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Original Article

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Instrumentalization of Eating Improves Weight Loss Maintenance in Obesity

Christensen B.J.a · Iepsen E.W.b · Lundgren J.b · Holm L.a · Madsbad S.c · Holst J.J.b · Torekov S.S.b

Author affiliations

aInstitute of Food and Resource Economics, University of Copenhagen, Copenhagen, Denmark; bDepartment of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen and the NNF Center for Basic Metabolic Research, Copenhagen, Denmark; cDepartment of Endocrinology, Hvidovre University Hospital, Hvidovre, Denmark

Corresponding Author

Dr. Bodil Just Christensen

Institute of Food and Resource Economics

University of Copenhagen

Rolighedsvej 25, 1958 Frederiksberg C, Denmark


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Obes Facts 2017;10:633-647

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Aim: The purpose of this study was to identify psychosocial determinants for maintaining weight loss. Methods: 42 obese individuals who achieved a 12% weight loss before entering a 52-week weight maintenance program were interviewed qualitatively. Psychosocial factors related to weight loss maintenance were identified in two contrasting groups: weight reducers and weight regainers. Groups were defined by health-relevant weight maintenance (additional weight loss > 3% at week 52, n = 9 versus weight gain > 3%, at week 52, n = 20). Results: Weight reducers reported structured meal patterns (p = 0.008), no comfort eating (p = 0.016) and less psychosocial stress (p = 0.04) compared to weight regainers. The ability to instrumentalize eating behavior emerged as an important factor (p = 0.007). Nutritional knowledge, motivation or exercise level did not differ between groups (p > 0.05). Conclusions: Successful weight loss maintenance was associated with an interplay between behavioral, affective and contextual changes. ‘Instrumentalization of eating behavior' seems to be an important element in long-term weight maintenance.

© 2017 The Author(s) Published by S. Karger GmbH, Freiburg


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Article / Publication Details

First-Page Preview
Abstract of Original Article

Received: December 15, 2016
Accepted: August 24, 2017
Published online: December 06, 2017
Issue release date: Published online first

Number of Print Pages: 15
Number of Figures: 1
Number of Tables: 3

ISSN: 1662-4025 (Print)
eISSN: 1662-4033 (Online)

For additional information: https://www.karger.com/OFA

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