Journal article
Changes in weight control behaviors and hedonic hunger in a commercial weight management program adapted for individuals with type 2 diabetes
INTERNATIONAL JOURNAL OF OBESITY, v 44(5), pp 990-998
01 May 2020
PMID: 31949295
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background A WW (formerly Weight Watchers) program adapted for persons with type 2 diabetes mellitus (T2DM) previously was found to be more effective than standard care (SC) intervention for weight loss, improved glycemic control, and weight- and diabetes-related quality of life measures. With data from the same national trial, this study examined whether WW adapted for persons with T2DM also increased engagement in weight control behaviors and decreased hedonic hunger, each of which could contribute to improved diabetes management. Intervention and methods Individuals with T2DM (n = 563) and overweight or obesity participated in a 12-month, 16-site, randomized trial of WW with diabetes counseling or SC. Hierarchical linear modeling (HLM) evaluated whether 12-month changes in weight control behaviors (Eating Behavior Inventory; EBI) and hedonic hunger (Power of Food Scale; PFS) differed by treatment condition. If a significant treatment effect was found, 12-month changes in EBI/PFS were regressed on 12-month changes in HbA(1c) and percent weight loss to explore potential treatment differences in these associations. Results EBI scores increased significantly over the 12-months (p < 0.001), with greater improvements in WW than SC (p < 0.001). PFS decreased significantly in the 12-months (p < 0.001), with no differences between treatment groups (p = 0.15). HLM analyses that followed up on the significant treatment effect for 12-month change in EBI revealed no significant differences by treatment condition for the relationship between change in EBI scores and change in HbA(1c) (p = 0.14) or percent weight loss (p = 0.32). Across all participants, 12-month improvements in EBI and PFS were related to improved HbA(1c) (r = 0.22; -0.13, respectively) and greater percent weight loss (r = 0.41; -0.18, respectively) (ps < 0.01). Conclusions WW with diabetes counseling produced greater engagement in weight control behaviors in those with T2DM than did SC. Across both groups, improved weight control behaviors and hedonic hunger were related to improved glycemic control and weight loss.
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Details
- Title
- Changes in weight control behaviors and hedonic hunger in a commercial weight management program adapted for individuals with type 2 diabetes
- Creators
- Erica M. Schulte - Medical University of South CarolinaPeter W. Tuerk - University of VirginiaThomas A. Wadden - University of PennsylvaniaW. Timothy Garvey - Birmingham VA Medical CenterDaniel Weiss - MentorKathie L. Hermayer - Medical University of South CarolinaLouis J. Aronne - Cornell UniversityLynne E. Becker - TAIG Inc, Reston, VA USAKen Fujioka - Scripps Clinical Research, San Diego, CA, USA.Karen Miller-Kovach - WW, New York, NY, USA.Robert F. Kushner - Northwestern UniversityRobert J. Malcolm - Medical University of South CarolinaWilliam J. Raum - Oregon Weight Loss SurgeryStephanie L. Rost - WW, New York, NY, USA.Domenica M. Rubino - Washington Center for Weight Management and ResearchNicoleta D. Sora - Medical University of South CarolinaJan L. Veliko - WW, New York, NY, USA.Patrick M. O'Neil - Medical University of South Carolina
- Publication Details
- INTERNATIONAL JOURNAL OF OBESITY, v 44(5), pp 990-998
- Publisher
- Springer Nature
- Number of pages
- 9
- Grant note
- WW
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Center for Weight, Eating and Lifestyle Science (WELL) [Historical]
- Web of Science ID
- WOS:000508168600002
- Scopus ID
- 2-s2.0-85078598789
- Other Identifier
- 991020100081404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Endocrinology & Metabolism
- Nutrition & Dietetics