The role of everyday activities on likelihood of dietary lapse: an ecological momentary assessment study.
The role of everyday activities on likelihood of dietary lapse: an ecological momentary assessment study.
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DOI：
10.1007/s10865-022-00365-8
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发表时间：
2023-06
影响因子：
3.1
通讯作者：
Forman, Evan M
中科院分区：
文献类型：
--
作者：
Chwyl, Christina;Crochiere, Rebecca J;Forman, Evan M
发展对预测饮食失误风险的因素的更细致入微的理解（即，不坚持低热量饮食的情况）是重要的，因为饮食失误会导致体重结果不理想。这项研究首次调查了不同的日常活动如何在两个时间尺度上影响饮食失误的可能性--无论是在参与活动的那一刻，还是在参与活动后的几个小时。参与者（N = 107）超重/肥胖的行为减肥计划完成了生态瞬时评估调查的饮食依从性和日常活动3周的治疗中期。广义估计方程显示，社交预测更大的并发失效风险，而工作/学校，做家务，烹饪，或练习精神活动/祈祷/冥想与降低失效风险。在随后的影响方面，烹饪和室内爱好与未来几个小时内更大的失误风险相关，而精神活动/冥想与风险降低相关。某些活动可能会影响并发和随后的失效风险，原因是：它们对诱人食物的存在的影响，同时参与活动和进食的兼容性，以及从活动中获得的奖励（可能减少对食物相关奖励的渴望）。研究结果说明了关注活动和失误之间关系的时间尺度的重要性，这对于为超重/肥胖提供细致入微和最佳时机的干预措施具有临床意义。
Developing a more nuanced understanding of factors predicting risk of dietary lapse (i.e., instances of non-adherence to a reduced calorie diet) is important, because dietary lapses contribute to suboptimal weight outcomes. The study investigated, for the first time, how various everyday activities affected likelihood of dietary lapses at two timescales—both in-the-moment, and in the hours after engaging in an activity. Participants (N = 107) with overweight/obesity in a behavioral weight loss program completed ecological momentary assessment surveys on dietary adherence and daily activities for 3 weeks at mid-treatment. Generalized estimating equations revealed that socializing predicted greater concurrent lapse risk, while work/school, doing chores, cooking, or practicing a spiritual activity/prayer/meditation were associated with reduced lapse risk. In terms of subsequent effects, cooking and indoor hobbies were associated with greater lapse risk in the next few hours, whereas spiritual activity/meditation was associated with reduced risk. Certain activities may have affected concurrent and subsequent lapse risk due to: their influence on the presence of tempting food, the compatibility of engaging in the activity and eating simultaneously, and the reward reaped from the activity (potentially reducing desire for food-related reward). Findings speak to the importance of attending to the timescale of relationships between activities and lapses, which has clinical implications for providing nuanced and optimally timed interventions for overweight/obesity.