Demographic and social-cognitive factors associated with weight loss in overweight, pre-diabetic participants of the PREVIEW study

Sylvia Hansen; Maija Huttunen-Lenz; Diewertje Sluik; Jennie Brand-Miller; Mathijs Drummen; Mikael Fogelholm; Teodora Handjieva-Darlenska; Ian Macdonald; Alfredo J Martinez; Thomas Meinert Larsen; Sally Poppitt; Anne Raben; Wolfgang Schlicht

doi:10.1007/s12529-018-9744-x

Demographic and social-cognitive factors associated with weight loss in overweight, pre-diabetic participants of the PREVIEW study

Sylvia Hansen, Maija Huttunen-Lenz, Diewertje Sluik, Jennie Brand-Miller, Mathijs Drummen, Mikael Fogelholm, Teodora Handjieva-Darlenska, Ian Macdonald, Alfredo J Martinez, Thomas Meinert Larsen, Sally Poppitt, Anne Raben, Wolfgang Schlicht

Obesity Research

6 Citations (Scopus)

60 Downloads (Pure)

Abstract

Purpose: Weight loss has been demonstrated to be a successful strategy in diabetes prevention. Although weight loss is greatly influenced by dietary behaviors, social-cognitive factors play an important role in behavioral determination. This study aimed to identify demographic and social-cognitive factors (intention, self-efficacy, outcome expectancies, social support, and motivation with regard to dietary behavior and goal adjustment) associated with weight loss in overweight and obese participants from the PREVIEW study who had pre-diabetes.

Method: Prospective correlational data from 1973 adult participants were analyzed. The participants completed psychological questionnaires that assessed social-cognitive variables with regard to dietary behavior. Stepwise multiple regression analyses were performed to identify baseline demographic and social-cognitive factors associated with weight loss.

Results: Overall, being male, having a higher baseline BMI, having a higher income, perceiving fewer disadvantages of a healthy diet (outcome expectancies), experiencing less discouragement for healthy eating by family and friends (social support), and lower education were independently linked to greater weight loss. When evaluating females and males separately, education was no longer associated with weight loss.

Conclusion: The results indicate that a supportive environment in which family members and friends avoid discouraging healthy eating, with the application of a strategy that uses specific behavior change techniques to emphasize the benefits of outcomes, i.e., the benefits of a healthy diet, may support weight loss efforts. Weight loss programs should therefore always address the social environment of persons who try to lose body weight because family members and friends can be important supporters in reaching a weight loss goal.

Original language	English
Journal	International Journal of Behavioral Medicine
Volume	25
Issue number	6
Pages (from-to)	682-692
Number of pages	11
ISSN	1070-5503
DOIs	https://doi.org/10.1007/s12529-018-9744-x
Publication status	Published - 1 Dec 2018

Keywords

Faculty of Science
Weight loss
Social-cognitive factors
Behavioral determination
Lifestyle intervention

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Hansen et al_International Journal of Behavioral Medicine_2018_Vol 25(6)_682-692Final published version, 514 KBLicence: CC BY

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Hansen, S., Huttunen-Lenz, M., Sluik, D., Brand-Miller, J., Drummen, M., Fogelholm, M., Handjieva-Darlenska, T., Macdonald, I., Martinez, A. J., Larsen, T. M., Poppitt, S., Raben, A., & Schlicht, W. (2018). Demographic and social-cognitive factors associated with weight loss in overweight, pre-diabetic participants of the PREVIEW study. International Journal of Behavioral Medicine, 25(6), 682-692. https://doi.org/10.1007/s12529-018-9744-x

Demographic and social-cognitive factors associated with weight loss in overweight, pre-diabetic participants of the PREVIEW study. / Hansen, Sylvia; Huttunen-Lenz, Maija; Sluik, Diewertje et al.

In: International Journal of Behavioral Medicine, Vol. 25, No. 6, 01.12.2018, p. 682-692.

Research output: Contribution to journal › Journal article › Research › peer-review

Hansen, S, Huttunen-Lenz, M, Sluik, D, Brand-Miller, J, Drummen, M, Fogelholm, M, Handjieva-Darlenska, T, Macdonald, I, Martinez, AJ, Larsen, TM, Poppitt, S, Raben, A & Schlicht, W 2018, 'Demographic and social-cognitive factors associated with weight loss in overweight, pre-diabetic participants of the PREVIEW study', International Journal of Behavioral Medicine, vol. 25, no. 6, pp. 682-692. https://doi.org/10.1007/s12529-018-9744-x

