Unsuccessful Dieters Research Articles

Goal pursuit increases more after dietary success than after dietary failure: examining conflicting theories of self-regulation using ecological momentary assessment

BackgroundMaintaining a healthy body weight and reaching long-term dietary goals requires ongoing self-monitoring and behavioral adjustments. How individuals respond to successes and failures is described in models of self-regulation: while cybernetic models propose that failures lead to increased self-regulatory efforts and successes permit a reduction of such efforts, motivational models (e.g., social-cognitive theory) make opposite predictions. Here, we tested these conflicting models in an ecological momentary assessment (EMA) context and explored whether effort adjustments are related to inter-individual differences in perceived self-regulatory success in dieting (i.e., weight management).MethodsUsing linear mixed effects models, we tested in 174 diet-interested individuals whether current day dietary success or failure (e.g., on Monday) was followed by self-regulatory effort adjustment for the next day (e.g., on Tuesday) across 14 days. Success vs. failure was operationalized with two EMA items: first, whether food intake was higher vs. lower than usual and second, whether food intake was perceived as more vs. less goal-congruent than usual. Trait-level perceived self-regulatory success in dieting was measured on a questionnaire.ResultsIntended self-regulatory effort increased more strongly after days with dietary success (i.e., eating less than usual / rating intake as goal-congruent) than after days with dietary failure (i.e., eating more than usual / rating intake as goal-incongruent), especially in those individuals with lower scores on perceived self-regulatory success in dieting.ConclusionsFindings support mechanisms proposed by social-cognitive theory, especially in unsuccessful dieters. Thus, future dietary interventions could focus on preventing the decrease in self-regulatory effort after instances of dietary failures and thereby mitigate the potential risk that a single dietary failure initiates a downward spiral into unhealthy eating.

Challenging inhibitory control with high- and low-calorie food: A behavioural and TMS study.

Most people are often tempted by their impulses to "indulge" in high-calorie food, even if this behaviour is not consistent with their goal to control weight in the long term and might not be healthy. The outcome of this conflict is strongly dependent on inhibitory control. It has already been reported that individuals with weaker inhibitory control consume more high-calorie food, are more often unsuccessful dieters, overweight or obese compared to people with more effective inhibitory control. In the present study, we aimed at investigating inhibitory control in the context of human eating behaviour. A sample of 20 healthy normal-weight adults performed a 50% probability visual affective Go/NoGo task involving food (high- and low-calorie) and non-food images as stimuli. Single-pulse transcranial magnetic stimulation (TMS) was administered over the right primary motor cortex (M1) either 300 ms after image presentation to measure corticospinal excitability during the different stimulus categories or 300 ms after the appearance of a fixation point, as a control stimulation condition. The experimental session consisted of a food target and a non-food target block. Behavioural outcomes showed a natural implicit inclination towards high-calorie food in that participants were faster and more accurate compared to the other categories. This advantage was selectively deleted by TMS, which slowed down reaction times. MEPs did not differ according to the stimulus category, but, as expected, were bigger for Go compared to NoGo trials. Participants judged high-calorie food also as more appetising than low-calorie food images. Overall, our results point to a differential modulation when targeting inhibitory control, in favour of the more palatable food category (high-calorie). Present data suggest that the activity of the motor system is modulated by food nutritional value, being more engaged by appetising food. Future work should explore to what extent these processes are affected in patients with eating disorders and should aim to better characterise the related dynamics of cortical connectivity within the motor network.

Identifying weight management clusters and examining differences in eating behaviour and psychological traits: An exploratory study

Previous research has suggested differences in psychological traits and eating behaviours between groups of individuals with varying weight management profiles, for example, differences between individuals who have maintained weight loss compared to those who have not. However, no study has looked at differences in traits across a sample with a broad range of characteristics including variations in bodyweight and its management. Across two studies, we identified and validated weight management profiles using a clustering approach and examined trait differences across groups. Data were collected using online questionnaires (Study 1: secondary data analysis; Study 2: primary data analysis allowing for cluster validation). Cluster analysis was implemented with BMI, diet history, weight suppression (difference between highest and current weight) as primary grouping variables, and age and gender as covariates. Differences in psychological and eating behaviour traits (e.g., restraint) were explored across clusters. In study 1, 423 participants (27.21 ± 9.90 years) were grouped into 5 clusters: ‘lean men’, ‘lean young women’, ‘lean middle-aged women’, ‘successful’ and ‘unsuccessful dieters’. The cluster structure was broadly replicated with two additional groups identified (‘lean women without dieting’ and ‘very successful dieters’) in study 2 with 368 participants (34.41 ± 13.63 years). In both studies, unsuccessful dieters had higher restrained and emotional eating scores than lean individuals, and in study 1, they also had higher food addiction scores than successful dieters. Individuals could be grouped in terms of their weight management profiles and differences in psychological and eating behaviour traits were evident across these groups. Considering the differences in traits between the clusters may further improve the effectiveness and adherence of weight management advice.

