Feeding behaviors and weight loss outcomes over 64 months

Maintenance of reduced body weight following intentional weight loss is often unsuccessful. Identification of behaviors associated with sustained reductions should aid in dietary weight management. This survey assessed associations between an array of appetitive indices and weight loss outcomes in a sample of 80 adults participating in an open-labeled, unsupervised weight management program over a 64-month period. Participants were divided into maintainers (weight loss >5 kg at Year 1, sustained reduction >75% at Month 64), rebounders (weight loss >5 kg at Year 1, <75% reduction at Month 64), and nonresponders (weight loss <5 kg at Year 1). Nonresponders spent significantly more time shopping for food weekly, tended to have the highest total exposure time to food and to eat with fewer people than the other groups. Maintainers reported higher mean hunger over the course of a day, tended to spend more time preparing food and consumed less energy from fat and foods that they rated as predominantly bitter. Rebounders had significantly lower dietary restraint scores and tended to have less control over the purchase and preparation of foods in their diet. Individuals with different long-term weight loss outcomes possess distinct feeding-related attributes that may provide a basis for improved intervention strategies.