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Reductions in Internal Disinhibition During Weight Loss Predict Better Weight Loss Maintenance

机译：减轻体重减轻过程中的内部抑制作用可以更好地维持体重减轻

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The construct of disinhibition, as measured by the Eating Inventory, was recently found to have two factors: internal disinhibition (eating in response to cognitive and emotional cues) and external disinhibition (eating in response to environmental cues). This study examined whether early changes in disinhibition that occurred during a weight loss program predicted later weight loss maintenance. Participants were adults enrolled in a weight loss treatment study (n = 81, 16% men, BMI = 38.4 ± 6.5 kg/m2). Two-thirds of participants were African Americans. Participants received a uniform, meal-replacement-based weight loss program in months 1–3 and one of four nutritionally focused programs for weight loss maintenance in months 4–12. Disinhibition and weight were assessed at clinic visits. Change in internal disinhibition from months 1–3 (i.e., the weight loss period) significantly predicted change in weight from month 4 to 12 (i.e., the weight maintenance period); this remained significant when treatment group, age, gender, ethnicity, baseline weight, baseline depression, baseline internal disinhibition, and initial weight loss were controlled for (P = 0.03). A comparable analysis examining change in external disinhibition found that it was not a significant predictor of weight maintenance (P = 0.43). Participants who experienced the biggest decreases in internal disinhibition during the initial phase of treatment had the most success maintaining their weight loss in the next phase of treatment. Long-term weight loss outcomes may be improved by spending sufficient treatment time teaching strategies for reducing eating in response to internal cues.
机译：最近，通过进食量表测得的抑制作用的构造具有两个因素：内部抑制作用（对认知和情绪暗示的反应而进食）和外部抑制作用（对环境提示的反应而进食）。这项研究检查了减肥计划中发生的早期禁忌变化是否预测了以后的减肥维持。参与者是参加减肥治疗研究的成年人（n = 81，男性为16％，BMI = 38.4±6.5 kg / m 2 ）。三分之二的参与者是非洲裔美国人。参加者在1-3个月接受了统一的基于膳食替代的减肥计划，并在4-12个月接受了四个以营养为重点的减肥计划之一。在门诊就诊时评估其抑制力和体重。从第1个月到第3个月（即减肥期间）内部抑制作用的变化显着预测了从第4个月到第12个月（即维持体重的时期）体重的变化；当控制治疗组，年龄，性别，种族，基线体重，基线抑郁，基线内部抑制和初始体重减轻（P = 0.03）时，这仍然很显着。一项比较研究，研究了外部抑制作用的变化，发现它并不是体重维持的重要预测指标（P = 0.43）。在治疗的初始阶段内抑制力下降最大的参与者在下一阶段的治疗中保持体重减轻的成功最大。通过花费足够的治疗时间教学策略来减少因内部提示而导致的进食，可以改善长期减肥的效果。

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