Role of Eating Behavior and Stress in Maintenance of Dietary Changes During the PREVIEW Intervention

Jalo, Elli; Fogelholm, Mikael; Westerterp-Plantenga, Margriet; Adam, Tanja C.; Drummen, Mathijs; Huttunen-Lenz, Maija; Kjølbæk, Louise; Martinez, José Alfredo; Handjieva-Darlenska, Teodora; Taylor, Moira A.; Brand-Miller, Jennie; Poppitt, Sally; Stratton, Gareth; Lam, Tony; Navas-Carretero, Santiago; Bogdanov, Georgi; Simpson, Liz; Muirhead, Roslyn; Silvestre, Marta P.; Swindell, Nils; Raben, Anne; Konttinen, Hanna

Abstract

Objective: To examine whether eating behavior and perceived stress predict the maintenance of self-reported dietary change and adherence to dietary instructions during an intervention. Design: A secondary analysis of the behavior maintenance stage (6–36 months) of the 3-year PREVIEW intervention (PREVention of diabetes through lifestyle Intervention and population studies in Europe and around the World). Participants: Adults (n = 1,311) with overweight and prediabetes at preintervention baseline. Variables Measured: Eating behavior (Three-Factor Eating Questionnaire), stress (Perceived Stress Scale), and dietary intake (4-day food records on 4 occasions) were reported. Analysis: Associations between predictors and dietary outcomes were examined with linear mixed-effects models for repeated measurements. Results: Eating behaviors and stress at 6 months did not predict the subsequent change in dietary outcomes, but higher cognitive restraint predicted lower energy intake, and both higher disinhibition and hunger predicted higher energy intake during the following behavior maintenance stage. In addition, higher disinhibition predicted higher saturated fat intake and lower fiber intake, and higher hunger predicted lower fiber intake. Stress was not associated with energy intake or dietary quality. Eating behaviors and stress were not consistently associated with adherence to dietary instructions. Conclusions and Implications: Higher cognitive restraint predicted lower energy intake (food quantity), but disinhibition and hunger were also associated with dietary quality.

Citation

Jalo, E., Fogelholm, M., Westerterp-Plantenga, M., Adam, T. C., Drummen, M., Huttunen-Lenz, M., Kjølbæk, L., Martinez, J. A., Handjieva-Darlenska, T., Taylor, M. A., Brand-Miller, J., Poppitt, S., Stratton, G., Lam, T., Navas-Carretero, S., Bogdanov, G., Simpson, L., Muirhead, R., Silvestre, M. P., Swindell, N., …Konttinen, H. (2024). Role of Eating Behavior and Stress in Maintenance of Dietary Changes During the PREVIEW Intervention. Journal of Nutrition Education and Behavior, 56(5), 276-286. https://doi.org/10.1016/j.jneb.2024.01.001

• Journal Article Type: Article
• Acceptance Date: Jan 8, 2024
• Online Publication Date: Feb 28, 2024
• Publication Date: 2024-05
• Deposit Date: Mar 28, 2024
• Publicly Available Date: Mar 1, 2025
• Journal: Journal of Nutrition Education and Behavior
• Print ISSN: 1499-4046
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 56
• Issue: 5
• Pages: 276-286
• DOI: https://doi.org/10.1016/j.jneb.2024.01.001
• Keywords: Eating Inventory; eating style; behavior change; behavior maintenance; food consumption
• Public URL: https://nottingham-repository.worktribe.com/output/31898670
• Additional Information: This article is maintained by: Elsevier; Article Title: Role of Eating Behavior and Stress in Maintenance of Dietary Changes During the PREVIEW Intervention; Journal Title: Journal of Nutrition Education and Behavior; CrossRef DOI link to publisher maintained version: https://doi.org/10.1016/j.jneb.2024.01.001; Content Type: article; Copyright: © 2024 The Authors. Published by Elsevier Inc. on behalf of Society for Nutrition Education and Behavior.