Food at first sight: Visual attention to palatable food cues on TV and subsequent unhealthy food intake in unsuccessful restrained eaters

BackgroundThis study investigated whether unsuccessful dieters show heightened visual attention to food cues in TV content and how visual attention influences subsequent unhealthy food intake. This study adds to prior literature by investigating the influence of visual attention to food cues on food intake with actual media content (i.e., instead of isolated food cues such as pictures or words) and by differentiating between chronic dieters (i.e., restrained eaters) who vary in dieting success (i.e., perceived self-regulatory success [PSRS]). To get a more detailed insight into different processes of visual attention, two measures of attention (i.e., initial orientation and attention duration) were examined. MethodsUnrestrained (n = 34) and restrained eaters (n = 28) varying in PSRS watched a talk show containing subtly depicted, palatable food cues. While watching, their visual attention to the food cues was measured with an eye-tracker. Unhealthy food intake was assessed afterwards in a taste test. ResultsA two-way interaction between eating restraint and PSRS on initial visual orientation was found: unsuccessful restrained eaters’ initial orientation to food cues was faster compared to that of successful restrained eaters. There were no significant findings on attention duration. Furthermore, visual attention did not predict unhealthy food intake. DiscussionUnsuccessful restrained eaters’ fast initial orientation, but no longer attention duration, suggests that self-regulation may be important at early stages of visual attention. Future research on this topic should continue to differentiate between initial orientation and attention duration, as well as between more and less successful restrained eaters. The lack of findings on unhealthy food intake suggest that food cues embedded in actual media content might have less influence on eating behavior compared to isolated food cues.

A new approach to facilitating attentional disengagement from food cues in unsuccessful dieters: The bouncing image training task

This study tested the capacity of a modified Bouncing Image Training Task (BITT) to enhance unsuccessful dieters' attentional disengagement from food cues. Unsuccessful dieters were assigned to a training group performing daily BITT sessions for one week (n = 57) or a waitlist control group (n = 56). Change in attention was assessed using a visual search task and an odd-one-out task. Impact of the BITT on food craving and food intake were also assessed. Participants in the training group, compared to waitlist controls, showed reduced attention to food cues from pre-to post-training. Moreover, the reduction in AB to food cues exhibited by those who completed the BITT reflected the relative facilitation of attentional disengagement from food cues, rather than a reduction in attention engagement with food cues. The groups did not differ on food craving or intake post-training. It is concluded that the BITT is a promising procedure for directly manipulating individuals’ attentional disengagement from food cues, though its capacity to enhance dieting success has not yet been established.

The role of working memory sub-components in food choice and dieting success

Evidence suggests a role for self-reported working memory (WM) in self-reported food intake, but it is not known which WM sub-components are involved. It is also important to consider how individual differences in dietary restraint and disinhibition influence WM and the impact of this on food choice. The current study assessed the relationship between WM sub-components and food choice, using computerised measures of WM sub-components and a direct assessment of food intake. The role of dieting success (measured by restraint and disinhibition) as a distal predictor of food choice that influences food choices via WM, and the role of WM more generally in dieting success were investigated. Female undergraduate students (N = 117, mean age: 18.9 years, mean BMI: 21.6 kg/m2) completed computer tasks assessing three components of WM (updating, phonological loop and visuospatial sketchpad) and a snack food taste-test. Greater visuospatial WM span was associated with a higher (lower) percentage of food intake that was low (high) energy dense. It was also found that unsuccessful dieters (high restraint, high disinhibition) had poorer visuospatial WM span and consumed a lower (higher) percentage of low (high) energy dense food. Visuospatial WM span significantly mediated the relationship between dieting success and percentage of low energy dense food intake. Further, dietary restraint was associated with poorer updating ability, irrespective of disinhibition. These findings suggest that better visuospatial WM is associated with a greater (reduced) preference for low (high) energy dense foods, and that deficits in visuospatial WM may undermine dieting attempts. Future work should assess whether the ability to deal with food cravings mediates the relationship between visuospatial WM and dieting success and investigate how WM may influence the mechanisms underlying behavioural control.

