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Forming new health behavior habits during weight loss maintenance—The PREVIEW study.

Maija Huttunen-Lenz Orcid Logo, Sylvia Hansen Orcid Logo, Anne Raben Orcid Logo, Margriet Westerterp-Plantenga Orcid Logo, Ian Macdonald Orcid Logo, Gareth Stratton Orcid Logo, Nils Joseph Swindell Orcid Logo, J. Alfredo Martinez, Teodora Handjieva-Darlenska, Sally D. Poppitt, Marta P. Silvestre Orcid Logo, Mikael Fogelholm Orcid Logo, Elli Jalo Orcid Logo, Jennie Brand-Miller, Roslyn Muirhead Orcid Logo, Thomas M. Larsen Orcid Logo, Pia Siig Vestentoft, Svetoslav Handjiev, Wolfgang Schlicht

Health Psychology, Volume: 41, Issue: 8, Pages: 549 - 558

Swansea University Authors: Gareth Stratton Orcid Logo, Nils Joseph Swindell Orcid Logo

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DOI (Published version): 10.1037/hea0001182

Abstract

Changing lifestyle habits to achieve and maintain weight loss can be effective in prevention of type 2 diabetes. Ability to resist temptations is considered one of the key factors in behaviour change. This study examined how both habit-strength, motivation, and temptations for an energy-dense diet d...

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Published in: Health Psychology
ISSN: 0278-6133 1930-7810
Published: American Psychological Association (APA) 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa60037
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Ability to resist temptations is considered one of the key factors in behaviour change. This study examined how both habit-strength, motivation, and temptations for an energy-dense diet developed during the maintenance stage of a behaviour modification intervention tool. Participants with prediabetes and overweight/obesity were recruited in the two-phase trial PREVIEW with the aim to achieve &#x2265;8% body weight loss over 2 months, and maintain weight loss over a subsequent 34-month period. The four-stage intervention (PREMIT) supported participants in weight-maintenance. Uni- and multivariate analyses were completed from the beginning of the PREMIT maintenance stage (week 26 of the PREVIEW trial) with 962 individuals who completed the trial. Habit-strength and ability to resist temptations increased during the early PREMIT adherence stage (weeks 26 to 52) before plateauing during middle (weeks 52 to 104) and late (weeks 104 to 156) PREMIT adherence stages. Higher habit-strength for energy dense diet was significantly associated with larger weight-regain (p &#x2264; .007). No changes in motivation or interaction with PREMIT attendance were observed. Changing diet habits is a complex, multifactorial process with participants struggling at least with some aspects of weight maintenance. Habits against consuming energy dense, sweet and fatty, food appeared effective in protecting against weight re-gain. 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title Forming new health behavior habits during weight loss maintenance—The PREVIEW study.
spellingShingle Forming new health behavior habits during weight loss maintenance—The PREVIEW study.
Gareth Stratton
Nils Joseph Swindell
title_short Forming new health behavior habits during weight loss maintenance—The PREVIEW study.
title_full Forming new health behavior habits during weight loss maintenance—The PREVIEW study.
title_fullStr Forming new health behavior habits during weight loss maintenance—The PREVIEW study.
title_full_unstemmed Forming new health behavior habits during weight loss maintenance—The PREVIEW study.
title_sort Forming new health behavior habits during weight loss maintenance—The PREVIEW study.
author_id_str_mv 6d62b2ed126961bed81a94a2beba8a01
189d1ae79723a932dc37ae54fff6e4cd
author_id_fullname_str_mv 6d62b2ed126961bed81a94a2beba8a01_***_Gareth Stratton
189d1ae79723a932dc37ae54fff6e4cd_***_Nils Joseph Swindell
author Gareth Stratton
Nils Joseph Swindell
author2 Maija Huttunen-Lenz
Sylvia Hansen
Anne Raben
Margriet Westerterp-Plantenga
Ian Macdonald
Gareth Stratton
Nils Joseph Swindell
J. Alfredo Martinez
Teodora Handjieva-Darlenska
Sally D. Poppitt
Marta P. Silvestre
Mikael Fogelholm
Elli Jalo
Jennie Brand-Miller
Roslyn Muirhead
Thomas M. Larsen
Pia Siig Vestentoft
Svetoslav Handjiev
Wolfgang Schlicht
format Journal article
container_title Health Psychology
container_volume 41
container_issue 8
container_start_page 549
publishDate 2022
institution Swansea University
issn 0278-6133
1930-7810
doi_str_mv 10.1037/hea0001182
publisher American Psychological Association (APA)
college_str Faculty of Science and Engineering
hierarchytype
hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Engineering and Applied Sciences - Uncategorised{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Engineering and Applied Sciences - Uncategorised
document_store_str 1
active_str 0
description Changing lifestyle habits to achieve and maintain weight loss can be effective in prevention of type 2 diabetes. Ability to resist temptations is considered one of the key factors in behaviour change. This study examined how both habit-strength, motivation, and temptations for an energy-dense diet developed during the maintenance stage of a behaviour modification intervention tool. Participants with prediabetes and overweight/obesity were recruited in the two-phase trial PREVIEW with the aim to achieve ≥8% body weight loss over 2 months, and maintain weight loss over a subsequent 34-month period. The four-stage intervention (PREMIT) supported participants in weight-maintenance. Uni- and multivariate analyses were completed from the beginning of the PREMIT maintenance stage (week 26 of the PREVIEW trial) with 962 individuals who completed the trial. Habit-strength and ability to resist temptations increased during the early PREMIT adherence stage (weeks 26 to 52) before plateauing during middle (weeks 52 to 104) and late (weeks 104 to 156) PREMIT adherence stages. Higher habit-strength for energy dense diet was significantly associated with larger weight-regain (p ≤ .007). No changes in motivation or interaction with PREMIT attendance were observed. Changing diet habits is a complex, multifactorial process with participants struggling at least with some aspects of weight maintenance. Habits against consuming energy dense, sweet and fatty, food appeared effective in protecting against weight re-gain. The observed effect sizes were small reflecting the complexity of breaking old habits and forming new ones to support long term maintenance of weight loss.
published_date 2022-08-01T04:17:48Z
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