Articlebronze2013

Stress management can facilitate weight loss in G reek overweight and obese women: a pilot study

Eirini V. Christaki · Alexandros D. Kokkinos · Vassiliki Costarelli · Evangelos C. Alexopoulos · George Panagiotis Chrousos · Christina Darviri

52 citations0/0 files storedJournal of Human Nutrition and Dietetics

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior Obesity, Physical Activity, Diet

Abstract

BACKGROUND: Stress and negative emotions have been shown to be critical factors in inducing overeating as a form of maladaptive coping in obese people. METHODS: The present study aimed to evaluate the efficacy of an 8-week stress management programme that includes progressive muscle relaxation (PMR) and diaphragmatic breathing on weight loss and eating behaviour in a sample of overweight and obese women who started a weight-loss programme. A total of 34 women with a mean (SD) body mass index of 38.17 (7.19) kg m(-) ² and mean (SD) age 47.35 (11.64) years were recruited from the outpatients Obesity Clinic of a public hospital in Athens. Participants were randomly assigned into a Stress Management (SM) and a control group. Anthropometric measurements were taken before and after the intervention, and the participants completed the following questionnaires: Dutch Eating Behaviour Questionnaire (DEBQ), Eating Attitudes Test (Eat-26), Health Locus of Control (HLC) and Perceived Stress Scale (PSS) before and after the intervention. RESULTS: The findings indicated a significant improvement in weight loss in the SM group [4.44 (0.83) kg] after intervention compared to the control group [1.38 (0.78) kg] (P < 0.05). A higher restrained eating behaviour was observed in the SM group after intervention compared to the control group, although there was no significant difference in perceived stress levels. CONCLUSIONS: The intervention group showed greater weight reduction, possibly because of the stress management programme, and a greater dietary restraint was demonstrated by them compared to the control group. It is likely that stress management could facilitate weight loss in obese women; however, more studies are needed to confirm this hypothesis.

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References

1982The Eating Attitudes Test: psychometric features and clinical correlates 1979The Eating Attitudes Test: an index of the symptoms of anorexia nervosa 1986The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior 2007Relationship between stress, eating behavior, and obesity 2006Food selection changes under stress 2011Perceived Stress Scale: Reliability and Validity Study in Greece 1987Eating style: A validation study of the Dutch eating behaviour questionnaire in normal subjects and women with eating disorders 2008Emotions and eating. Self-reported and experimentally induced changes in food intake under stress

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