What happens after a weight loss intervention? A qualitative study of drivers and challenges of maintaining time-restricted eating among people with overweight at high risk of type 2 diabetes

Bibliographic Data

ID11359463
AuthorsNatasja Bjerre (0000-0001-8875-7240, University of Copenhagen, corresponding author), Lotte Holm (0000-0003-0667-7779, University of Copenhagen), Nanna Veje (Steno Diabetes Centers), Jonas Salling Quist (0000-0001-6036-0962, Steno Diabetes Centers), Kristine Færch (0000-0002-6127-0448, University of Copenhagen), Nana Folmann Hempler (0000-0003-3644-0473, Steno Diabetes Centers)
Year2022
Volume174
Pages106034
Publication date2022-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAppetite (JOURNAL)
Journal identifiersISSN: 0195-6663 • E-ISSN: 1095-8304
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.appet.2022.106034
PMID35378218
OpenAlexW4223561220
LanguageEN
Citations received2
References cited48

has been conceptualised as a strategy for achieving weight loss and improving metabolic health, but limited knowledge exists about how people can maintain TRE in daily life. This study examined how TRE was maintainable in daily life after a three-month intervention (the RESET study) in which participants were encouraged to consume all food and beverages except water within a 10-h daily window. Specifically, we examined TRE maintenance patterns across participants, including drivers and challenges for maintenance success. A qualitative longitudinal study was conducted, and twenty participants with overweight at high risk of type 2 diabetes were interviewed using a semi-structured interview guide at the end of the intervention and after a three-month follow-up period. Data were analysed longitudinally in two steps inspired by a pattern-oriented longitudinal analysis approach. Seven participants maintained a strict 10-h window, ten maintained an adjusted TRE regimen (e.g., taking days off), and three did not attempt maintenance. Maintenance drivers included consistent daily rhythms and regular meal patterns, subjective experiences (e.g., feeling healthier), making flexible adjustments to the TRE regimen, family support and avoiding feelings of guilt. Maintenance challenges included social evening events, inconsistent daily rhythms and eating patterns, preoccupation with losing weight, lack of family support and self-blame. TRE was manageable for most participants; however, personalised support for adjusting TRE to daily life is needed to ensure long-term maintenance. Future studies should explore the effectiveness of a personalised TRE concept to determine the usefulness of TRE in real-life settings

Developmental psychology · Feeling · Obesity · Overweight · Psychiatry · Qualitative research · Thematic analysis · Weight loss · Circadian rhythm and melatonin · Diet and metabolism studies · Dietary Effects on Health · Medicine · Psychology · Social Psychology · Gerontology

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