The H2020 "noHoW Project": A Position Statement on Behavioural Approaches to Longer-Term Weight Management
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The H2020 "noHoW Project" : A Position Statement on Behavioural Approaches to Longer-Term Weight Management. / Stubbs, R. James; Duarte, Cristiana; O'Driscoll, Ruairi; Turicchi, Jake; Kwasnicka, Dominika; Sniehotta, Falko F.; Marques, Marta M.; Horgan, Graham; Larsen, Sofus; Palmeira, António; Santos, Inês; Teixeira, Pedro J.; Halford, Jason; Heitmann, Berit Lilienthal.
In: Obesity Facts, Vol. 14, No. 2, 2021, p. 246-258.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - The H2020 "noHoW Project"
T2 - A Position Statement on Behavioural Approaches to Longer-Term Weight Management
AU - Stubbs, R. James
AU - Duarte, Cristiana
AU - O'Driscoll, Ruairi
AU - Turicchi, Jake
AU - Kwasnicka, Dominika
AU - Sniehotta, Falko F.
AU - Marques, Marta M.
AU - Horgan, Graham
AU - Larsen, Sofus
AU - Palmeira, António
AU - Santos, Inês
AU - Teixeira, Pedro J.
AU - Halford, Jason
AU - Heitmann, Berit Lilienthal
N1 - Publisher Copyright: © 2021
PY - 2021
Y1 - 2021
N2 - There is substantial evidence documenting the effects of behavioural interventions on weight loss (WL). However, behavioural approaches to initial WL are followed by some degree of longer-term weight regain, and large trials focusing on evidence-based approaches to weight loss maintenance (WLM) have generally only demonstrated small beneficial effects. The current state-of-the-art in behavioural interventions for WL and WLM raises questions of (i) how we define the relationship between WL and WLM, (ii) how energy balance (EB) systems respond to WL and influence behaviours that primarily drive weight regain, (iii) how intervention content, mode of delivery and intensity should be targeted to keep weight off, (iv) which mechanisms of action in complex interventions may prevent weight regain and (v) how to design studies and interventions to maximise effective longer-term weight management. In considering these issues a writing team within the NoHoW Consortium was convened to elaborate a position statement, and behaviour change and obesity experts were invited to discuss these positions and to refine them. At present the evidence suggests that developing the skills to self-manage EB behaviours leads to more effective WLM. However, the effects of behaviour change interventions for WL and WLM are still relatively modest and our understanding of the factors that disrupt and undermine self-management of eating and physical activity is limited. These factors include physiological resistance to weight loss, gradual compensatory changes in eating and physical activity and reactive processes related to stress, emotions, rewards and desires that meet psychological needs. Better matching of evidence-based intervention content to quantitatively tracked EB behaviours and the specific needs of individuals may improve outcomes. Improving objective longitudinal tracking of energy intake and energy expenditure over time would provide a quantitative framework in which to understand the dynamics of behaviour change, mechanisms of action of behaviour change interventions and user engagement with intervention components to potentially improve weight management intervention design and evaluation.
AB - There is substantial evidence documenting the effects of behavioural interventions on weight loss (WL). However, behavioural approaches to initial WL are followed by some degree of longer-term weight regain, and large trials focusing on evidence-based approaches to weight loss maintenance (WLM) have generally only demonstrated small beneficial effects. The current state-of-the-art in behavioural interventions for WL and WLM raises questions of (i) how we define the relationship between WL and WLM, (ii) how energy balance (EB) systems respond to WL and influence behaviours that primarily drive weight regain, (iii) how intervention content, mode of delivery and intensity should be targeted to keep weight off, (iv) which mechanisms of action in complex interventions may prevent weight regain and (v) how to design studies and interventions to maximise effective longer-term weight management. In considering these issues a writing team within the NoHoW Consortium was convened to elaborate a position statement, and behaviour change and obesity experts were invited to discuss these positions and to refine them. At present the evidence suggests that developing the skills to self-manage EB behaviours leads to more effective WLM. However, the effects of behaviour change interventions for WL and WLM are still relatively modest and our understanding of the factors that disrupt and undermine self-management of eating and physical activity is limited. These factors include physiological resistance to weight loss, gradual compensatory changes in eating and physical activity and reactive processes related to stress, emotions, rewards and desires that meet psychological needs. Better matching of evidence-based intervention content to quantitatively tracked EB behaviours and the specific needs of individuals may improve outcomes. Improving objective longitudinal tracking of energy intake and energy expenditure over time would provide a quantitative framework in which to understand the dynamics of behaviour change, mechanisms of action of behaviour change interventions and user engagement with intervention components to potentially improve weight management intervention design and evaluation.
KW - Behaviour change
KW - Energy balance
KW - Weight loss
KW - Weight loss maintenance
U2 - 10.1159/000513042
DO - 10.1159/000513042
M3 - Journal article
C2 - 33662958
AN - SCOPUS:85102633890
VL - 14
SP - 246
EP - 258
JO - Obesity Facts
JF - Obesity Facts
SN - 1662-4025
IS - 2
ER -
ID: 286423297