Construct validation of the Portuguese version of the Restraint Scale

AimThe main purpose of this study was to adapt the Restraint Scale (RS) to Portuguese and examine its psychometric properties, specifically its construct validity.MethodIn this study, 238 normal-weight adults (82% women; Mean age = 36.6, SD = 15.0) participated in an online survey containing measures of Restraint Scale, Three Factor Eating Questionnaire, Dutch Eating Behaviour Questionnaire, and Body Dissatisfaction and Drive for Thinness scales.ResultsExploratory factor analyses corroborated the two-factors structure found in previous studies, in particular when three items without clear factorial assignment and low correlation were excluded. A final two-factors version of the RS containing seven items presented a very good fit to the measurement model and good internal consistency. Confirmatory factor analysis of the 7-items RS in relation to a three-factor model of overeating, dieting and body dissatisfaction measures revealed that the RS was the only restraint measure loading in all three factors.ConclusionThis suggests that the 7-items Portuguese version of the RS has good psychometric properties and unique features that lend it appropriate to identify and study unsuccessful chronic dieters.

Voxel-based morphometry reveals brain gray matter volume changes in successful dieters.

To compare regional brain volume predictors of percent weight loss (WL) in dieters with obesity (DwO) and in the same participants categorized as "successful" (≥7% WL) or "unsuccessful" dieters (<7% WL). DwO (n = 72) and participants with healthy weight (n = 22) completed a structural MRI at baseline and 3 months. All DwO participants were enrolled in a 12-week program consisting of a reduced calorie diet, increased physical activity, and behavioral modification. SPM8-based voxel-based morphometry processing streams were used for measurements of regional gray (GMV) and white matter volume and longitudinal changes in volume. Correlations between WL and baseline brain volume and change in brain volume, as well as differences between groups, were then tested. %WL was positively correlated with baseline GMV in right parahippocampal and orbitofrontal gyri in DwO. Successful dieters showed greater GMV loss in the left precentral gyrus and the insula compared with unsuccessful dieters. A negative correlation was found between %WL and GMV change from baseline in the left prefrontal regions. Findings illustrate that WL is related to volumetric changes in brain areas previously linked to interoception and food motivation.

The Biggest Loser Thinks Long-Term: Recency as a Predictor of Success in Weight Management.

Only a minority of participants in behavioral weight management lose weight significantly. The ability to predict who is likely to benefit from weight management can improve the efficiency of obesity treatment. Identifying predictors of weight loss can also reveal potential ways to improve existing treatments. We propose a neuro-psychological model that is focused on recency: the reliance on recent information at the expense of time-distant information. Forty-four weight-management patients completed a decision-making task and their recency level was estimated by a mathematical model. Impulsivity and risk-taking were also measured for comparison. Weight loss was measured in the end of the 16-week intervention. Consistent with our hypothesis, successful dieters (n = 12) had lower recency scores than unsuccessful ones (n = 32; p = 0.006). Successful and unsuccessful dieters were similar in their demographics, intelligence, risk taking, impulsivity, and delay of gratification. We conclude that dieters who process time-distant information in their decision making are more likely to lose weight than those who are high in recency. We argue that having low recency facilitates future-oriented thinking, and thereby contributes to behavior change treatment adherence. Our findings underline the importance of choosing the right treatment for every individual, and outline a way to improve weight-management processes for more patients.

Compensations for Weight Loss in Successful and Unsuccessful Dieters.

