Department of Management

Liisa Lähteenmäki

The complexity of self-regulating food intake in weight loss maintenance. A qualitative study among short- and long-term weight loss maintainers

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Standard

The complexity of self-regulating food intake in weight loss maintenance. A qualitative study among short- and long-term weight loss maintainers. / Pedersen, Susanne; Sniethotta, Falko F.; Sainsbury, Kirby; Evans, Elizabeth; Marques, Martha M.; Stubbs, R. James; Heitmann, Berit L.; Lähteenmäki, Liisa.

In: Social Science & Medicine, Vol. 208, 07.2018, p. 18-24.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Harvard

APA

CBE

MLA

Vancouver

Author

Pedersen, Susanne ; Sniethotta, Falko F. ; Sainsbury, Kirby ; Evans, Elizabeth ; Marques, Martha M. ; Stubbs, R. James ; Heitmann, Berit L. ; Lähteenmäki, Liisa. / The complexity of self-regulating food intake in weight loss maintenance. A qualitative study among short- and long-term weight loss maintainers. In: Social Science & Medicine. 2018 ; Vol. 208. pp. 18-24.

Bibtex

@article{959e5af416c745608774d0570978b80c,
title = "The complexity of self-regulating food intake in weight loss maintenance. A qualitative study among short- and long-term weight loss maintainers",
abstract = "RationaleWhether self-regulation of food intake in weight loss maintenance (WLM) differs between being a short-term maintainer (having maintained without regaining less than 12 months) and a long-term maintainer (having maintained without regaining at least 12 months) is under-researched.ObjectiveThe aim of this study was to explore the self-regulatory strategies and self-efficacy beliefs applied by short- and long-term maintainers to the complex set of behaviours comprising food intake in WLM, and to obtain a better understanding of their challenges in the various food-intake processes in WLM.MethodIndividual interviews (14 female/4 male) were conducted with nine Danish short- and nine long-term weight loss maintainers. The Health Action Process Approach (HAPA) was applied post-hoc to organise data and support analyses, since the approach focuses on both the cognitions (e.g., self-efficacy, the nature of which differs depending on the phase of behaviour change) and self-regulatory strategies (e.g., action planning and coping planning) involved in behaviour change.ResultsSelf-regulatory strategies and self-efficacy beliefs varied between the food-related behaviours and between short- and long-term maintainers. Consistent with the progression suggested by HAPA, with repeated use of action and coping planning, long-term maintainers had formed habitual routines, not only allowing them more flexibility, but also providing them stronger self-control in the behaviours related to WLM such as buying and storing food, and eating at social gatherings. The short-term maintainers often displayed a ‘weight loss mind-set.’ The short-term maintainers focused on the avoidance of certain behaviours, showed less self-regulatory flexibility, and exhibited more detailed action planning, but their interviews also inferred that they had ambitions to build strong WLM-habits, maintenance, and recovery self-efficacy.ConclusionThe contribution of this study is a more comprehensive view on food intake as an outcome of a set of complex behaviours, revealing insights into the differences in cognitions and strategies applied to the task of WLM, between short- and long-term maintainers.",
keywords = "Denmark, Food intake, Qualitative, Self-efficacy beliefs, Self-regulation, Weight-loss maintenance, EFFICACY, ADULTS, STRATEGIES, EXPERIENCES, OBESITY, OVERWEIGHT, BEHAVIORS, PERCEPTIONS",
author = "Susanne Pedersen and Sniethotta, {Falko F.} and Kirby Sainsbury and Elizabeth Evans and Marques, {Martha M.} and Stubbs, {R. James} and Heitmann, {Berit L.} and Liisa L{\"a}hteenm{\"a}ki",
year = "2018",
month = "7",
doi = "10.1016/j.socscimed.2018.05.016",
language = "English",
volume = "208",
pages = "18--24",
journal = "Social Science & Medicine",
issn = "0277-9536",
publisher = "Pergamon Press",

}

RIS

TY - JOUR

T1 - The complexity of self-regulating food intake in weight loss maintenance. A qualitative study among short- and long-term weight loss maintainers

AU - Pedersen, Susanne

AU - Sniethotta, Falko F.

AU - Sainsbury, Kirby

AU - Evans, Elizabeth

AU - Marques, Martha M.

AU - Stubbs, R. James

AU - Heitmann, Berit L.

