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InPsych 2021 | Vol 43

April/May | Issue 2

Education and research

Why isn’t everyone overweight or obese?

Why isn’t everyone overweight or obese?

Obesity and being overweight are global problems and yet not everyone is overweight or obese. Australian researchers looked at self-regulation and dichotomous thinking to examine whether they influence the maintenance of a normal Body Mass Index (BMI).

The role of self-regulation and dichotomous thinking

Self-regulation refers to the ability to change one’s behaviour by making deliberate self-corrective adjustments towards a goal or to maintain an achieved goal. This includes four components: goal-setting, self-monitoring, self-evaluation and taking action. Current lifestyles tend to be more sedentary and involve greater excess food consumption than in the past. To maintain one’s weight within the normal BMI range requires self-regulation skills.

Patterns of dichotomous thinking (e.g., thinking of food as good or bad) may harm self-regulation ability because it is less flexible (e.g., a dietary lapse may be seen as a failure rather than a minor setback).

Plummer and Walker (2021) conducted a study to examine the effects of self-regulation and dichotomous thinking on BMI and weight pattern. The weight patterns measured include whether participants considered themselves to be a weight-loss maintainer, lifelong weight maintainer, weight cycler, weight loser or a weight regainer.

About the study

Australians aged between 20 and 30 years (142 females, 56 males), completed an online survey which included measures of weight self-regulation behaviours (e.g., setting a goal weight, monitoring weight and taking action if there is discrepancy between the two) and dichotomous thinking (e.g., thinking of food as ‘good’ or ‘bad’). Participants also reported their BMI and weight pattern throughout adulthood.

Study findings

Contrary to the researcher’s predictions, self-regulation was unrelated to current or lowest BMI but higher self-regulation scores predicted a larger highest lifetime BMI. Higher self-regulation scores were also associated with a higher degree of dichotomous thinking (in males and females) and higher disordered eating scores (for females only).

These findings suggest that too much focus on weight-related behaviours may be counterproductive. The researchers suggested that the self-regulation measure may have captured unhelpful behaviours (e.g., preoccupation with weight and shape) and dichotomous thinking styles.

Self-regulation and dichotomous thinking varied with weight pattern for females only. Self-regulation scores were lower among lifelong maintainers than weight-retainers and weight cyclers. Dichotomous thinking was higher in weight cyclers than lifelong maintainers.

Study conclusions

The researchers recommend that weight management approaches are tailored to men and women and take into account weight pattern across the lifetime, not just current weight. They also suggest treatment involve helping clients to focus on non-weight-related behaviours rather than weight behaviours and eating. This may encourage automatic self-regulation to happen with less disturbance from weight and shape-related thoughts.

https://doi.org/10.1080/00049530.2021.1883999

References

Disclaimer: Published in InPsych on May 2021. The APS aims to ensure that information published in InPsych is current and accurate at the time of publication. Changes after publication may affect the accuracy of this information. Readers are responsible for ascertaining the currency and completeness of information they rely on, which is particularly important for government initiatives, legislation or best-practice principles which are open to amendment. The information provided in InPsych does not replace obtaining appropriate professional and/or legal advice.