Associations between hedonic hunger and BMI during a two-year behavioural weight loss trial.



Mead, Bethan R ORCID: 0000-0002-9294-517X, Boyland, Emma J ORCID: 0000-0001-8384-4994, Christiansen, Paul, Halford, Jason CG ORCID: 0000-0003-1629-3189, Jebb, Susan A and Ahern, Amy L
(2021) Associations between hedonic hunger and BMI during a two-year behavioural weight loss trial. PloS one, 16 (6). e0252110-e0252110.

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Abstract

<h4>Objective</h4>Prospective studies on relationships between hedonic hunger and BMI (Body Mass Index) during weight management are lacking. This study examined if hedonic hunger reduced during a behavioural weight management programme, and if hedonic hunger predicted future BMI.<h4>Methods</h4>Participants were 594 community-dwelling, UK-based adults(396 female; age 56.43 years, s.d. = 12.50, range 20-83 years); 490 participants (82.5%) had obesity. Participants were randomised to a 12- or 52-week behavioural weight management intervention (WW12 or WW52, respectively) or a brief self-help intervention (BI). Relationships between hedonic hunger and BMI over 24 months (baseline, 3, 12, 24 months) were analysed using an autoregressive cross-lagged model.<h4>Results</h4>Hedonic hunger scores decreased from 2.71 (s.d. = .91) at baseline to 2.41 (s.d. = .88) at 3 months (p < .001, CI .22 to .38), remained reduced to 24 months, and were not affected by intervention arm at any time point (p's>.05). Baseline hedonic hunger scores predicted 3-month scores (B = .76, SE = .03, p < .001, CI .71 to .82), 3-month scores predicted 12-month scores (B = .76, SE = .03, p < .001 CI .72 to .80), and 12-month scores predicted 24-month scores (B = .72, SE = .03, p < .001, CI .64 to .77). Higher hedonic hunger at 3 months predicted higher BMI at 12 months (B = .04, SE = .02, p = .03, CI .01 to .07) but not at 24 months (p>.05). BMI at 12 months was lower in WW52 30.87kg/m2, s.d. = 5.02) than WW12 (32.12 kg/m2, s.d. = 5.58, p = .02, CI .16 to 2.34) and BI (32.74 kg/m2, s.d. = 4.15, p = .01, CI .30 to 3.45). BMI was not affected by intervention at any other time point (p's>.05).<h4>Conclusion</h4>Hedonic hunger reduced during weight management irrespective of intervention. Early reductions in hedonic hunger appear to be associated with lower BMI in the medium-term. Identifying ways to reduce hedonic hunger during weight loss could aid weight management for some people.

Item Type: Article
Uncontrolled Keywords: Humans, Obesity, Weight Loss, Body Mass Index, Hunger, Time Factors, Adult, Aged, Aged, 80 and over, Middle Aged, Female, Male, Young Adult, Weight Reduction Programs
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 28 Jun 2021 10:14
Last Modified: 18 Jan 2023 21:37
DOI: 10.1371/journal.pone.0252110
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3127990