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 SwindellAnne Raben, Hanna Konttinen

*Corresponding author af dette arbejde

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Abstract

Objective: To examine whether eating behavior and perceived stress predict the maintenance of self-reported dietary change and adherence to dietary instructions during an intervention. Design: A 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). Participants: Adults (n = 1,311) with overweight and prediabetes at preintervention baseline. Variables Measured: Eating behavior (Three-Factor Eating Questionnaire), stress (Perceived Stress Scale), and dietary intake (4-day food records on 4 occasions) were reported. Analysis: Associations between predictors and dietary outcomes were examined with linear mixed-effects models for repeated measurements. Results: Eating 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 Implications: Higher cognitive restraint predicted lower energy intake (food quantity), but disinhibition and hunger were also associated with dietary quality.

OriginalsprogEngelsk
TidsskriftJournal of Nutrition Education and Behavior
Vol/bind56
Udgave nummer5
Sider (fra-til)276-286
ISSN1499-4046
DOI
StatusUdgivet - 2024

Bibliografisk note

Funding Information:
The 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. The PREVention of diabetes through lifestyle Intervention and population studies in Europe and around the World Consortium wishes to thank all the study participants at every intervention center for their time and commitment to the study. In addition, we wish to thank all the research staff, scientists, and students from each center for their dedication and contributions to the implementation of the study.

Funding Information:
The 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.

Publisher Copyright:
© 2024 The Authors

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