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What Is the Profile of Overweight Individuals Who Are Unsuccessful Responders to a Low-Energy Diet? A PREVIEW Sub-study

Angelo Tremblay, Mikael Fogelholm, Elli Jalo, Margriet S. Westerterp-Plantenga, Tanja C. Adam, Maija Huttunen-Lenz, Gareth Stratton Orcid Logo, Tony Lam, Teodora Handjieva-Darlenska, Svetoslav Handjiev, J. Alfredo Martinez, Ian A. Macdonald, Elizabeth J. Simpson, Jennie Brand-Miller, Roslyn Muirhead, Sally D. Poppitt, Marta P. Silvestre, Thomas M. Larsen, Pia Siig Vestentoft, Wolfgang Schlicht, Vicky Drapeau, Anne Raben

Frontiers in Nutrition, Volume: 8

Swansea University Author: Gareth Stratton Orcid Logo

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    © 2021 Tremblay, Fogelholm, Jalo, Westerterp-Plantenga, Adam, Huttunen-Lenz, Stratton, Lam, Handjieva-Darlenska, Handjiev, Martinez, Macdonald, Simpson, Brand-Miller, Muirhead, Poppitt, Silvestre, Larsen, Vestentoft, Schlicht, Drapeau and Raben. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY).

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DOI (Published version): 10.3389/fnut.2021.707682

Abstract

This study was performed to evaluate the profile of overweight individuals with pre-diabetes enrolled in PREVIEW who were unable to achieve a body weight loss of ≥8% of the baseline value in response to a 2-month low-energy diet (LED). Their baseline profile reflected potential stress-related vulner...

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Published in: Frontiers in Nutrition
ISSN: 2296-861X
Published: Frontiers Media SA 2021
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URI: https://cronfa.swan.ac.uk/Record/cronfa58542
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Abstract: This study was performed to evaluate the profile of overweight individuals with pre-diabetes enrolled in PREVIEW who were unable to achieve a body weight loss of ≥8% of the baseline value in response to a 2-month low-energy diet (LED). Their baseline profile reflected potential stress-related vulnerability that predicted a reduced response of body weight to a LED programme. The mean daily energy deficit maintained by unsuccessful weight responders of both sexes was less than the estimated level in successful female (656 vs. 1,299 kcal, p < 0.01) and male (815 vs. 1,659 kcal, p < 0.01) responders. Despite this smaller energy deficit, unsuccessful responders displayed less favorable changes in susceptibility to hunger and appetite sensations. They also did not benefit from the intervention regarding the ability to improve sleep quality. In summary, these results show that some individuals display a behavioral vulnerability which may reduce the ability to lose weight in response to a diet-based weight loss program. They also suggest that this vulnerability may be accentuated by a prolonged diet restriction.
Keywords: obesity, behavior, energy, hunger, appetite, sleep
College: Faculty of Science and Engineering
Funders: EU 7th Framework Programme (FP7-KBBE-2012), grant agreement No. 312057, the New Zealand Health Research Council, grant No. 14/191, and the NHMRC-EU Collaborative Grant, Australia.

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