Evidence map›Paper›PMID 29453590›Full record

ArticleEating and weight disorders : EWD2019

Attribution of weight regain to emotional reasons amongst European adults with overweight and obesity who regained weight following a weight loss attempt.

Kirby Sainsbury, Elizabeth H Evans, Susanne Pedersen, Marta M Marques, Pedro J Teixeira, Liisa Lähteenmäki, R James Stubbs, Berit L Heitmann, Falko F Sniehotta

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Eating and weight disorders : EWD, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04896372 (The ACTyourCHANGE Study Protocol), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04896372 naunknown statusnot on this mapstarted 2021, after this paper: background citation

The ACTyourCHANGE Study Protocol: An ACT Based Inter-vention for Adolescents With Obesity: A Randomized Controlled Trial

TypeinterventionalSponsorIstituto Auxologico ItalianoRan2021 to 2024Enrolled50ConditionsPsychological Well-beingArmsACT comprehensive of standard care, TAU only
3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

  1. Review
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  7. An adiposity force induces obesity in humans independently of a normal energy balance system-a thought experiment.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2023
    Review
  8. Preventing type 2 diabetes: A research agenda for behavioural science.Diabetic medicine : a journal of the British Diabetic Association · 2023
    Review
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  12. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Kirby SainsburyInstitute of Health and Society, Faculty of Medical Sciences, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle Upon Tyne, NE2 4AX, UK. Kirby.sainsbury@ncl.ac.uk.ORCID http://orcid.org/0000-0002-6716-8305
Elizabeth H EvansInstitute of Health and Society, Faculty of Medical Sciences, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle Upon Tyne, NE2 4AX, UK.
Susanne PedersenMAPP Centre, Aarhus BSS, Aarhus University, Bartholins Alle 10, 8000, Aarhus C, Denmark.
Marta M MarquesInterdisciplinary Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal.
Pedro J TeixeiraInterdisciplinary Centre for the Study of Human Performance (CIPER), Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal.
Liisa LähteenmäkiMAPP Centre, Aarhus BSS, Aarhus University, Bartholins Alle 10, 8000, Aarhus C, Denmark.
R James StubbsSchool of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, LS2 9JT, UK.
Berit L HeitmannResearch Unit for Dietary Studies at the Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Falko F SniehottaInstitute of Health and Society, Faculty of Medical Sciences, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle Upon Tyne, NE2 4AX, UK.

Funding

Horizon 2020 643309Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

purposeDespite the wide availability of effective weight loss programmes, maintenance of weight loss remains challenging. Difficulties in emotion regulation are associated with binge eating and may represent one barrier to long-term intervention effectiveness in obesity. The purpose of this study was to determine the relationship between emotion regulation difficulties and the extent of weight regain in a sample of adults who had lost, and then regained, weight, and to examine the characteristics associated with emotional difficulties.

methods2000 adults from three European countries (UK, Portugal, and Denmark) completed an online survey assessing self-reported weight loss and regain following their most recent weight loss attempt. They also completed a binge eating disorder screening questionnaire and, if they had regained weight, were asked if they attributed it to any emotional factors (a proxy for emotion regulation difficulties). Spearman's correlations and logistic regression were used to assess the associations between emotion regulation, weight regain, and strategy use.

resultsEmotion regulation difficulties were associated with greater weight regain (N = 1594 who lost and regained weight). Attribution to emotional reasons was associated with younger age, female gender, loss of control and binge eating, lower perceptions of success at maintenance, using more dietary and self-regulatory strategies in weight loss, and fewer dietary strategies in maintenance.

conclusionsWeight-related emotion regulation difficulties are common amongst regainers and are associated with regaining more weight. Affected individuals are already making frequent use of behavioural strategies during weight loss, but do not apply these consistently beyond active attempts. Simply encouraging the use of more numerous strategies, without concurrently teaching emotion regulation skills, may not be an effective means to improving weight outcomes in this group. LEVEL OF EVIDENCE: Level V, descriptive (cross-sectional) study.

Indexed as

Self-ControlAdultAge FactorsCross-Sectional StudiesDietEmotionsEuropeFemaleHumansMaleMiddle AgedObesityOverweightSex FactorsWeight GainWeight LossBinge eatingEmotion regulationLoss of controlObesityWeight loss maintenance

Identifiers

PMID29453590
PMCPMC6441408

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.