Adherence
Individuals with overweight or obesity are significantly more susceptible to external environmental cues (such as food availability, variety, palatability, and social pressure) than individuals with a healthy BMI, leading to disinhibited overeating and difficulty maintaining weight loss.
If you have overweight or obesity, be aware that your environment (food availability, social settings) is a stronger driver of your eating than your hunger. You are likely more sensitive to 'external cues' like social pressure to eat or the sight of delicious food. To manage this, proactively manage your environment (e.g., limit availability of trigger foods) and prepare polite but firm responses to social pressure to eat, as ignoring these cues often leads to overeating.
All external domains were noted by participants with overweight or obesity to be challenging, and solutions to avoid overeating were lacking; however, overt social pressures and perceived social expectations appeared to be especially problematic.
Why this rating
Qualitative study with small sample size (n=24), limiting generalizability but providing rich descriptive data.
Source
Different and Unequal: A Qualitative Evaluation of Salient Factors Influencing Energy Intake in Adults with Overweight and Obesity
Maria Carlota Dao et al. · Nutrients · 2019
DOI 10.3390/nu11061365
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