CC_Nutrition

“Informed By Science”

Tag: contraception

  • Behaviour Change and Nutrition: The Key to Consistency

    Whether you’re aiming to build muscle, lose fat, or enhance performance, your nutrition habits are just as important as your training program. But sticking to a diet plan whether it’s a bulking phase, a cutting cycle, or performance nutrition can be harder than hitting a heavy squat. The real challenge isn’t knowing what to eat; it’s changing your behaviour to make it happen consistently.

    This is where behaviour change science comes in. Grounded in psychology, behaviour change strategies can help gym goers, athletes and well honestly, anyone! overcome common barriers like poor planning, low motivation, and decision fatigue turning good intentions into real results.

    Why Motivation Alone Isn’t Enough

    You might start a new meal plan feeling motivated and ready. But motivation fluctuates. To stay consistent long-term, you need more than willpower you need systems and strategies.

    According to the COM-B model, behaviour is driven by three things: Capability, Opportunity, and Motivation (Michie et al., 2011). In a gym context, this might look like:

    Capability: Do you have the cooking skills and nutrition knowledge? Opportunity: Is your environment helping or hindering your eating goals? Motivation: Are you clear on why you’re doing this?

    Addressing all three areas sets you up for long-term adherence not just short-term compliance.

    Habit Formation and Meal Consistency

    For athletes and recreational lifters, habit formation is key. The Health Action Process Approach (HAPA) highlights the difference between intention and action. You might plan to prep meals or hit your macros but without planning, tracking, and adjusting, those intentions often fall flat (Schwarzer, 2008).

    Using tools like MyFitnessPal (or other apps), food scales, and prep routines helps build consistency. Research shows that self-monitoring—tracking what you eat—is one of the most powerful predictors of success in fat loss and muscle gain (Chen et al., 2023).

    Digital Tools for Diet Adherence

    A 2023 meta-analysis confirmed that using nutrition tracking apps significantly improves dietary behaviours and outcomes in people aiming to lose fat or gain lean mass (Chen et al., 2023). These tools don’t just count calories they give real-time feedback, help you spot trends, and reinforce accountability.

    Other behaviour change techniques (BCTs) proven to support gym-related goals include:

    SMART goal-setting (Specific, Measurable, Achievable, Relevant, Time-bound)

    If then planning (e.g., “If I get hungry post-workout, then I’ll have a protein shake”)

    Social support (training partners or online communities)

    Why Most Meal Plans Fail (And How to Fix It)

    Many people fall off their meal plans not because they’re “lazy” or “undisciplined,” but because their approach doesn’t match their lifestyle or values. According to the Theory of Planned Behaviour (TPB), intentions alone aren’t enough people must also believe they have control over their environment and the ability to follow through (Ajzen, 1991).

    That’s why environmental restructuring like prepping meals in advance, keeping snacks out of sight, or having protein options ready post-training is critical. Your environment should make the right choice the easy choice.

    The Bigger Picture: Stress, Sleep, and Social Support

    Behaviour change science also reminds us that diet doesn’t happen in isolation. Poor sleep, stress, or a lack of social support can derail even the best plan. The Science of Behavior Change (SOBC) program by NIH highlights how self-regulation, stress management, and habit loops can be modified to enhance results (NIH, 2023).

    In other words, you don’t need to grind harder you need to train smarter, eat smarter, and structure your environment and mindset for success.

    Conclusion

    If you’ve ever struggled to stay consistent with your nutrition while training hard, you’re not alone and you’re not lacking discipline. You’re just missing the behaviour change strategies that align your habits with your goals.

    By applying science-based models like COM-B, HAPA, and TPB, and using tools like tracking apps, habit systems, and structured planning, you can finally bridge the gap between training and nutrition and unlock your full potential in the gym.

    References

    Ajzen, I., 1991. The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), pp.179–211.

    Chen, J., Cade, J.E. and Allman-Farinelli, M., 2023. The effectiveness of nutrition apps in improving dietary behaviours and health outcomes: a systematic review and meta-analysis. Public Health Nutrition, 26(1), pp.1–12.

    Greaves, C.J., Sheppard, K.E., Abraham, C., Hardeman, W., Roden, M., Evans, P.H. and Schwarz, P., 2011. Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions. BMC Public Health, 11(1), p.119.

