Publicação
The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management
| Resumo: | 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. |
|---|---|
| Autores principais: | Stubbs, R. James |
| Outros Autores: | Duarte, Cristiana; O’Driscoll, Ruairi; Turicchi, Jake; Kwasnicka, Dominika; Sniehotta, Falko F.; Marques, Marta M.; Horgan, Graham; Larsen, Sofus; Palmeira, António Labisa; Santos, Inês; Teixeira, Pedro J.; Halford, Jason; Heitmann, Berit Lilienthal |
| Assunto: | Behaviour change Energy balance Weight loss Weight loss maintenance |
| Ano: | 2021 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório da Universidade de Lisboa |
| _version_ | 1865920804595695616 |
|---|---|
| author | Stubbs, R. James |
| author2 | Duarte, Cristiana O’Driscoll, Ruairi Turicchi, Jake Kwasnicka, Dominika Sniehotta, Falko F. Marques, Marta M. Horgan, Graham Larsen, Sofus Palmeira, António Labisa Santos, Inês Teixeira, Pedro J. Halford, Jason Heitmann, Berit Lilienthal |
| author2_role | author author author author author author author author author author author author author |
| author_facet | Stubbs, R. James Stubbs, R. James Duarte, Cristiana O’Driscoll, Ruairi Turicchi, Jake Kwasnicka, Dominika Sniehotta, Falko F. Marques, Marta M. Horgan, Graham Larsen, Sofus Palmeira, António Labisa Santos, Inês Teixeira, Pedro J. Halford, Jason Heitmann, Berit Lilienthal Duarte, Cristiana O’Driscoll, Ruairi Turicchi, Jake Kwasnicka, Dominika Sniehotta, Falko F. Marques, Marta M. Horgan, Graham Larsen, Sofus Palmeira, António Labisa Santos, Inês Teixeira, Pedro J. Halford, Jason Heitmann, Berit Lilienthal |
| author_role | author |
| contributor_name_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| country_str | PT |
| creators_json_str | [{\"Person.name\":\"Stubbs, R. James\"},{\"Person.name\":\"Duarte, Cristiana\"},{\"Person.name\":\"O’Driscoll, Ruairi\"},{\"Person.name\":\"Turicchi, Jake\"},{\"Person.name\":\"Kwasnicka, Dominika\"},{\"Person.name\":\"Sniehotta, Falko F.\"},{\"Person.name\":\"Marques, Marta M.\"},{\"Person.name\":\"Horgan, Graham\"},{\"Person.name\":\"Larsen, Sofus\"},{\"Person.name\":\"Palmeira, António Labisa\",\"Person.identifier.orcid\":\"0000-0001-6508-0599\"},{\"Person.name\":\"Santos, Inês\",\"Person.identifier.orcid\":\"0000-0002-1638-8551\"},{\"Person.name\":\"Teixeira, Pedro J.\"},{\"Person.name\":\"Halford, Jason\"},{\"Person.name\":\"Heitmann, Berit Lilienthal\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| datacite.creators.creator.creatorName.fl_str_mv | Stubbs, R. James Duarte, Cristiana O’Driscoll, Ruairi Turicchi, Jake Kwasnicka, Dominika Sniehotta, Falko F. Marques, Marta M. Horgan, Graham Larsen, Sofus Palmeira, António Labisa Santos, Inês Teixeira, Pedro J. Halford, Jason Heitmann, Berit Lilienthal |
| datacite.date.Accepted.fl_str_mv | 2021-01-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2023-02-23T15:08:17Z |
| datacite.date.embargoed.fl_str_mv | 2023-02-23T15:08:17Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Behaviour change Energy balance Weight loss Weight loss maintenance |
| datacite.titles.title.fl_str_mv | The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management |
| dc.contributor.none.fl_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| dc.creator.none.fl_str_mv | Stubbs, R. James Duarte, Cristiana O’Driscoll, Ruairi Turicchi, Jake Kwasnicka, Dominika Sniehotta, Falko F. Marques, Marta M. Horgan, Graham Larsen, Sofus Palmeira, António Labisa Santos, Inês Teixeira, Pedro J. Halford, Jason Heitmann, Berit Lilienthal |
| dc.date.Accepted.fl_str_mv | 2021-01-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2023-02-23T15:08:17Z |
| dc.date.embargoed.fl_str_mv | 2023-02-23T15:08:17Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10451/56427 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Karger |
| dc.rights.cclincense.fl_str_mv | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Behaviour change Energy balance Weight loss Weight loss maintenance |
| dc.title.fl_str_mv | The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | 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. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| fulltext.url.fl_str_mv | https://repositorio.ulisboa.pt/bitstreams/49d15e0b-ea4b-4d8c-ab65-0576dc7e70b4/download |
