TY - JOUR
T1 - Triggers of Lapse and Relapse of Diet and Exercise in Behavioral Weight Loss
AU - Swencionis, Charles
AU - Smith-Wexler, Lucia
AU - Lent, Michelle R.
AU - Cimino, Christopher
AU - Segal-Isaacson, C. J.
AU - Ginsberg, Mindy
AU - Caban-Pocai, Arlene
AU - Wassertheil-Smoller, Sylvia
AU - Theodore, John L.
AU - Wylie-Rosett, Judith
N1 - Funding Information:
Funding agencies: This work was supported by the following National Institutes of Health grants: Models of Demonstration and Evaluation of Weight Loss (R01 HL50372), the New York Regional Center for Diabetes Translational Research (P30 DK111022), and Einstein-Montefiore Clinical and Translational Science Award (UL1 RR025750). Disclosure: The authors declared no conflict of interest. *Charles Swencionis and Lucia Smith-Wexler contributed equally to this work. Additional Supporting Information may be found in the online version of this article. Received: 4 October 2018; Accepted: 15 January 2019; Published online 29 April 2019. doi:10.1002/oby.22437
Publisher Copyright:
© 2019 The Obesity Society
PY - 2019/6
Y1 - 2019/6
N2 - Objective: This study aimed to (1) develop instruments to evaluate situations that lead to lapse and relapse in diet and exercise and (2) prospectively investigate when and which psychosocial situations predict failure to lose weight in a clinical trial of intentional weight loss. Methods: Participants were 469 individuals with overweight or obesity participating in a behavioral weight loss program (age: mean = 53.6 years, SD = 11.4; BMI: mean = 35.7 kg/m2, SD = 6.5). Results: The Cronbach alphas for the Diet Lapse and Relapse Triggers Scale and the Exercise Lapse and Relapse Triggers Scale were 0.93 and 0.91, respectively. Subscale alphas ranged from 0.60 to 0.96. Lapse and relapse were assessed at 3 and 9 months for associations with weight loss at 12 months. At 9 months, diet triggers were negative emotional states (beta = 0.11, P = 0.02) and urges (beta = 0.14, P = 0.01). Predicted social situations showed the opposite (beta = −0.09, P = 0.02). Exercise subscales were all nonsignificant. Conclusions: Findings suggest the ongoing importance of addressing negative emotional states and the contributing influence of urges. The novel finding that participants whose difficulties arise in social situations may do better over time requires further study.
AB - Objective: This study aimed to (1) develop instruments to evaluate situations that lead to lapse and relapse in diet and exercise and (2) prospectively investigate when and which psychosocial situations predict failure to lose weight in a clinical trial of intentional weight loss. Methods: Participants were 469 individuals with overweight or obesity participating in a behavioral weight loss program (age: mean = 53.6 years, SD = 11.4; BMI: mean = 35.7 kg/m2, SD = 6.5). Results: The Cronbach alphas for the Diet Lapse and Relapse Triggers Scale and the Exercise Lapse and Relapse Triggers Scale were 0.93 and 0.91, respectively. Subscale alphas ranged from 0.60 to 0.96. Lapse and relapse were assessed at 3 and 9 months for associations with weight loss at 12 months. At 9 months, diet triggers were negative emotional states (beta = 0.11, P = 0.02) and urges (beta = 0.14, P = 0.01). Predicted social situations showed the opposite (beta = −0.09, P = 0.02). Exercise subscales were all nonsignificant. Conclusions: Findings suggest the ongoing importance of addressing negative emotional states and the contributing influence of urges. The novel finding that participants whose difficulties arise in social situations may do better over time requires further study.
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U2 - 10.1002/oby.22437
DO - 10.1002/oby.22437
M3 - Article
C2 - 31033215
AN - SCOPUS:85065180614
SN - 1930-7381
VL - 27
SP - 888
EP - 893
JO - Obesity
JF - Obesity
IS - 6
ER -
