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Psychological and behavioral correlates of baseline BMI in the diabetes prevention program (DPP)
Linda M Delahanty1, James B Meigs, Doug Hayden
1Diabetes Center, Massachusetts General Hospital, Boston, Massachusetts 02114, USA. ldelahanty@partners.org
Objective:
To determine psychological and behavioral correlates of baseline BMI in the Diabetes Prevention Program (DPP).
Research Design And Methods:
Of 1,079 DPP lifestyle intervention participants, 274 completed validated questionnaires at baseline assessing weight loss history, stage of change, self-efficacy, dietary restraint, emotional eating, binge eating, perceived stress, depression, and anxiety.
Results:
The mean age of subjects was 52.5 years, 65% were women, and their mean BMI was 33.9 kg/m(2). Higher BMI correlated with more frequent weight cycling (r = 0.50, P < 0.0001) and efforts at weight loss (r = 0.34, P < 0.0001); younger age when first overweight (r = -0.42, P < 0.0001); lower exercise efficacy (r = -0.15, P = 0.015); lower weight loss efficacy (r = -0.21, P < 0.001); a less advanced stage of change for weight loss (r = -0.12, P = 0.04); more perceived stress (r = 0.14, P = 0.02); emotional eating (r = 0.19, P = 0.001); poor dietary restraint (r = -0.14, P = 0.02); binge eating frequency (r = 0.18, P = 0.004) and severity (r = 0.30, P < 0.0001); feeling deprived, angry, or upset while dieting (r = 0.27, P
Conclusions:
Many psychological and behavioral factors are associated with higher BMI in this ethnically diverse group of men and women. Whether strategies that help patients increase levels of dietary restraint and reduce binge eating and food craving lead to long-term weight loss maintenance needs longitudinal study.