AU - Lähteenmäki, Liisa

PY - 2018/7

Y1 - 2018/7

N2 - RationaleWhether self-regulation of food intake in weight loss maintenance (WLM) differs between being a short-term maintainer (having maintained without regaining less than 12 months) and a long-term maintainer (having maintained without regaining at least 12 months) is under-researched.ObjectiveThe aim of this study was to explore the self-regulatory strategies and self-efficacy beliefs applied by short- and long-term maintainers to the complex set of behaviours comprising food intake in WLM, and to obtain a better understanding of their challenges in the various food-intake processes in WLM.MethodIndividual interviews (14 female/4 male) were conducted with nine Danish short- and nine long-term weight loss maintainers. The Health Action Process Approach (HAPA) was applied post-hoc to organise data and support analyses, since the approach focuses on both the cognitions (e.g., self-efficacy, the nature of which differs depending on the phase of behaviour change) and self-regulatory strategies (e.g., action planning and coping planning) involved in behaviour change.ResultsSelf-regulatory strategies and self-efficacy beliefs varied between the food-related behaviours and between short- and long-term maintainers. Consistent with the progression suggested by HAPA, with repeated use of action and coping planning, long-term maintainers had formed habitual routines, not only allowing them more flexibility, but also providing them stronger self-control in the behaviours related to WLM such as buying and storing food, and eating at social gatherings. The short-term maintainers often displayed a ‘weight loss mind-set.’ The short-term maintainers focused on the avoidance of certain behaviours, showed less self-regulatory flexibility, and exhibited more detailed action planning, but their interviews also inferred that they had ambitions to build strong WLM-habits, maintenance, and recovery self-efficacy.ConclusionThe contribution of this study is a more comprehensive view on food intake as an outcome of a set of complex behaviours, revealing insights into the differences in cognitions and strategies applied to the task of WLM, between short- and long-term maintainers.

AB - RationaleWhether self-regulation of food intake in weight loss maintenance (WLM) differs between being a short-term maintainer (having maintained without regaining less than 12 months) and a long-term maintainer (having maintained without regaining at least 12 months) is under-researched.ObjectiveThe aim of this study was to explore the self-regulatory strategies and self-efficacy beliefs applied by short- and long-term maintainers to the complex set of behaviours comprising food intake in WLM, and to obtain a better understanding of their challenges in the various food-intake processes in WLM.MethodIndividual interviews (14 female/4 male) were conducted with nine Danish short- and nine long-term weight loss maintainers. The Health Action Process Approach (HAPA) was applied post-hoc to organise data and support analyses, since the approach focuses on both the cognitions (e.g., self-efficacy, the nature of which differs depending on the phase of behaviour change) and self-regulatory strategies (e.g., action planning and coping planning) involved in behaviour change.ResultsSelf-regulatory strategies and self-efficacy beliefs varied between the food-related behaviours and between short- and long-term maintainers. Consistent with the progression suggested by HAPA, with repeated use of action and coping planning, long-term maintainers had formed habitual routines, not only allowing them more flexibility, but also providing them stronger self-control in the behaviours related to WLM such as buying and storing food, and eating at social gatherings. The short-term maintainers often displayed a ‘weight loss mind-set.’ The short-term maintainers focused on the avoidance of certain behaviours, showed less self-regulatory flexibility, and exhibited more detailed action planning, but their interviews also inferred that they had ambitions to build strong WLM-habits, maintenance, and recovery self-efficacy.ConclusionThe contribution of this study is a more comprehensive view on food intake as an outcome of a set of complex behaviours, revealing insights into the differences in cognitions and strategies applied to the task of WLM, between short- and long-term maintainers.

KW - Denmark

KW - Food intake

KW - Qualitative

KW - Self-efficacy beliefs

KW - Self-regulation

KW - Weight-loss maintenance

KW - EFFICACY

KW - ADULTS

KW - STRATEGIES

KW - EXPERIENCES

KW - OBESITY

KW - OVERWEIGHT

KW - BEHAVIORS

KW - PERCEPTIONS

UR - http://www.scopus.com/inward/record.url?scp=85046756452&partnerID=8YFLogxK

U2 - 10.1016/j.socscimed.2018.05.016

DO - 10.1016/j.socscimed.2018.05.016

M3 - Journal article

VL - 208

SP - 18

EP - 24

JO - Social Science & Medicine

JF - Social Science & Medicine

SN - 0277-9536

ER -