Cognitive and behavioural strategies for weight management in overweight adults: Results from the Oxford Food and Activity Behaviours (OxFAB) cohort study

Hartmann‐Boyce, Jamie; Aveyard, Paul; Piernas, Carmen; Koshiaris, Constantinos; Velardo, Carmelo; Salvi, Dario; Jebb, Susan A.

doi:10.1371/journal.pone.0202072

Cited by 15 publications

(30 citation statements)

References 28 publications

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“…These results suggest that the strategies people are using in self‐directed weight loss attempts do not always mirror those being suggested in self‐help interventions. Further research into these potential disconnects is needed, especially given that results from the qualitative studies in this review are in line with a recent observational cohort study in adults trying to lose weight, which found the majority were employing scheduling techniques and weight management aids as part of their weight loss attempts .…”

Section: Discussionsupporting

confidence: 57%

“…As a first step in developing further understanding of this area, we created a taxonomy of these cognitive and behavioural strategies, called the Oxford Food and Activity Behaviours (OxFAB) taxonomy . To date, this has been used to categorise the content of self‐help interventions for weight loss as part of a quantitative systematic review and meta‐analysis, and has been translated into a questionnaire and used in a cohort study to examine the relationship between use of these strategies and weight change trajectories in British adults trying to lose weight . To our knowledge, no systematic reviews currently review qualitative evidence specific to self‐directed weight loss and weight loss maintenance.…”

Section: Introductionmentioning

confidence: 99%

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Cognitive and behavioural strategies for self‐directed weight loss: systematic review of qualitative studies

et al. 2017

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SummaryAimWe conducted a systematic review of qualitative studies to examine the strategies people employ as part of self‐directed weight loss attempts, map these to an existing behaviour change taxonomy and explore attitudes and beliefs surrounding these strategies.MethodsSeven electronic databases were searched in December 2015 for qualitative studies in overweight and obese adults attempting to lose weight through behaviour change. We were interested in strategies used by participants in self‐directed efforts to lose weight. Two reviewers extracted data from included studies. Thematic and narrative synthesis techniques were used.ResultsThirty one studies, representing over 1,000 participants, were included. Quality of the included studies was mixed. The most commonly covered types of strategies were restrictions, self‐monitoring, scheduling, professional support and weight management aids. With the exception of scheduling, for which participant experiences were predominantly positive, participants' attitudes and beliefs surrounding implementation of these groups of strategies were mixed. Two new groups of strategies were added to the existing taxonomy: reframing and self‐experimentation.ConclusionsThis review demonstrates that at present, interventions targeting individuals engaged in self‐management of weight do not necessarily reflect lived experiences of self‐directed weight loss.

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Section: Discussionsupporting

confidence: 57%

Section: Introductionmentioning

confidence: 99%

Cognitive and behavioural strategies for self‐directed weight loss: systematic review of qualitative studies

et al. 2017

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“…How that is achieved is poorly understood. Some psychological determinants such as self‐efficacy (ie, for monitoring one's weight and eating behaviour), autonomous motivation, and a positive body image appear to impact behaviour change, but our understanding of the psychological, social, physical, and environmental determinants of WLM is incomplete . Weight control registries, where successful individuals are studied, are tools that may be helpful in better understanding the factors that impact long‐term WLM, and they have not been systematically evaluated so far.…”

Section: Introductionmentioning

confidence: 99%

Successful weight loss maintenance: A systematic review of weight control registries

et al. 2020

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Summary Weight loss maintenance is a major challenge for obesity treatment. Weight control registries can be useful in identifying psychological and behavioural factors that could contribute to better long‐term success. The objective of this study is to describe the existing weight control registries and their participants and identify correlates of weight loss maintenance. A comprehensive search of peer‐reviewed articles published until November 2018 was conducted in PubMed, Web of Science, and Scopus. Studies that reported results from weight control registries were considered. Fifty‐two articles, corresponding to five registries (the United States, Portugal, Germany, Finland, and Greece), were included. Registries differed in inclusion criteria and procedures. Of 51 identified weight loss and maintenance strategies, grouped in 14 domains of the Oxford Food and Activity Behaviors taxonomy, the following were the most frequently reported: having healthy foods available at home, regular breakfast intake, increasing vegetable consumption, decreasing sugary and fatty foods, limiting certain foods, and reducing fat in meals. Increased physical activity was the most consistent positive correlate of weight loss maintenance. To our knowledge, this is the first systematic review of information about successful weight loss maintenance obtained from weight control registries. Key common influential characteristics of success were identified, which can inform future prospective studies and weight management initiatives.

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“…Data collected via the objective recording Body Trace scales showed that 63% of the intervention group weighed themselves weekly ≥ 60% of the time, meeting the green stop-go criteria. These data show that at least some postnatal women are motivated to engage in regular self-weighing soon after childbirth, a strategy that has been shown to be instrumental in facilitating weight loss in other populations [50][51][52][53][54]. One of the attractions of self-management-based interventions is that they are flexible, individualised and can be engaged in by women at a time that suits their busy daily lives.…”

Section: Adherence To Self-weighingmentioning

confidence: 80%

Feasibility and acceptability of a brief routine weight management intervention for postnatal women embedded within the national child immunisation programme in primary care: randomised controlled cluster feasibility trial

Daley

Jolly

Bensoussane

et al. 2020

Trials

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Background: The prevalence of obesity in women continues to rise and pregnancy is a high-risk time for excessive weight gain. The period after childbirth represents an opportunity to offer women support to manage their weight. The primary aim here was to investigate the acceptability and feasibility of delivering a self-management intervention to postnatal women to support weight loss, embedded within the national child immunisation programme. Methods: The research involved a randomised controlled cluster feasibility trial. Data were collected at baseline and 3 months later. Twenty-eight postnatal women living with overweight or obesity were recruited via Birmingham Women Hospital or general practices. Babies are routinely immunised at 2, 3 and 4 months of age; the intervention was embedded within these appointments. The intervention involved brief motivation/support by practice nurses to encourage participants to make healthier lifestyle choices through self-monitoring of weight and signposting to an online weight management programme, when they attended their practice to have their child immunised. The role of the nurse was to provide external accountability for weight loss. Participants were asked to weigh themselves weekly and record this on a record card or using the online programme. The weight goal was for participants to lose 0.5 to 1 kg per week. Usual care received a healthy lifestyle leaflet. The primary outcome was the feasibility of a phase III trial to test the subsequent effectiveness of the intervention, as assessed against three stop-go traffic light criteria (recruitment, adherence to regular self-weighing and registration with an online weight management programme).

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Cognitive and behavioural strategies for weight management in overweight adults: Results from the Oxford Food and Activity Behaviours (OxFAB) cohort study

Cited by 15 publications

References 28 publications

Cognitive and behavioural strategies for self‐directed weight loss: systematic review of qualitative studies

Cognitive and behavioural strategies for self‐directed weight loss: systematic review of qualitative studies

Successful weight loss maintenance: A systematic review of weight control registries

Feasibility and acceptability of a brief routine weight management intervention for postnatal women embedded within the national child immunisation programme in primary care: randomised controlled cluster feasibility trial

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