Perceived stress as a predictor of eating behavior during the 3-year PREVIEW lifestyle intervention
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Perceived stress as a predictor of eating behavior during the 3-year PREVIEW lifestyle intervention. / Jalo, Elli; Konttinen, Hanna; Westerterp-Plantenga, Margriet; Adam, Tanja; Drummen, Mathijs; Huttunen-Lenz, Maija; Siig Vestentoft, Pia; Martinez, J Alfredo; Handjiev, Svetoslav; Macdonald, Ian; Brand-Miller, Jennie; Poppitt, Sally; Swindell, Nils; Lam, Tony; Navas-Carretero, Santiago; Handjieva-Darlenska, Teodora; Taylor, Moira; Muirhead, Roslyn; Silvestre, Marta P; Raben, Anne; Fogelholm, Mikael.
I: Nutrition and Diabetes, Bind 12, 47, 2022.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Perceived stress as a predictor of eating behavior during the 3-year PREVIEW lifestyle intervention
AU - Jalo, Elli
AU - Konttinen, Hanna
AU - Westerterp-Plantenga, Margriet
AU - Adam, Tanja
AU - Drummen, Mathijs
AU - Huttunen-Lenz, Maija
AU - Siig Vestentoft, Pia
AU - Martinez, J Alfredo
AU - Handjiev, Svetoslav
AU - Macdonald, Ian
AU - Brand-Miller, Jennie
AU - Poppitt, Sally
AU - Swindell, Nils
AU - Lam, Tony
AU - Navas-Carretero, Santiago
AU - Handjieva-Darlenska, Teodora
AU - Taylor, Moira
AU - Muirhead, Roslyn
AU - Silvestre, Marta P
AU - Raben, Anne
AU - Fogelholm, Mikael
N1 - Publisher Copyright: © 2022, The Author(s).
PY - 2022
Y1 - 2022
N2 - 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/m2) at baseline and high risk of type 2 diabetes (n = 1311). Intervention included a 2-month low-energy diet phase and a 34-month subsequent weight maintenance phase. The first 6 months were considered an active behavior change stage and the remaining 2.5 years were considered a behavior maintenance stage. Eating behavior was measured using the Three Factor Eating Questionnaire and stress using the Perceived Stress Scale. The associations between stress and eating behavior were analyzed using linear mixed effects models for repeated measurements. 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 ds (95% CI) = 0.24 (0.04–0.43)). Higher perceived stress at 6 months was associated with less flexible restraint and more disinhibition and hunger throughout the behavior maintenance stage (all p < 0.001). 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.
AB - 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/m2) at baseline and high risk of type 2 diabetes (n = 1311). Intervention included a 2-month low-energy diet phase and a 34-month subsequent weight maintenance phase. The first 6 months were considered an active behavior change stage and the remaining 2.5 years were considered a behavior maintenance stage. Eating behavior was measured using the Three Factor Eating Questionnaire and stress using the Perceived Stress Scale. The associations between stress and eating behavior were analyzed using linear mixed effects models for repeated measurements. 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 ds (95% CI) = 0.24 (0.04–0.43)). Higher perceived stress at 6 months was associated with less flexible restraint and more disinhibition and hunger throughout the behavior maintenance stage (all p < 0.001). 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.
U2 - 10.1038/s41387-022-00224-0
DO - 10.1038/s41387-022-00224-0
M3 - Journal article
C2 - 36335092
AN - SCOPUS:85141345888
VL - 12
JO - Nutrition and Diabetes
JF - Nutrition and Diabetes
SN - 2044-4052
M1 - 47
ER -
ID: 326730481