS were matched to age, BMI and change of weight status. Methods We measured progesterone, 17-hydroxyprogesterone, 17-hydroxyprogenolon, 11-deoxycorticosterone, 21-deoxycorticosterone, deoxycorticosterone, corticosterone, 11-deoxycortisol, cortisol, cortisone, androstenedione, testosterone, dehydroepiandrostendione-sulfate (DHEA-S), estrone and estradiol by LC–MS/MS steroid profiling at baseline and one year later. Results At baseline, obese PCOS girls demonstrated significantly higher androstenedione and testosterone concentrations compared to obese girls without PCOS, whereas the other steroid hormones including glucocorticoids, mineralocorticoids, estrogens and precursors of androgens did not differ significantly. Weight loss in obese PCOS girls was associated with a significant decrease of testosterone, androstenedione, DHEA-S, cortisol and corticosterone concentrations. Weight loss in obese non-PCOS girls was associated with a significant decrease of DHEA-S, cortisol and corticosterone concentrations, whereas no significant changes of testosterone and androstenedione concentrations could be observed. Without weight loss, no significant changes of steroid hormones were measured except an increase of estradiol in obese PCOS girls without weight loss. Conclusions The key steroid hormones in obese adolescents with PCOS are androstenedione and testosterone, whereas glucocorticoids, mineralocorticoids, estrogens and precursors of androgens did not differ between obese girls with and without PCOS.

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Brief Report: Weight Dissatisfaction, Weight Status, and Weight Loss in Mexican-American Children

Journal of Pediatric Psychology ◽

10.1093/jpepsy/jsm124 ◽

2007 ◽

Vol 33 (6) ◽

pp. 673-677 ◽

Cited By ~ 6

Author(s):

W. T. Dalton ◽

C. A. Johnston ◽

J. P. Foreyt ◽

C. Tyler

Keyword(s):

Weight Loss ◽

Mexican American ◽

Weight Status ◽

American Children

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Assessing Dietary and Exercise Stage of Change to Optimize Weight Loss Interventions

Obesity Research ◽

10.1038/oby.2003.92 ◽

2003 ◽

Vol 11 (5) ◽

pp. 641-652 ◽

Cited By ~ 51

Author(s):

Karen Sutton ◽

Everett Logue ◽

David Jarjoura ◽

Kristin Baughman ◽

William Smucker ◽

...

Keyword(s):

Weight Loss ◽

Stage Of Change ◽

Weight Loss Interventions

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Weight Status Of Females One Year After A 12-week Worksite Weight Loss Intervention

Medicine & Science in Sports & Exercise ◽

10.1249/00005768-200505001-00899 ◽

2005 ◽

Vol 37 (Supplement) ◽

pp. S171

Author(s):

Jeremy T. Barnes ◽

Craig L. Elder ◽

Thomas J. Pujol

Keyword(s):

Weight Loss ◽

Weight Status ◽

Weight Loss Intervention ◽

One Year

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Vitamin D status and parathyroid hormone in obese children before and after weight loss

Acta Endocrinologica ◽

10.1530/eje-07-0188 ◽

2007 ◽

Vol 157 (2) ◽

pp. 225-232 ◽

Cited By ~ 123

Author(s):

Thomas Reinehr ◽

Gideon de Sousa ◽

Ute Alexy ◽

M Kersting ◽

Werner Andler

Keyword(s):

Vitamin D ◽

Weight Loss ◽

Parathyroid Hormone ◽

Insulin Sensitivity ◽

Weight Status ◽

Intervention Program ◽

Model Assessment ◽

Obese Children ◽

Percentage Body Fat ◽

Before And After

Objective: The roles of vitamin D and parathyroid hormone (PTH) are discussed controversially in obesity, and studies of these hormones in obese children are limited. Therefore, we studied the relationships between PTH, 1,25-dihydroxy-vitamin D (1,25-OH Vit D), 25-hydroxy-vitamin D (25-OH Vit D), weight status, and insulin sensitivity before and after weight loss in obese children. Methods: Fasting serum PTH, 1,25-OH Vit D, 25-OH Vit D, inorganic phosphate, calcium, alkaline phosphatase (AP), insulin, glucose, and weight status (SDS–BMI and percentage body fat) were determined in 133 obese children (median age 12.1 years) and compared with 23 non-obese children. Furthermore, these parameters were analyzed in 67 obese children before and after participating in a 1-year obesity intervention program. Results: Obese children had significantly (P < 0.001) higher PTH and lower 25-OH Vit D concentrations compared with non-obese children, while calcium, phosphate, AP, and 1,25-OH Vit D did not differ significantly. Changes of PTH (r = 0.23, P = 0.031) and 25-OH Vit D (r = −0.27, P = 0.013) correlated significantly with changes of SDS–BMI, but not with changes of insulin sensitivity (homeostasis model assessment; HOMA-B%). Reduction of overweight in 35 children led to a significant (P < 0.01) decrease of PTH concentrations and an increase in 25-OH Vit D levels. Conclusions: PTH levels were positively and 25-OH Vit D concentrations were negatively related to weight status. Since these alterations normalized after weight loss, these changes are consequences rather than causes of overweight. A relationship between PTH, vitamin D, and insulin sensitivity based on the HOMA index was not found in obese children. Further longitudinal clamp studies are neccessary to study the relationship between vitamin D and insulin sensitivity.

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