TY - JOUR
T1 - Forming New Health Behavior Habits During Weight Loss Maintenance—The PREVIEW Study
AU - Huttunen-Lenz, Maija
AU - Hansen, Sylvia
AU - Raben, Anne
AU - Westerterp-Plantenga, Margriet
AU - Macdonald, Ian
AU - Stratton, Gareth
AU - Swindell, Nils
AU - Martinez, J. Alfredo
AU - Handjieva-Darlenska, Teodora
AU - Poppitt, Sally D.
AU - Silvestre, Marta P.
AU - Fogelholm, Mikael
AU - Jalo, Elli
AU - Brand-Miller, Jennie
AU - Muirhead, Roslyn
AU - Larsen, Thomas M.
AU - Vestentoft, Pia Siig
AU - Handjiev, Svetoslav
AU - Schlicht, Wolfgang
N1 - Funding Information:
ClinicalTrials.gov Identifier: NCT01777893. Funding sources included EU Framework Program 7 (FP7/2007–2013) Grant 312057; National Health and Medical Research Council—EU Collaborative Grant AUS 8, ID 1067711; the Glycemic Index Foundation Australia through royalties to the University of Sydney; the New Zealand Health Research Council (14/191) and University of Auckland Faculty Research Development Fund; the Cambridge Weight Plan, United Kingdom, which donated all products for the 8-week low-energy diet period; the Danish Agriculture & Food Council; the Danish Meat and Research Institute; the National Institute for Health Research Biomedical Research Center (United Kingdom); the Biotechnology and Biological Sciences Research Council (United Kingdom); the Engineering and Physical Sciences Research Council (United Kingdom); Nutritics (Dublin), which donated all dietary analyses software used by University of Nottingham; the Juho Vainio Foundation (Finland); the Academy of Finland (Grants 272376, 314383, 266286, 314135); the Finnish Medical Foundation; the Gyllenberg Foundation; the Novo Nordisk Foundation; the Finnish Diabetes Research Foundation; the University of Helsinki; the Government Research Funds for Helsinki University Hospital; the Jenny and Antti Wihuri Foundation (Finland); and the Emil Aaltonen Foundation (Finland). The funders of the study had no role in study design, data collection, data analysis, data interpretation, or writing of the report.
Publisher Copyright:
© 2022. American Psychological Association
PY - 2022
Y1 - 2022
N2 - Changing lifestyle habits to achieve and maintain weight loss can be effective in prevention of Type II diabetes. Ability to resist temptations is considered one of the key factors in behavior change. This study examined how habit strength, motivation, and temptations for an energy-dense diet developed during the maintenance stage of a behavior modification intervention tool. Method: 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 (PREVIEW Behavior Modification Intervention Toolbox, or 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. Results: 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 interactions with PREMIT attendance were observed. Discussion: 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 regain. 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.
AB - Changing lifestyle habits to achieve and maintain weight loss can be effective in prevention of Type II diabetes. Ability to resist temptations is considered one of the key factors in behavior change. This study examined how habit strength, motivation, and temptations for an energy-dense diet developed during the maintenance stage of a behavior modification intervention tool. Method: 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 (PREVIEW Behavior Modification Intervention Toolbox, or 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. Results: 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 interactions with PREMIT attendance were observed. Discussion: 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 regain. 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.
KW - Diabetes type ii
KW - Habits
KW - Motivation
KW - Temptations
KW - Weight-loss maintenance
UR - http://www.scopus.com/inward/record.url?scp=85134077116&partnerID=8YFLogxK
U2 - 10.1037/hea0001182
DO - 10.1037/hea0001182
M3 - Article
AN - SCOPUS:85134077116
SN - 0278-6133
VL - 41
SP - 549
EP - 558
JO - Health Psychology
JF - Health Psychology
IS - 8
ER -