To explore for the presence of behavioral compensation for weight loss in successful and unsuccessful dieters. Successful dieters (women maintaining a weight loss ≥ 10% body weight for ≥ 1 year) and unsuccessful dieters (women who had lost and regained ≥ 10% body weight) were compared to age- and BMI-matched controls for measures obtained from self-report surveys, an online dietary recall, indirect calorimetry, a submaximal treadmill test, and accelerometry. Compared to their controls, successful dieters reported lower carbohydrate intake, greater protein intake, greater eating restraint, and more vigorous intensity physical activity. Accelerometry data reflected more moderate-to-vigorous intensity physical activity, but more energy expenditure over-report in successful dieters than their comparators. Unsuccessful dieters were indistinguishable from their controls. Successful dieters show behavioral vigilance but over-report total daily energy expenditure, whereas unsuccessful dieters do not demonstrate measurable compensations in health behavior.

Lifestyle intervention has a beneficial effect on eating behavior and long-term weight loss in obese adults

ObjectiveTo investigate the change in eating behavior and the factors related with the change among successful dieters (maintained a weight loss of ≥5% of original weight). MethodsObese adult subjects (21 male, 55 female) were randomized into three-year lifestyle intervention (n=59) and control groups (n=17). Eating behavior (cognitive restraint of eating, uncontrolled eating and emotional eating) was evaluated by the TFEQ-18 and motivation to lose weight and tolerance to problems by a separate questionnaire. Weight, height and body mass index were measured. ResultsWeight decreased more in the intervention group than in the control group (5.0% vs 0.6%, p=0.027). Cognitive restraint increased twice as much in the intervention group compared to the control group (16.0 vs. 7.0, p=0.044). The increment in cognitive restraint was positively associated with weight loss and high baseline motivation and tolerance to problems. Cognitive restraint increased in both successful (n=27) and unsuccessful dieters (n=32), but only the successful dieters were able to decrease uncontrolled eating in the long term. ConclusionsOur results showed that intensive lifestyle counseling improved cognitive restraint which was associated with enhanced weight loss among obese adults. Successful dieters also showed a long-term improvement of uncontrolled eating. Eating behavior should be evaluated and followed before and during lifestyle interventions in order to support the change, e.g. by finding methods to control eating at risk situations and strengthening motivation and tolerance to problems.

The Vicious Cycle of Dieting Failures: The Active-Self Account of the Priming Effect on Unsuccessful Dieters

Considerable research in dieting has examined the goal priming effect that promotes dieting. However, priming literature found that the process of which priming is led to behaviors involves not only the priming construct itself but the momentary self-concept activated by the priming. Based on this notion, studies examined whether the active self-concept as an dieter or successful dieter determines the priming-to-behavior effect in dieting. Study 1 used contexts of the prime as manipulation for participants` active-self following the prime and measured their chronic self-concept in dieting (rated on the Perceived Self-Regulation Success [PSRS] in dieting scale) as a moderator. The result supported the active-self account for the effect of the dieting prime. The interaction of the PSRS scores and the priming contexts was found in the dieting behavior of participants. Participants whose chronic self-concept in dieting is unsuccessful (the low PSRS) showed the goal-congruent priming effect only in the condition where the priming context reminded them of their self-concept in favor of dieting success. In the context where their dieting failure in the past became salient, however, the participants with the low PSRS were more likely to succumb to tempting food. In contrast, eating behaviors of the high PSRS participants were independent of the contexts. Study 2 tested a possible mechanism from the active-self to the behaviors. It is concluded that the active-self operates in the priming process by influencing anticipatory thoughts rather than automatic responses toward foods. The implications for understanding repeated dieting failures and designing practical interventions to help dieters are discussed.

Eating behavior, restraint status, and BMI of individuals high and low in perceived self-regulatory success

The Perceived Self-Regulatory Success (PSRS) scale was developed to assess self-reported success at dieting and has been used to differentiate between successful and unsuccessful dieters (Fishbach, Friedman, & Kruglanski, 2003). We re-analyzed data from seventeen studies in order to examine whether PSRS predicted in-lab eating behavior of restrained and unrestrained eaters. We also explored the relation between body mass index, restraint, current dieting, and responding on the PSRS scale. It was found that successful dieters do not necessarily eat less than do unsuccessful dieters when a tempting food is available. Additionally, individuals who considered themselves to be successful dieters were more likely to be unrestrained eaters and current non-dieters than restrained eaters and current dieters. However, regardless of restraint status, individuals high in PSRS had lower BMI than those low in PSRS. These findings suggest that those who score high on the PSRS scale may not be concerned with regulating eating and weight. However, the restrained eaters who do score high on the PSRS scale appear to be successful at controlling their weight, despite not eating less in the lab.