| funding.funder.alternateName_str_mv | EC |
| funding.funder.identifier_str_mv | http://doi.org/10.13039/501100008530 |
| funding.funder.name_str_mv | European Commission |
| funding.name_str_mv | H2020 |
| id | ul_6eb00aaeff39f0ec4473d81c592b0098 |
| identifier.url.fl_str_mv | http://hdl.handle.net/10451/56427 |
| instacron_str | ul |
| institution | Universidade de Lisboa |
| instname_str | Universidade de Lisboa |
| language | eng |
| network_acronym_str | ul |
| network_name_str | Repositório da Universidade de Lisboa |
| oai_identifier_str | oai:repositorio.ulisboa.pt:10451/56427 |
| organization_str_mv | urn:organizationAcronym:ul |
| person_str_mv | Stubbs, R. James Duarte, Cristiana O’Driscoll, Ruairi Turicchi, Jake Kwasnicka, Dominika Sniehotta, Falko F. Marques, Marta M. Horgan, Graham Larsen, Sofus Palmeira, António Labisa Palmeira, António Labisa https://www.ciencia-id.pt/EC1F-4BD0-B070 EC1F-4BD0-B070 http://orcid.org/0000-0001-6508-0599 0000-0001-6508-0599 Santos, Inês Santos, Inês https://www.ciencia-id.pt/8E14-4B1D-9F4E 8E14-4B1D-9F4E http://orcid.org/0000-0002-1638-8551 0000-0002-1638-8551 Teixeira, Pedro J. Halford, Jason Heitmann, Berit Lilienthal |
| publishDate | 2021 |
| publisher.none.fl_str_mv | Karger |
| reponame_str | Repositório da Universidade de Lisboa |
| repository_id_str | urn:repositoryAcronym:ul |
| service_str_mv | urn:repositoryAcronym:ul |
| spelling | engKargerpt_PTThere 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.application/pdfpt_PTThe H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight managementStubbs, R. JamesDuarte, CristianaO’Driscoll, RuairiTuricchi, JakeKwasnicka, DominikaSniehotta, Falko F.Marques, Marta M.Horgan, GrahamLarsen, SofusPersonalPalmeira, António LabisaDSpacehttp://dspace.org/items/bdb8b420-651c-4242-ade1-af936997fac3DSpacehttp://dspace.org/items/bdb8b420-651c-4242-ade1-af936997fac3Labisa da Silva PalmeiraAntónio JoãoCiência IDhttps://www.ciencia-id.ptEC1F-4BD0-B070ORCIDhttp://orcid.org0000-0001-6508-0599PersonalSantos, InêsDSpacehttp://dspace.org/items/6e672e07-deab-42de-ac5a-8d91cd617873DSpacehttp://dspace.org/items/6e672e07-deab-42de-ac5a-8d91cd617873Chaparro Roque dos SantosInêsCiência IDhttps://www.ciencia-id.pt8E14-4B1D-9F4EORCIDhttp://orcid.org0000-0002-1638-8551Teixeira, Pedro J.Halford, JasonHeitmann, Berit LilienthalHostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@reitoria.ulisboa.ptrepositorio@reitoria.ulisboa.ptISSNIsPartOf1662-4025DOIIsPartOf10.1159/0005130422023-02-23T15:08:17Z20212021-01-01T00:00:00ZHandlehttp://hdl.handle.net/10451/56427http://purl.org/coar/access_right/c_abf2open accessBehaviour changeEnergy balanceWeight lossWeight loss maintenance1229552 bytesEuropean CommissionEvidence-based ICT tools for weight loss maintenanceH2020Crossref Funder IDhttp://doi.org/10.13039/501100008530literaturehttp://purl.org/coar/resource_type/c_6501journal article2021http://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/49d15e0b-ea4b-4d8c-ab65-0576dc7e70b4/downloadObesity Facts142246258 |
| spellingShingle | The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management Stubbs, R. James Behaviour change Energy balance Weight loss Weight loss maintenance Stubbs, R. James Behaviour change Energy balance Weight loss Weight loss maintenance |
| status | SINGLETON |
| subject.fl_str_mv | Behaviour change Energy balance Weight loss Weight loss maintenance |
| title | The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management |
| title_full | The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management |
| title_fullStr | The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management |
| title_full_unstemmed | The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management |
| title_short | The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management |
| title_sort | The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management |
| topic | Behaviour change Energy balance Weight loss Weight loss maintenance |
| topic_facet | Behaviour change Energy balance Weight loss Weight loss maintenance |
| url | http://hdl.handle.net/10451/56427 |
| visible | 1 |