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Reductions in internal disinhibition during weight loss predict better weight loss maintenance
Journal article   Open access   Peer reviewed

Reductions in internal disinhibition during weight loss predict better weight loss maintenance

Meghan L Butryn, J Graham Thomas and Michael R Lowe
Obesity (Silver Spring, Md.), v 17(5), pp 1101-1103
May 2009
DOI: https://doi.org/10.1038/oby.2008.646
PMID: 19180064
Featured in Collection :   UN Sustainable Development Goals @ Drexel
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https://doi.org/10.1038/oby.2008.646View
Published, Version of Record (VoR) Open

Abstract

Body Mass Index Predictive Value of Tests Telephone Humans Overweight - rehabilitation Male Counseling Weight Loss - physiology Adult Female Perception Feeding Behavior - psychology Overweight - psychology Behavior Therapy - methods
The construct of disinhibition, as measured by the Eating Inventory, was recently found to have two factors: internal disinhibition (eating in response to cognitive and emotional cues) and external disinhibition (eating in response to environmental cues). This study examined whether early changes in disinhibition that occurred during a weight loss program predicted later weight loss maintenance. Participants were adults enrolled in a weight loss treatment study (n = 81, 16% men, BMI = 38.4 +/- 6.5 kg/m(2)). Two-thirds of participants were African Americans. Participants received a uniform, meal-replacement-based weight loss program in months 1-3 and one of four nutritionally focused programs for weight loss maintenance in months 4-12. Disinhibition and weight were assessed at clinic visits. Change in internal disinhibition from months 1-3 (i.e., the weight loss period) significantly predicted change in weight from month 4 to 12 (i.e., the weight maintenance period); this remained significant when treatment group, age, gender, ethnicity, baseline weight, baseline depression, baseline internal disinhibition, and initial weight loss were controlled for (P = 0.03). A comparable analysis examining change in external disinhibition found that it was not a significant predictor of weight maintenance (P = 0.43). Participants who experienced the biggest decreases in internal disinhibition during the initial phase of treatment had the most success maintaining their weight loss in the next phase of treatment. Long-term weight loss outcomes may be improved by spending sufficient treatment time teaching strategies for reducing eating in response to internal cues.

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49 citations in Web of Science
50 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#5 Gender Equality
#3 Good Health and Well-Being

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Web of Science research areas
Endocrinology & Metabolism
Nutrition & Dietetics
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