Dieting and the self‐control of eating in everyday environments: An experience sampling study

The literature on dieting has sparked several debates over how restrained eaters differ from unrestrained eaters in their self-regulation of healthy and unhealthy food desires and what distinguishes successful from unsuccessful dieters. We addressed these debates using a four-component model of self-control that was tested using ecological momentary assessment, long-term weight change, and a laboratory measure of inhibitory control. A large sample of adults varying in dietary restraint and inhibitory control (as measured by a Stroop task) were equipped with smartphones for a week. They were beeped on random occasions and provided information on their experience and control of healthy and unhealthy food desires in everyday environments. The main outcome measures were desire strength, experienced conflict, resistance, enactment of desire, and weight change after a 4-month follow-up. Dietary restraint was unrelated to desire frequency and strength, but associated with higher conflict experiences and motivation to use self-control with regard to food desires. Most importantly, relationships between dietary restraint and resistance, enactment of desire, and long-term weight change were moderated by inhibitory control: Compared with dieters low in response inhibition, dieters high in response inhibition were more likely to attempt to resist food desires, not consume desired food (especially unhealthy food), and objectively lost more weight over the ensuing 4 months. These results highlight the combinatory effects of aspects of the self-control process in dieters and highlight the value in linking theoretical process frameworks, experience sampling, and laboratory-based assessment in health science. What is already known on this subject? Dieting is a multifaceted process that can be viewed from the lens of self-control. Dietary restraint measures can be used to capture dieting status, but it is relatively unclear what differentiates successful from unsuccessful dieters (e.g., differences in desire frequency, desire strength, motivation, executive functions). What does this study add? A novel four-step conceptual model of self-control is applied to eating behaviour in everyday life. This model allows a fine-grained look at the self-control process in restrained eaters (dieters) as compared to non-dieters. Dieters and non-dieters do not differ in desire frequency and strength (they are not simply more tempted). Dieters high (as compared to low) in inhibitory control are more likely to engage in self-control. Dieters high (as compared to low) in inhibitory control are more likely to resist unhealthy food desires. Dieters high (as compared to low) in inhibitory control are more likely to loose weight over a 4-month period. Together, the study shows clear differences among successful and unsuccessful dieters that can be linked to differences in executive functioning (inhibitory control). The present article is one of the first studies combining a conceptual model with smartphone experience sampling to study weight control and thus paradigmatic from a methodological perspective.

The Rise and Fall of Self-Control

Environmental cues of temptation generally frustrate people’s long-term goal attainment. However, recent research suggests that temptation cues promote, rather than hamper long-term goal congruent effects in successful self-regulators. While previous work has started to shed light on the cognitive features of this rise and fall of self-control, the present research aims to significantly advance this study by exploring important implications for actual behavior in the domain of dieting. In combining a temptation cue exposure procedure with a concurrent schedules task, results of two studies demonstrated that tempting food cues increased unsuccessful, but not successful dieters’ effortful behavior toward high-calorie food. In contrast, tempting food cues increased successful dieters’ efforts toward low-calorie food, but did not affect unsuccessful dieters. The findings suggest that the behavior of both unsuccessful and successful dieters in response to tempting food cues is goal-directed rather than impulsive.

Differentiating between successful and unsuccessful dieters. Validity and reliability of the Perceived Self-Regulatory Success in Dieting Scale

Dieting and the wish to lose weight are ubiquitous in our society. Only few people, however, are successful in long-term weight loss and -maintenance. The Perceived Self-Regulatory Success in Dieting Scale (PSRS) is a succinct 3-item measure that can be used to differentiate between successful and unsuccessful dieters. However, psychometric properties of the scale have not yet been investigated. We re-analyzed data from several studies and demonstrate validity and reliability of the PSRS. Internal consistency was reasonably high (Cronbach’s alpha=.72–.79). Item means were medium and item-total-correlations were high. Validity of the scale was demonstrated such that it correlated negatively with body-mass-index (BMI), concern for dieting, rigid dietary control, food cravings, food addiction symptoms, and binge eating. Flexible dietary control was positively associated with the PSRS. We conclude that the PSRS constitutes a valid and reliable measure to efficiently assess dieting success.

