Document Detail


Internal disinhibition predicts weight regain following weight loss and weight loss maintenance.
MedLine Citation:
PMID:  17925475     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The disinhibition scale of the Eating Inventory predicts weight loss outcome; however, it may include multiple factors. The purpose of this study was to examine the factor structure of the disinhibition scale and determine how its factors independently relate to long-term weight loss outcomes. RESEARCH METHODS AND PROCEDURES: Exploratory factor analysis of the disinhibition scale was conducted on 286 participants in a behavioral weight loss trial (TRIM), and confirmatory factor analysis was conducted on 3,345 members of the National Weight Control Registry (NWCR), a registry of successful weight loss maintainers. Multivariate regressions were used to examine the relationships between the disinhibition scale factors and weight over time in both samples. RESULTS: Using baseline data from TRIM, two factors were extracted from the disinhibition scale: 1) an "internal" factor that described eating in response to internal cues, such as feelings and thoughts; and 2) an "external" factor that described eating in response to external cues, such as social events. This factor structure was confirmed using confirmatory factor analysis in the NWCR. In TRIM, internal disinhibition significantly predicted weight loss at 6 months (p = 0.03) and marginally significantly predicted weight loss at 18 months (p = 0.06), with higher levels of internal disinhibition at baseline predicting less weight loss; external disinhibition did not predict weight loss at any time-point. In NWCR, internal disinhibition significantly predicted one-year weight change (p = 0.001), while external disinhibition did not. DISCUSSION: These results suggest that it is the disinhibition of eating in response to internal cues that is associated with poorer long-term weight loss outcomes.
Authors:
Heather M Niemeier; Suzanne Phelan; Joseph L Fava; Rena R Wing
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Obesity (Silver Spring, Md.)     Volume:  15     ISSN:  1930-7381     ISO Abbreviation:  Obesity (Silver Spring)     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-10     Completed Date:  2008-01-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101264860     Medline TA:  Obesity (Silver Spring)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2485-94     Citation Subset:  IM    
Affiliation:
The Warren Alpert Medical School of Brown University/Miriam Hospital, Providence, Rhode Island, USA. heather_niemeier@brown.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Body Mass Index
Body Weight*
Female
Food Habits / psychology*
Humans
Male
Middle Aged
Overweight / prevention & control*
Weight Gain*
Weight Loss*
Grant Support
ID/Acronym/Agency:
K23 DK073536/DK/NIDDK NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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