Associations between hedonic hunger and BMI during a two-year behavioural weight loss trial

Prospective studies on relationships between hedonic hunger and BMI (Body Mass Index) during weight management are lacking. This study examined if hedonic hunger reduced during a behavioural weight management programme, and if hedonic hunger predicted future BMI. Participants were 594 community-dwel...

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Veröffentlicht in:PloS one 2021-06, Vol.16 (6), p.e0252110-e0252110
Hauptverfasser: Mead, Bethan R, Boyland, Emma J, Christiansen, Paul, Halford, Jason C G, Jebb, Susan A, Ahern, Amy L
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Boyland, Emma J
Christiansen, Paul
Halford, Jason C G
Jebb, Susan A
Ahern, Amy L
description Prospective studies on relationships between hedonic hunger and BMI (Body Mass Index) during weight management are lacking. This study examined if hedonic hunger reduced during a behavioural weight management programme, and if hedonic hunger predicted future BMI. Participants were 594 community-dwelling, UK-based adults(396 female; age 56.43 years, s.d. = 12.50, range 20-83 years); 490 participants (82.5%) had obesity. Participants were randomised to a 12- or 52-week behavioural weight management intervention (WW12 or WW52, respectively) or a brief self-help intervention (BI). Relationships between hedonic hunger and BMI over 24 months (baseline, 3, 12, 24 months) were analysed using an autoregressive cross-lagged model. Hedonic hunger scores decreased from 2.71 (s.d. = .91) at baseline to 2.41 (s.d. = .88) at 3 months (p < .001, CI .22 to .38), remained reduced to 24 months, and were not affected by intervention arm at any time point (p's>.05). Baseline hedonic hunger scores predicted 3-month scores (B = .76, SE = .03, p < .001, CI .71 to .82), 3-month scores predicted 12-month scores (B = .76, SE = .03, p < .001 CI .72 to .80), and 12-month scores predicted 24-month scores (B = .72, SE = .03, p < .001, CI .64 to .77). Higher hedonic hunger at 3 months predicted higher BMI at 12 months (B = .04, SE = .02, p = .03, CI .01 to .07) but not at 24 months (p>.05). BMI at 12 months was lower in WW52 30.87kg/m2, s.d. = 5.02) than WW12 (32.12 kg/m2, s.d. = 5.58, p = .02, CI .16 to 2.34) and BI (32.74 kg/m2, s.d. = 4.15, p = .01, CI .30 to 3.45). BMI was not affected by intervention at any other time point (p's>.05). Hedonic hunger reduced during weight management irrespective of intervention. Early reductions in hedonic hunger appear to be associated with lower BMI in the medium-term. Identifying ways to reduce hedonic hunger during weight loss could aid weight management for some people.
doi_str_mv 10.1371/journal.pone.0252110
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Baseline hedonic hunger scores predicted 3-month scores (B = .76, SE = .03, p &lt; .001, CI .71 to .82), 3-month scores predicted 12-month scores (B = .76, SE = .03, p &lt; .001 CI .72 to .80), and 12-month scores predicted 24-month scores (B = .72, SE = .03, p &lt; .001, CI .64 to .77). Higher hedonic hunger at 3 months predicted higher BMI at 12 months (B = .04, SE = .02, p = .03, CI .01 to .07) but not at 24 months (p&gt;.05). BMI at 12 months was lower in WW52 30.87kg/m2, s.d. = 5.02) than WW12 (32.12 kg/m2, s.d. = 5.58, p = .02, CI .16 to 2.34) and BI (32.74 kg/m2, s.d. = 4.15, p = .01, CI .30 to 3.45). BMI was not affected by intervention at any other time point (p's&gt;.05). Hedonic hunger reduced during weight management irrespective of intervention. Early reductions in hedonic hunger appear to be associated with lower BMI in the medium-term. 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Baseline hedonic hunger scores predicted 3-month scores (B = .76, SE = .03, p &lt; .001, CI .71 to .82), 3-month scores predicted 12-month scores (B = .76, SE = .03, p &lt; .001 CI .72 to .80), and 12-month scores predicted 24-month scores (B = .72, SE = .03, p &lt; .001, CI .64 to .77). Higher hedonic hunger at 3 months predicted higher BMI at 12 months (B = .04, SE = .02, p = .03, CI .01 to .07) but not at 24 months (p&gt;.05). BMI at 12 months was lower in WW52 30.87kg/m2, s.d. = 5.02) than WW12 (32.12 kg/m2, s.d. = 5.58, p = .02, CI .16 to 2.34) and BI (32.74 kg/m2, s.d. = 4.15, p = .01, CI .30 to 3.45). BMI was not affected by intervention at any other time point (p's&gt;.05). Hedonic hunger reduced during weight management irrespective of intervention. Early reductions in hedonic hunger appear to be associated with lower BMI in the medium-term. 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This study examined if hedonic hunger reduced during a behavioural weight management programme, and if hedonic hunger predicted future BMI. Participants were 594 community-dwelling, UK-based adults(396 female; age 56.43 years, s.d. = 12.50, range 20-83 years); 490 participants (82.5%) had obesity. Participants were randomised to a 12- or 52-week behavioural weight management intervention (WW12 or WW52, respectively) or a brief self-help intervention (BI). Relationships between hedonic hunger and BMI over 24 months (baseline, 3, 12, 24 months) were analysed using an autoregressive cross-lagged model. Hedonic hunger scores decreased from 2.71 (s.d. = .91) at baseline to 2.41 (s.d. = .88) at 3 months (p &lt; .001, CI .22 to .38), remained reduced to 24 months, and were not affected by intervention arm at any time point (p's&gt;.05). Baseline hedonic hunger scores predicted 3-month scores (B = .76, SE = .03, p &lt; .001, CI .71 to .82), 3-month scores predicted 12-month scores (B = .76, SE = .03, p &lt; .001 CI .72 to .80), and 12-month scores predicted 24-month scores (B = .72, SE = .03, p &lt; .001, CI .64 to .77). Higher hedonic hunger at 3 months predicted higher BMI at 12 months (B = .04, SE = .02, p = .03, CI .01 to .07) but not at 24 months (p&gt;.05). BMI at 12 months was lower in WW52 30.87kg/m2, s.d. = 5.02) than WW12 (32.12 kg/m2, s.d. = 5.58, p = .02, CI .16 to 2.34) and BI (32.74 kg/m2, s.d. = 4.15, p = .01, CI .30 to 3.45). BMI was not affected by intervention at any other time point (p's&gt;.05). Hedonic hunger reduced during weight management irrespective of intervention. Early reductions in hedonic hunger appear to be associated with lower BMI in the medium-term. Identifying ways to reduce hedonic hunger during weight loss could aid weight management for some people.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34106941</pmid><doi>10.1371/journal.pone.0252110</doi><tpages>e0252110</tpages><orcidid>https://orcid.org/0000-0002-9294-517X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Biology and Life Sciences
Body Mass Index
Body weight loss
Editing
Epidemiology
Female
Food
Gastrointestinal surgery
Health care
Hedonic response
Hedonism
Humans
Hunger
Influence
Intervention
Laboratories
Male
Measurement
Medicine and Health Sciences
Methodology
Methods
Middle Aged
Obesity
Obesity - therapy
Primary care
Psychology
Self help
Social Sciences
Success
Surgery
Teenagers
Time Factors
Weight control
Weight Loss
Weight Reduction Programs
Young Adult
title Associations between hedonic hunger and BMI during a two-year behavioural weight loss trial
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