Pretreatment predictors of attrition and successful weight management in women

Teixeira, Pedro J.; Going, Scott B.; Houtkooper, Linda; Cussler, Ellen; Metcalfe, Lauve; Blew, Robert M.; Sardinha, Luís B.; Lohman, Timothy G.

doi:10.1038/sj.ijo.0802727

Cited by 314 publications

(412 citation statements)

References 56 publications

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“…Although we know that, in general, body image dissatisfaction is highly prevalent among overweight and obese individuals, 34,35 the present results showed that, among our overweight and obese samples, there is a specific group of women who, independent of their BMI, are more dissatisfied with their weight and present higher expectations towards weight loss. In accordance with results from Teixeira et al, 19 these women would be more likely to experience unsuccessful weight-loss attempts. In fact, Teixeira et al 19 showed that a lower body cathexis (i.e., more negative feelings towards one's body) and a less realistic happy weight were both predictors of poorer success in weight loss on a long-term basis.…”

Section: Factors Related To Weight Expectations V Provencher Et Alsupporting

confidence: 91%

“…In accordance with results from Teixeira et al, 19 these women would be more likely to experience unsuccessful weight-loss attempts. In fact, Teixeira et al 19 showed that a lower body cathexis (i.e., more negative feelings towards one's body) and a less realistic happy weight were both predictors of poorer success in weight loss on a long-term basis. It is therefore of relevance to understand better why for a given current BMI, some women are more susceptible to be less satisfied by their weight and to have less realistic weight expectations.…”

Section: Factors Related To Weight Expectations V Provencher Et Alsupporting

confidence: 91%

“…In this regard, our results may also provide some explanations for the greater attrition rate observed during weight-loss programs in individuals with higher expectations as well as for their lower percentage of body weight loss achieved. 9,19,20 In fact, for those overweight and obese women who have less realistic weight Factors related to weight expectations V Provencher et al expectations, it could be suggested that lower level of flexible restraint as well as higher score of susceptibility to hunger may act as barriers that counteract efforts to lose weight or maintain weight loss achieved. In fact, being able to manage food intake with a more graduated and sustainable approach together with being less triggered by feelings of hunger may help to develop a better relationship with food.…”

Section: Factors Related To Weight Expectations V Provencher Et Almentioning

confidence: 99%

“…On the opposite, other studies have shown that individuals who expressed more important weight-loss expectations were experiencing a higher attrition rate during a weight-loss program, suggesting that not being able to reach defined weight-loss goals may create dissatisfaction regarding weight-loss attempts. 9,19,20 Teixeira et al 20 reported a curvilinear relationship between weight expectations and weight changes. More precisely, having either too high weight-loss expectations or too low weight-loss expectations were related to a lower percentage of body weight loss.…”

Section: Introductionmentioning

confidence: 99%

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Defined weight expectations in overweight women: anthropometrical, psychological and eating behavioral correlates

et al. 2007

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Objective: To examine associations between defined weight expectations and anthropometric profile and to identify psychological and eating behavioral factors that characterize women having more realistic weight expectations. Methods: A nonrandom sample of 154 overweight/obese women completed the 'Goals and Relative Weight Questionnaire', which assessed four weight expectations: (1) dream weight (whatever wanted to weight); (2) happy weight (would be happy to achieve); (3) acceptable weight (could accept even if not happy with it); and (4) disappointed weight (would not view as a successful achievement). Psychological assessments evaluated dysphoria, self-esteem, satisfaction with one's body (i.e., body esteem) and weight-related quality of life. The 'Three-Factor Eating Questionnaire' assessed eating behaviors: (1) cognitive dietary restraint (control of food intake), (2) disinhibition (overconsumption of food with a loss of control), and (3) susceptibility to hunger (food intake in response to feelings and perceptions of hunger). Results: Women's expectations for their dream (60.676.0 kg), happy (65.276.4 kg) and acceptable (67.976.8 kg) weights corresponded to higher percentages of weight loss (24.276.6% or 19.877.1 kg, 18.675.8% or 15.276.0 kg and 15.275.7% or 12.675.8 kg, respectively) than goals recommended for overweight individuals. Defined weight expectations were positively associated with current weight and body mass index (BMI; 0.37prp0.85; Po0.0001). When women were matched one by one for their current BMI, but showing different happy BMI, women with a more realistic happy BMI were older (P ¼ 0.03) and were characterized by a greater satisfaction towards body weight (P ¼ 0.04), a higher score for flexible restraint (P ¼ 0.003) and a lower score for susceptibility to hunger (P ¼ 0.02) than women with a less realistic happy BMI. Conclusion: These findings suggest that having more realistic weight expectations is related to healthier psychological and eating behavioral characteristics.

