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The H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight management

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dc.contributor.authorStubbs, R. James
dc.contributor.authorDuarte, Cristiana
dc.contributor.authorO’Driscoll, Ruairi
dc.contributor.authorTuricchi, Jake
dc.contributor.authorKwasnicka, Dominika
dc.contributor.authorSniehotta, Falko F.
dc.contributor.authorMarques, Marta M.
dc.contributor.authorHorgan, Graham
dc.contributor.authorLarsen, Sofus
dc.contributor.authorPalmeira, António Labisa
dc.contributor.authorSantos, Inês
dc.contributor.authorTeixeira, Pedro J.
dc.contributor.authorHalford, Jason
dc.contributor.authorHeitmann, Berit Lilienthal
dc.date.accessioned2023-02-23T15:08:17Z
dc.date.available2023-02-23T15:08:17Z
dc.date.issued2021
dc.description© 2021 The Author(s) Published by S. Karger AG, Basel. This article is licensed under the Creative Commons Attribution- NonCommercial-NoDerivatives 4.0 International License (CC BY- NC-ND) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission.pt_PT
dc.description.abstractThere is substantial evidence documenting the effects of behavioural interventions on weight loss (WL). However, behavioural approaches to initial WL are followed by some degree of longer-term weight regain, and large trials focusing on evidence-based approaches to weight loss maintenance (WLM) have generally only demonstrated small beneficial effects. The current state-of-the-art in behavioural interventions for WL and WLM raises questions of (i) how we define the relationship between WL and WLM, (ii) how energy balance (EB) systems respond to WL and influence behaviours that primarily drive weight regain, (iii) how intervention content, mode of delivery and intensity should be targeted to keep weight off, (iv) which mechanisms of action in complex interventions may prevent weight regain and (v) how to design studies and interventions to maximise effective longer-term weight management. In considering these issues a writing team within the NoHoW Consortium was convened to elaborate a position statement, and behaviour change and obesity experts were invited to discuss these positions and to refine them. At present the evidence suggests that developing the skills to self-manage EB behaviours leads to more effective WLM. However, the effects of behaviour change interventions for WL and WLM are still relatively modest and our understanding of the factors that disrupt and undermine self-management of eating and physical activity is limited. These factors include physiological resistance to weight loss, gradual compensatory changes in eating and physical activity and reactive processes related to stress, emotions, rewards and desires that meet psychological needs. Better matching of evidence-based intervention content to quantitatively tracked EB behaviours and the specific needs of individuals may improve outcomes. Improving objective longitudinal tracking of energy intake and energy expenditure over time would provide a quantitative framework in which to understand the dynamics of behaviour change, mechanisms of action of behaviour change interventions and user engagement with intervention components to potentially improve weight management intervention design and evaluation.pt_PT
dc.description.sponsorshipThe NoHoW project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No. 643309. The Parker Institute, Bispebjerg and Frederiksberg Hospital is supported by a core grant from the Oak Foundation (grant agreement No. OCAY-18-774-OFIL).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationObes Facts. 2021;14(2):246-258pt_PT
dc.identifier.doi10.1159/000513042pt_PT
dc.identifier.eissn1662-4033
dc.identifier.issn1662-4025
dc.identifier.urihttp://hdl.handle.net/10451/56427
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherKargerpt_PT
dc.relationEvidence-based ICT tools for weight loss maintenance
dc.relation.publisherversionhttps://www.karger.com/Journal/Home/233731pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectBehaviour changept_PT
dc.subjectEnergy balancept_PT
dc.subjectWeight losspt_PT
dc.subjectWeight loss maintenancept_PT
dc.titleThe H2020 “NoHoW project”: a position statement on behavioural approaches to longer-term weight managementpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardNumber643309
oaire.awardTitleEvidence-based ICT tools for weight loss maintenance
oaire.awardURIinfo:eu-repo/grantAgreement/EC/H2020/643309/EU
oaire.citation.endPage258pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage246pt_PT
oaire.citation.titleObesity Factspt_PT
oaire.citation.volume14pt_PT
oaire.fundingStreamH2020
person.familyNameLabisa da Silva Palmeira
person.familyNameChaparro Roque dos Santos
person.givenNameAntónio João
person.givenNameInês
person.identifierN-1856-2016
person.identifier.ciencia-idEC1F-4BD0-B070
person.identifier.ciencia-id8E14-4B1D-9F4E
person.identifier.orcid0000-0001-6508-0599
person.identifier.orcid0000-0002-1638-8551
project.funder.identifierhttp://doi.org/10.13039/501100008530
project.funder.nameEuropean Commission
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationbdb8b420-651c-4242-ade1-af936997fac3
relation.isAuthorOfPublication6e672e07-deab-42de-ac5a-8d91cd617873
relation.isAuthorOfPublication.latestForDiscoverybdb8b420-651c-4242-ade1-af936997fac3
relation.isProjectOfPublicationdb2f6205-8645-4dc1-8be3-2ffbaade0f95
relation.isProjectOfPublication.latestForDiscoverydb2f6205-8645-4dc1-8be3-2ffbaade0f95

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