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abstract = "Purpose: Weight loss has been demonstrated to be a successful strategy in diabetes prevention. Although weight loss is greatly influenced by dietary behaviors, social-cognitive factors play an important role in behavioral determination. This study aimed to identify demographic and social-cognitive factors (intention, self-efficacy, outcome expectancies, social support, and motivation with regard to dietary behavior and goal adjustment) associated with weight loss in overweight and obese participants from the PREVIEW study who had pre-diabetes.Method: Prospective correlational data from 1973 adult participants were analyzed. The participants completed psychological questionnaires that assessed social-cognitive variables with regard to dietary behavior. Stepwise multiple regression analyses were performed to identify baseline demographic and social-cognitive factors associated with weight loss.Results: Overall, being male, having a higher baseline BMI, having a higher income, perceiving fewer disadvantages of a healthy diet (outcome expectancies), experiencing less discouragement for healthy eating by family and friends (social support), and lower education were independently linked to greater weight loss. When evaluating females and males separately, education was no longer associated with weight loss.Conclusion: The results indicate that a supportive environment in which family members and friends avoid discouraging healthy eating, with the application of a strategy that uses specific behavior change techniques to emphasize the benefits of outcomes, i.e., the benefits of a healthy diet, may support weight loss efforts. Weight loss programs should therefore always address the social environment of persons who try to lose body weight because family members and friends can be important supporters in reaching a weight loss goal.",

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AU - Huttunen-Lenz, Maija

AU - Sluik, Diewertje

AU - Brand-Miller, Jennie

AU - Drummen, Mathijs

AU - Fogelholm, Mikael

AU - Handjieva-Darlenska, Teodora

AU - Macdonald, Ian

AU - Martinez, Alfredo J

AU - Larsen, Thomas Meinert

AU - Poppitt, Sally

AU - Raben, Anne

AU - Schlicht, Wolfgang

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N2 - Purpose: Weight loss has been demonstrated to be a successful strategy in diabetes prevention. Although weight loss is greatly influenced by dietary behaviors, social-cognitive factors play an important role in behavioral determination. This study aimed to identify demographic and social-cognitive factors (intention, self-efficacy, outcome expectancies, social support, and motivation with regard to dietary behavior and goal adjustment) associated with weight loss in overweight and obese participants from the PREVIEW study who had pre-diabetes.Method: Prospective correlational data from 1973 adult participants were analyzed. The participants completed psychological questionnaires that assessed social-cognitive variables with regard to dietary behavior. Stepwise multiple regression analyses were performed to identify baseline demographic and social-cognitive factors associated with weight loss.Results: Overall, being male, having a higher baseline BMI, having a higher income, perceiving fewer disadvantages of a healthy diet (outcome expectancies), experiencing less discouragement for healthy eating by family and friends (social support), and lower education were independently linked to greater weight loss. When evaluating females and males separately, education was no longer associated with weight loss.Conclusion: The results indicate that a supportive environment in which family members and friends avoid discouraging healthy eating, with the application of a strategy that uses specific behavior change techniques to emphasize the benefits of outcomes, i.e., the benefits of a healthy diet, may support weight loss efforts. Weight loss programs should therefore always address the social environment of persons who try to lose body weight because family members and friends can be important supporters in reaching a weight loss goal.

AB - Purpose: Weight loss has been demonstrated to be a successful strategy in diabetes prevention. Although weight loss is greatly influenced by dietary behaviors, social-cognitive factors play an important role in behavioral determination. This study aimed to identify demographic and social-cognitive factors (intention, self-efficacy, outcome expectancies, social support, and motivation with regard to dietary behavior and goal adjustment) associated with weight loss in overweight and obese participants from the PREVIEW study who had pre-diabetes.Method: Prospective correlational data from 1973 adult participants were analyzed. The participants completed psychological questionnaires that assessed social-cognitive variables with regard to dietary behavior. Stepwise multiple regression analyses were performed to identify baseline demographic and social-cognitive factors associated with weight loss.Results: Overall, being male, having a higher baseline BMI, having a higher income, perceiving fewer disadvantages of a healthy diet (outcome expectancies), experiencing less discouragement for healthy eating by family and friends (social support), and lower education were independently linked to greater weight loss. When evaluating females and males separately, education was no longer associated with weight loss.Conclusion: The results indicate that a supportive environment in which family members and friends avoid discouraging healthy eating, with the application of a strategy that uses specific behavior change techniques to emphasize the benefits of outcomes, i.e., the benefits of a healthy diet, may support weight loss efforts. Weight loss programs should therefore always address the social environment of persons who try to lose body weight because family members and friends can be important supporters in reaching a weight loss goal.

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KW - Lifestyle intervention

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JO - International Journal of Behavioral Medicine

JF - International Journal of Behavioral Medicine

IS - 6

ER -

Demographic and social-cognitive factors associated with weight loss in overweight, pre-diabetic participants of the PREVIEW study

Abstract

Keywords

UN SDGs

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