Cognitive restriction accentuates the increased energy intake response to a 10-month multidisciplinary weight loss program in adolescents with obesity

Journal article

Miguet, M., Masurier, J., Chaput, J. P., Pereira, B., Lambert, C., Dâmaso, A. R., Courteix, D., Duclos, M., Boirie, Y. and Thivel, D.. (2019). Cognitive restriction accentuates the increased energy intake response to a 10-month multidisciplinary weight loss program in adolescents with obesity. Appetite. 134, pp. 125-134. https://doi.org/10.1016/j.appet.2018.12.015
AuthorsMiguet, M., Masurier, J., Chaput, J. P., Pereira, B., Lambert, C., Dâmaso, A. R., Courteix, D., Duclos, M., Boirie, Y. and Thivel, D.
Abstract

Background
Multidisciplinary interventions have shown some merits in weight reduction strategies in youth, however, their impact on subsequent daily energy intake remains largely unknown. The aim of the present study was to evaluate the nutritional responses to a 10-month multidisciplinary intervention among adolescents with obesity, in relation to their eating behavior characteristics.

Methods
Thirty-five adolescents (mean age: 13.4 ± 1.2 years) with obesity took part in a 10-month residential multidisciplinary weight loss program. Anthropometric measurements, body composition (dual-energy X-ray absorptiometry), 24-h ad libitum energy intake (weighted), eating behaviors (Dutch Eating Behavior Questionnaire) and appetite sensations (Visual Analogue Scales) were assessed on three occasions: at their arrival in the institution (T0), after 5 months (T1), and at the end of the 10-month program (T2).

Results
The mean weight loss reached 11% of the adolescents’ initial body weight, with an important inter-individual variability (−25% to +3% of their initial body weight). Results revealed sex differences change, with boys showing a higher decrease in fat mass percent and increase in fat-free mass compared with girls. Weight loss was accompanied by a significant decrease in emotional (−8.3%, p < 0.05) and external (−14.8%, p < 0.001) eating scores and a significant increase in 24-h ad libitum energy intake (+246 kcal, p < 0.001). The observed subsequent increased 24-h ad libitum energy intake at T2 compared to T0 was significantly higher in cognitively restrained eaters (+492 kcal) compared to unrestrained eaters (+115 kcal, p = 0,015). Dietary restraint score at baseline was inversely correlated with the percentage of weight loss (r = −0.44, p = 0.010).

Conclusion
A 10-month multidisciplinary weight loss intervention induced an increase in 24-h ad libitum energy intake compared to baseline, especially in cognitively restrained eaters. Moreover, initially cognitively restrained eaters tended to lose less body weight compared to unrestrained ones. These findings suggest that cognitive restriction may be a useful eating behavior characteristic to consider as a screening tool for identifying adverse responders to weight loss interventions in youth.

Keywordsweight loss; multidisciplinary intervention; energy intake; dietary profile; restrained eaters; pediatric obesity
Year2019
JournalAppetite
Journal citation134, pp. 125-134
PublisherElsevier B.V.
ISSN0195-6663
Digital Object Identifier (DOI)https://doi.org/10.1016/j.appet.2018.12.015
Scopus EID2-s2.0-85059130072
Research or scholarlyResearch
Page range125-134
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online18 Dec 2018
Publication process dates
Accepted13 Dec 2018
Deposited02 Jun 2021
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