Universität zu Köln

Huttunen-Lenz, Maija ORCID: 0000-0002-1034-1613, Hansen, Sylvia, Raben, Anne ORCID: 0000-0001-5229-4491, Westerterp-Plantenga, Margriet, Macdonald, Ian, Stratton, Gareth, Swindell, Nils, Alfredo Martinez, J., Handjieva-Darlenska, Teodora, Poppitt, Sally D., Silvestre, Marta P., Fogelholm, Mikael, Jalo, Elli, Brand-Miller, Jennie, Muirhead, Roslyn, Larsen, Thomas M., Vestentoft, Pia Siig, Handjiev, Svetoslav and Schlicht, Wolfgang (2022). Forming New Health Behavior Habits During Weight Loss Maintenance-The PREVIEW Study. Health Psychol., 41 (8). S. 549 - 559. WASHINGTON: AMER PSYCHOLOGICAL ASSOC. ISSN 1930-7810

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Abstract

Introduction: 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Huttunen-Lenz, Maija UNSPECIFIED orcid.org/0000-0002-1034-1613 UNSPECIFIED Hansen, Sylvia UNSPECIFIED UNSPECIFIED UNSPECIFIED Raben, Anne UNSPECIFIED orcid.org/0000-0001-5229-4491 UNSPECIFIED Westerterp-Plantenga, Margriet UNSPECIFIED UNSPECIFIED UNSPECIFIED Macdonald, Ian UNSPECIFIED UNSPECIFIED UNSPECIFIED Stratton, Gareth UNSPECIFIED UNSPECIFIED UNSPECIFIED Swindell, Nils UNSPECIFIED UNSPECIFIED UNSPECIFIED Alfredo Martinez, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Handjieva-Darlenska, Teodora UNSPECIFIED UNSPECIFIED UNSPECIFIED Poppitt, Sally D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Silvestre, Marta P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Fogelholm, Mikael UNSPECIFIED UNSPECIFIED UNSPECIFIED Jalo, Elli UNSPECIFIED UNSPECIFIED UNSPECIFIED Brand-Miller, Jennie UNSPECIFIED UNSPECIFIED UNSPECIFIED Muirhead, Roslyn UNSPECIFIED UNSPECIFIED UNSPECIFIED Larsen, Thomas M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Vestentoft, Pia Siig UNSPECIFIED UNSPECIFIED UNSPECIFIED Handjiev, Svetoslav UNSPECIFIED UNSPECIFIED UNSPECIFIED Schlicht, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-695235
DOI:	10.1037/hea0001182
Journal or Publication Title:	Health Psychol.
Volume:	41
Number:	8
Page Range:	S. 549 - 559
Date:	2022
Publisher:	AMER PSYCHOLOGICAL ASSOC
Place of Publication:	WASHINGTON
ISSN:	1930-7810
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LIFE-STYLE INTERVENTION; SELF-DETERMINATION THEORY; DIABETES PREVENTION; DETERMINANTS; TEMPTATION; EXERCISE; MODEL Multiple languages Psychology, Clinical; Psychology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/69523