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Role of Eating Behavior and Stress in Maintenance of Dietary Changes During the PREVIEW Intervention
Elli Jalo 
,
Mikael Fogelholm ,
Margriet Westerterp-Plantenga ,
Tanja C. Adam,
Mathijs Drummen ,
Maija Huttunen-Lenz ,
Louise Kjølbæk ,
José Alfredo Martinez,
Teodora Handjieva-Darlenska ,
Moira A. Taylor ,
Jennie Brand-Miller ,
Sally Poppitt ,
Gareth Stratton ,
Tony Lam ,
Santiago Navas-Carretero ,
Georgi Bogdanov ,
Liz Simpson ,
Roslyn Muirhead ,
Marta P. Silvestre ,
Nils Joseph Swindell ,
Anne Raben ,
Hanna Konttinen
,
Mikael Fogelholm ,
Margriet Westerterp-Plantenga ,
Tanja C. Adam,
Mathijs Drummen ,
Maija Huttunen-Lenz ,
Louise Kjølbæk ,
José Alfredo Martinez,
Teodora Handjieva-Darlenska ,
Moira A. Taylor ,
Jennie Brand-Miller ,
Sally Poppitt ,
Gareth Stratton ,
Tony Lam ,
Santiago Navas-Carretero ,
Georgi Bogdanov ,
Liz Simpson ,
Roslyn Muirhead ,
Marta P. Silvestre ,
Nils Joseph Swindell ,
Anne Raben ,
Hanna Konttinen
Journal of Nutrition Education and Behavior
Swansea University Authors:
Gareth Stratton , Nils Joseph Swindell
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Copyright: 2024 The Authors. This is an open access article under the CC BY license
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DOI (Published version): 10.1016/j.jneb.2024.01.001
Abstract
ObjectiveTo examine whether eating behavior and perceived stress predict the maintenance of self-reported dietary change and adherence to dietary instructions during an intervention.DesignA secondary analysis of the behavior maintenance stage (6–36 months) of the 3-year PREVIEW intervention (PREVent...
| Published in: | Journal of Nutrition Education and Behavior |
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| ISSN: | 1499-4046 |
| Published: |
Elsevier BV
2024
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| Online Access: |
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa65505 |
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| Abstract: |
ObjectiveTo examine whether eating behavior and perceived stress predict the maintenance of self-reported dietary change and adherence to dietary instructions during an intervention.DesignA secondary analysis of the behavior maintenance stage (6–36 months) of the 3-year PREVIEW intervention (PREVention of diabetes through lifestyle Intervention and population studies in Europe and around the World).ParticipantsAdults (n = 1,311) with overweight and prediabetes at preintervention baseline.Variables MeasuredEating behavior (Three-Factor Eating Questionnaire), stress (Perceived Stress Scale), and dietary intake (4-day food records on 4 occasions) were reported.AnalysisAssociations between predictors and dietary outcomes were examined with linear mixed-effects models for repeated measurements.ResultsEating behaviors and stress at 6 months did not predict the subsequent change in dietary outcomes, but higher cognitive restraint predicted lower energy intake, and both higher disinhibition and hunger predicted higher energy intake during the following behavior maintenance stage. In addition, higher disinhibition predicted higher saturated fat intake and lower fiber intake, and higher hunger predicted lower fiber intake. Stress was not associated with energy intake or dietary quality. Eating behaviors and stress were not consistently associated with adherence to dietary instructions.Conclusions and ImplicationsHigher cognitive restraint predicted lower energy intake (food quantity), but disinhibition and hunger were also associated with dietary quality. |
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| Keywords: |
Eating Inventory; eating style; behavior change; behavior maintenance; food consumption |
| College: |
Faculty of Science and Engineering |
| Funders: |
he PREVention of diabetes through lifestyle Intervention and population studies in Europe and around the World project was funded by the following institutions: European Union Framework Programme 7 (grant no. 312057), The Glycemic Index Foundation Australia through royalties to The University of Sydney; The New Zealand Health Research Council (14/191) and the University of Auckland Faculty Research Development Fund; The Danish Agriculture and Food Council; The Danish Meat and Research Institute; National Institute for Health Research Biomedical Research Centre; Engineering and Physical Sciences Research Council; Juho Vainio Foundation; Academy of Finland (grant nos.: 272376, 314383, and 266286); Finnish Medical Foundation; Gyllenberg Foundation; Novo Nordisk Foundation; Finnish Diabetes Research Foundation; University of Helsinki; Government Research Funds for Helsinki University Hospital. The Cambridge Weight Plan donated all products for the 8-week low-energy–diet period. Nutritics donated dietary analysis software used by the University of Nottingham. Elli Jalo received personal grants for the preparation of this manuscript from the Jenny and Antti Wihuri Foundation, Emil Aaltonen Foundation, and Yrjö Jahnsson Foundation. Hanna Konttinen also received funding from the Academy of Finland (grants no. 314135 and 309157 to HK) for the preparation of this manuscript. |