Food cravings discriminate differentially between successful and unsuccessful dieters and non-dieters. Validation of the Food Cravings Questionnaires in German

Food cravings have been strongly associated with triggering food consumption. However, definitions and measurements of food cravings are heterogeneous. Therefore, Cepeda-Benito and colleagues (2000) have suggested the Food Cravings Questionnaires (FCQs) to measure food cravings as a multidimensional construct at trait- and state-level. In the current study, we validated a German version of the FCQs in an online study ( N = 616). The factor structure of the state and trait versions could partially be replicated, but yielded fewer than the originally proposed factors. Internal consistencies of both versions were very good (Cronbach’s α > .90), whereas retest reliability of the state version was expectedly lower than that of the trait version. Construct validity of the trait version (FCQ-T) was demonstrated by high correlations with related eating behavior questionnaires and low correlations with questionnaires unrelated to eating. Most importantly, FCQ-T-subscales were able to discriminate between successful and unsuccessful dieters and non-dieters. Validity of the state version was supported by positive relations with food deprivation and current negative affect. Taken together, the German version of the FCQs has good psychometric properties. Moreover, this study provided first evidence that distinct dimensions of food cravings are differentially related to success and failure in dieting.

“Instant Success”

Contrary to lay intuition, counteractive control theory posits that tempting food cues can help individuals to act in accordance with their long-term dieting goal. However, studies have shown that temptations trigger goal-directed behavior only in successful but not in unsuccessful self-regulators. The aim of the present study was to test whether it is possible to create facilitated temptation-goal associations in unsuccessful dieters using implementation intentions (e.g., "If I see or smell chocolate then I will follow my goal to diet") and whether this indeed stimulates more successful self-regulation. It was found that implementation intentions linking a temptation to a dieting goal lead to self-perceived improved resistance to (Study 1) as well as reduced consumption (Study 2) of tempting snacks compared to a control condition. Moreover, Study 2 revealed that the reduced snack consumption was indeed related to facilitated temptation-goal associations in participants who had formed implementation intentions.

Implementation intentions as goal primes: Boosting self‐control in tempting environments

AbstractPeople often forget their long‐term strivings because their environment confronts them with attractive temptations. Previous research suggests that self‐control failures can be prevented by reminding people of their higher‐order goal. Therefore, we hypothesized that using implementation intentions as a tool to directly re‐activate people's higher‐order goal in tempting situations would effectively enhance self‐control. We tested this in the domain of dieting behavior. Results demonstrated that this specific planning strategy activated the dieting goal for unsuccessful dieters when exposed to tempting food cues (Study 1) and reduced their consumption of calorically dense food across 2 weeks (Study 2) compared to those in control conditions. This suggests that preparing people to think of their higher‐order goal when tempted can be used to protect ongoing goal striving. Appealing to higher‐order goals potentially makes implementation intentions flexible instruments of self‐regulation as this should trigger motivated behavior to reach goals and initiate various goal‐instrumental actions. Copyright © 2011 John Wiley &amp; Sons, Ltd.

Through the eyes of dieters: Biased size perception of food following tempting food primes

Why do some dieters succeed in controlling their diet while others do not? This research focused on a perceptual process—size perception of food objects—that may moderate the success of dieters in self-control dilemmas. We assessed successful and unsuccessful dieters' size perception of palatable food (Study 1) and diet-food (Study 2) after pre-exposing them to tempting food primes. Dieters perceived palatable food as bigger when primed with tempting food (vs. control prime), regardless of self-regulatory success in dieting (Study 1). Palatable food thus looms larger for both unsuccessful and successful dieters when in a “hot” state. In contrast, the perceived size of diet-food was increased by a tempting food prime only for successful dieters, but decreased for unsuccessful dieters (Study 2). These results are interpreted in terms of differences in the mental accessibility of competing goals (eating enjoyment vs. dieting) in successful vs. unsuccessful dieters. Indeed, when the dieting goal was made accessible for all dieters by a diet prime, even unsuccessful dieters perceived diet-food as bigger (Study 2). This research provides insight into a perceptual process that may be detrimental or beneficial in resolving self-control conflicts in the domain of eating and dieting behavior—and probably other domains of self-control as well.