The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2021 |
| Outros Autores: | , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10451/56427 |
Resumo: | © 2021 The Author(s) Published by S. Karger AG, Basel. This article is licensed under the Creative Commons Attribution- NonCommercial-NoDerivatives 4.0 International License (CC BY- NC-ND) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission. |
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The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight managementBehaviour changeEnergy balanceWeight lossWeight loss maintenance© 2021 The Author(s) Published by S. Karger AG, Basel. This article is licensed under the Creative Commons Attribution- NonCommercial-NoDerivatives 4.0 International License (CC BY- NC-ND) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission.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.The NoHoW project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No. 643309. The Parker Institute, Bispebjerg and Frederiksberg Hospital is supported by a core grant from the Oak Foundation (grant agreement No. OCAY-18-774-OFIL).KargerRepositório da Universidade de LisboaStubbs, R. JamesDuarte, CristianaO’Driscoll, RuairiTuricchi, JakeKwasnicka, DominikaSniehotta, Falko F.Marques, Marta M.Horgan, GrahamLarsen, SofusPalmeira, António LabisaSantos, InêsTeixeira, Pedro J.Halford, JasonHeitmann, Berit Lilienthal2023-02-23T15:08:17Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/56427engObes Facts. 2021;14(2):246-2581662-402510.1159/0005130421662-4033info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T17:03:58Zoai:repositorio.ul.pt:10451/56427Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:06:57.266845Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management |
| title |
The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management |
| spellingShingle |
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 |
| title_short |
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 |
| title_full_unstemmed |
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 |
| author |
Stubbs, R. James |
| author_facet |
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 |
| author_role |
author |
| 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 |
| dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
| dc.contributor.author.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.subject.por.fl_str_mv |
Behaviour change Energy balance Weight loss Weight loss maintenance |
| topic |
Behaviour change Energy balance Weight loss Weight loss maintenance |
| description |
© 2021 The Author(s) Published by S. Karger AG, Basel. This article is licensed under the Creative Commons Attribution- NonCommercial-NoDerivatives 4.0 International License (CC BY- NC-ND) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission. |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021 2021-01-01T00:00:00Z 2023-02-23T15:08:17Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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http://hdl.handle.net/10451/56427 |
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http://hdl.handle.net/10451/56427 |
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eng |
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eng |
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Obes Facts. 2021;14(2):246-258 1662-4025 10.1159/000513042 1662-4033 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Karger |
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Karger |
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