    Lee, R.M., Fischer, C., Caballero, P., and Andersson, E., 2022. Behaviour change nutrition interventions and their effectiveness: a systematic review of global public health outcomes. PLOS Global Public Health, 2(9), p.e0000401.

    Michie, S., Atkins, L., and West, R., 2014. The Behaviour Change Wheel: A Guide to Designing Interventions. London: Silverback Publishing.

    Michie, S., van Stralen, M.M. and West, R., 2011. The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science, 6(1), p.42.

    NIH Common Fund, 2023. Science of Behavior Change (SOBC). [online] Available at: https://commonfund.nih.gov/science-behavior-change-sobc [Accessed 18 May 2025].

    Schwarzer, R., 2008. Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology, 57(1), pp.1–29.

  • Contraceptives and Weight Gain in Women: What Does the Science Say?

    Introduction

    The relationship between contraceptive use and weight gain has been a topic of debate for decades. Many women report weight changes after starting hormonal contraceptives, but is there scientific evidence to support this? This blog post reviews the current literature on how different types of contraceptives may influence body weight and composition.

    Types of Contraceptives and Their Potential Impact on Weight

    1. Combined Oral Contraceptives (COCs)

    COCs contain both estrogen and progestin and are one of the most commonly used contraceptive methods. Early versions of the pill contained high doses of estrogen, which were linked to water retention and weight gain (Lopez et al., 2016). However, modern low-dose formulations appear to have minimal effects on weight. A Cochrane review analyzing 49 trials found no significant evidence that COCs cause clinically meaningful weight gain (Lopez et al., 2016).

    2. Progestin-Only Pills (POPs)

    Progestin-only pills (also called the “mini-pill”) are sometimes preferred for women who cannot take estrogen. Limited evidence suggests that POPs do not significantly contribute to weight gain. However, some studies report increased appetite as a side effect, which could indirectly influence weight (Berenson et al., 2009).

    3. Injectable Contraceptives (Depo-Provera)

    Depot medroxyprogesterone acetate (DMPA), commonly known as Depo-Provera, has the strongest link to weight gain. Studies show that women using DMPA for a year or longer tend to gain an average of 2–3 kg, with some individuals experiencing even greater increases (Berenson et al., 2009). This weight gain is likely due to increased appetite and fat accumulation rather than water retention.

    4. Hormonal Implants and IUDs

    Implants (e.g., Nexplanon) and hormonal intrauterine devices (IUDs) release progestin over an extended period. Some research indicates that implants may lead to modest weight gain, whereas hormonal IUDs generally do not cause significant changes (Modesto et al., 2015). However, individual responses vary.

    5. Non-Hormonal Contraceptives

    Barrier methods (e.g., condoms, diaphragms) and copper IUDs do not influence hormones and therefore do not contribute to weight changes.

    Potential Mechanisms Behind Contraceptive-Related Weight Gain

    Several theories explain why some women experience weight gain while using hormonal contraceptives:

    • Increased appetite: Some progestins can stimulate appetite, leading to higher caloric intake.
    • Fluid retention: Estrogen can cause mild water retention, but this is typically temporary.
    • Changes in metabolism: Some evidence suggests that contraceptives might slightly alter metabolism and fat distribution.

    Individual Variability and Lifestyle Factors

    It’s important to recognize that weight gain while using contraceptives is not universal. Lifestyle factors, including diet, exercise, and genetics, play a significant role in weight changes. Some women may gain weight due to life-stage factors rather than the contraceptive itself.

    Conclusion

    The belief that all contraceptives cause weight gain is a common misconception. While some methods, particularly DMPA injections, have been linked to increased weight, others (such as COCs and IUDs) show minimal or no significant effects in most women. Women concerned about weight changes should discuss contraceptive options with their healthcare provider to find a method that best suits their needs.

    References

    • Berenson, A. B., Rahman, M., & Wilkinson, G. S. (2009). Weight gain among adolescents using depot medroxyprogesterone acetate versus oral contraceptives. Pediatrics, 124(2), e281-e289.
    • Lopez, L. M., Edelman, A., Chen, M., & Otterness, C. (2016). Progestin‐only contraceptives: effects on weight. Cochrane Database of Systematic Reviews, 2016(8).
    • Modesto, W., de Nazaré Silva dos Santos, P., Correia, V. M., Borges, J. C., Bahamondes, L., & Bahamondes, M. V. (2015). Body weight and composition in users of levonorgestrel-releasing intrauterine system. Contraception, 91(6), 495-500.