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Section: Factors Related To Weight Expectations V Provencher Et Alsupporting

confidence: 91%

Section: Factors Related To Weight Expectations V Provencher Et Alsupporting

confidence: 91%

Section: Factors Related To Weight Expectations V Provencher Et Almentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Defined weight expectations in overweight women: anthropometrical, psychological and eating behavioral correlates

et al. 2007

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“…The correlation (r ¼ 0.58, Po0.01) between fat loss and initial FM supports prior research that has shown that fat loss is typically related to initial FM. 43,44 The four moderate fat loss responders in the HIIE group (women who had a 3% or less decrease in total fat) possessed significantly lower initial FM than the other women. With the four lean women removed, the mean fat loss in the HIIE group was 3.94 ± 0.91 kg resulting in a 4.3% decrease in body mass and a 14.7% decrease in total FM.…”

Section: Discussionmentioning

confidence: 99%

The effects of high-intensity intermittent exercise training on fat loss and fasting insulin levels of young women

et al. 2008

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Objective: To determine the effects of a 15-week high-intensity intermittent exercise (HIIE) program on subcutaneous and trunk fat and insulin resistance of young women. Design and procedures: Subjects were randomly assigned to one of the three groups: HIIE (n ¼ 15), steady-state exercise (SSE; n ¼ 15) or control (CONT; n ¼ 15). HIIE and SSE groups underwent a 15-week exercise intervention. Subjects: Forty-five women with a mean BMI of 23.2 ± 2.0 kg m À2 and age of 20.2 ± 2.0 years. Results: Both exercise groups demonstrated a significant improvement (Po0.05) in cardiovascular fitness. However, only the HIIE group had a significant reduction in total body mass (TBM), fat mass (FM), trunk fat and fasting plasma insulin levels. There was significant fat loss (Po0.05) in legs compared to arms in the HIIE group only. Lean compared to overweight women lost less fat after HIIE. Decreases in leptin concentrations were negatively correlated with increases in VO 2peak (r ¼ À0.57, Po0.05) and positively correlated with decreases in TBM (r ¼ 0.47; Po0.0001). There was no significant change in adiponectin levels after training. Conclusions: HIIE three times per week for 15 weeks compared to the same frequency of SSE exercise was associated with significant reductions in total body fat, subcutaneous leg and trunk fat, and insulin resistance in young women.

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Binge Eating and Weight Loss Outcomes in Overweight and Obese Individuals With Type 2 Diabetes

Gorin

Niemeier

Hogan

et al. 2008

Arch Gen Psychiatry

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Context Binge eating (BE) is common in overweight and obese individuals with type 2 diabetes yet little is known about how BE affects weight loss in this population. Objective To determine whether BE was related to 1-year weight losses in overweight and obese individuals with type 2 diabetes participating in an ongoing clinical trial. Design and Setting Look AHEAD is a randomized controlled trial examining the long-term effect of intentional weight loss on CVD in overweight and obese adults with type 2 diabetes. Participants Overweight and obese individuals, 45–76 years old, with type 2 diabetes (n=5145). Interventions Participants were randomly assigned to an intensive lifestyle intervention (ILI) or to enhanced usual care (DSE). Main outcome measures At baseline and 1-year, participants had their weight measured and completed a fitness test and self-report measures of BE and dietary intake. Four groups were created based on BE status at baseline and 1-year (Yes/Yes, No/No, Yes/No, No/Yes). Analyses controlled for baseline differences between binge eaters and non-binge eaters. Results Most individuals (85.4%) did not report BE at baseline or 1-year, 7.5% reported BE only at baseline, 3.7% reported BE at both times, and 3.4% reported BE only at 1-year, with no differences between ILI and DSE conditions (p=.14). Across ILI and DSE, greater weight losses were observed in participants who stopped BE at 1-year (5.3±.4 kg) and in those who reported no BE at either time point (4.8±.1 kg) than in those who continued to BE (3.1±.6 kg) and those who began BE at 1-year (3.0±.6 kg) (p=.0003). Post hoc analyses suggested these differences were due to changes in caloric intake. Conclusions Overweight and obese individuals with type 2 diabetes who stop binge eating appear just as successful at weight loss as non-binge eaters after one year of treatment.

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Pretreatment predictors of attrition and successful weight management in women

Cited by 314 publications

References 56 publications

Defined weight expectations in overweight women: anthropometrical, psychological and eating behavioral correlates

Defined weight expectations in overweight women: anthropometrical, psychological and eating behavioral correlates

The effects of high-intensity intermittent exercise training on fat loss and fasting insulin levels of young women

Binge Eating and Weight Loss Outcomes in Overweight and Obese Individuals With Type 2 Diabetes

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