Weight change, psychological well-being, and vitality in adults participating in a cognitive–behavioral weight loss program.

The increasing prevalence of overweight and obesity in humans is a growing public health concern in the United States. Concomitants include poor health behaviors and reduced psychological well-being. Preliminary evidence suggests yoga and treatment paradigms incorporating mindfulness, self-compassion (SC), acceptance, non-dieting, and intuitive eating may improve these ancillary correlates, which may promote long-term weight loss. Methods: We explored the impact of a 5-day residential weight loss program, which was multifaceted and based on Kripalu yoga, on health behaviors, weight loss, and psychological well-being in overweight/obese individuals. Thirty-seven overweight/obese program participants (age 32-65, BMI<25) completed validated mind-fulness, SC, lifestyle behavior, and mood questionnaires at baseline, post-program, and 3-month follow-up and reported their weight 1 year after program completion. Results: Significant improvements in nutrition behaviors, SC, mindfulness, stress management, and spiritual growth were observed immediately post-program (n = 31, 84% retention), with medium to large effect sizes. At 3-month follow-up (n = 18, 49% retention), most changes persisted. Physical activity and mood disturbance had improved significantly post-program but failed to reach significance at 3-month follow-up. Self-report weight loss at 1 year (n = 19, 51% retention) was significant. Conclusion: These findings suggest a Kripalu yoga-based, residential weight loss program may foster psychological well-being, improved nutrition behaviors, and weight loss. Given the exploratory nature of this investigation, more rigorous work in this area is warranted.

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Improved Psychological Well-Being, Quality of Life, and Health Practices in Moderately Overweight Women Participating in a 12-Week Structured Weight Loss Program

Obesity Research ◽

10.1002/j.1550-8528.1998.tb00339.x ◽

1998 ◽

Vol 6 (3) ◽

pp. 208-218 ◽

Cited By ~ 113

Author(s):

James M. Rippe ◽

Janet M. Price ◽

Stacey A. Hess ◽

Greg Kline ◽

Kimberly A. DeMers ◽

...

Keyword(s):

Quality Of Life ◽

Weight Loss ◽

Well Being ◽

Weight Loss Program ◽

Health Practices ◽

Psychological Well Being ◽

Overweight Women

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Examining Social Influence on Participation and Outcomes among a Network of Behavioral Weight-Loss Intervention Enrollees

Journal of Obesity ◽

10.1155/2013/480630 ◽

2013 ◽

Vol 2013 ◽

pp. 1-8 ◽

Cited By ~ 17

Author(s):

T. L. Carson ◽

K. E. Eddings ◽

R. A. Krukowski ◽

S. J. Love ◽

J. R. Harvey-Berino ◽

...

Keyword(s):

Social Support ◽

Social Networks ◽

Weight Loss ◽

Black Women ◽

Weight Change ◽

Weight Control ◽

Social Contact ◽

Weight Loss Program ◽

Behavioral Weight Loss ◽

Self Monitoring

Research suggests that social networks, social support, and social influence are associated with weight trajectories among treatment- and non-treatment-seeking individuals. This study examined the impact of having a social contact who participated in the same group behavioral weight-control intervention in the absence of specific social support training on women engaged in a weight-loss program. Participants (n=92; 100% female; 54% black; mean age:46±10years; mean BMI:38±6) were grouped based upon whether or not they reported a social contact enrolled previously/concurrently in our behavioral weight-control studies. Primary outcomes were 6-month weight change and treatment adherence (session attendance and self-monitoring). Half of the participants (53%) indicated that they had a social contact; black women were more likely to report a social contact than white women (67.3% versus 39.5%;P<0.01). Among participants with a social contact, 67% reported at least one contact as instrumental in the decision to enroll in the program. Those with a contact lost more weight (5.9 versus 3.7 kg;P=0.04), attended more group sessions (74% versus 54%;P<0.01), and submitted more self-monitoring journals (69% versus 54%;P=0.01) than those without a contact. Participants' weight change was inversely associated with social contacts' weight change (P=0.04). There was no association between participant and contact’s group attendance or self-monitoring. Social networks may be a promising vehicle for recruiting and engaging women in a behavioral weight-loss program, particularly black women. The role of a natural social contact deserves further investigation.

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The Weight of Racial Discrimination: Examining the Association Between Racial Discrimination and Change in Adiposity Among Emerging Adult Women Enrolled in a Behavioral Weight Loss Program

Journal of Racial and Ethnic Health Disparities ◽

10.1007/s40615-021-01030-7 ◽

2021 ◽

Author(s):

Kristal Lyn Brown ◽

Anika L. Hines ◽

Nao Hagiwara ◽

Shawn Utsey ◽

Robert A. Perera ◽

...

Keyword(s):

Weight Loss ◽

Racial Discrimination ◽

Emerging Adult ◽

Weight Loss Program ◽

Adult Women ◽

Behavioral Weight Loss ◽

Emerging Adult Women

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Psychological and behavioral pathways between perceived stress and weight change in a behavioral weight loss intervention

Journal of Behavioral Medicine ◽

10.1007/s10865-021-00231-z ◽

2021 ◽

Author(s):

Kristine Molina ◽

Monica L. Baskin ◽

Dustin Long ◽

Tiffany L. Carson

Keyword(s):

Weight Loss ◽

Perceived Stress ◽

Weight Change ◽

Weight Loss Intervention ◽

Behavioral Weight Loss ◽

Behavioral Weight Loss Intervention

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The Relationship Between Implicit Preference Between High-Calorie Foods and Dietary Lapse Types in a Behavioral Weight Loss Program

10.22186/jyi.39.3.27-31 ◽

2021 ◽

Author(s):

Clare Mangubat ◽

Rebecca Crochiere ◽

Evan Forman

Keyword(s):

Weight Loss ◽

Weight Loss Program ◽

Behavioral Weight Loss ◽

The Relationship ◽

High Calorie

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Discrepancies Between Clinician and Participant Intervention Adherence Ratings Predict Percent Weight Change During a Six-Month Behavioral Weight Loss Intervention

Translational Behavioral Medicine ◽

10.1093/tbm/ibab011 ◽

2021 ◽

Vol 11 (4) ◽

pp. 1006-1014

Author(s):

Michael P Berry ◽

Elisabeth M Seburg ◽

Meghan L Butryn ◽

Robert W Jeffery ◽

Melissa M Crane ◽

...

Keyword(s):

Weight Loss ◽

Weight Change ◽

Weight Control ◽

Calorie Intake ◽

Behavioral Weight Loss ◽

Weight Loss Treatment ◽

Self Monitoring ◽

Weight Control Behaviors ◽

Behavioral Weight Loss Intervention ◽

Behavioral Weight Loss Treatment

Abstract Background Individuals receiving behavioral weight loss treatment frequently fail to adhere to prescribed dietary and self-monitoring instructions, resulting in weight loss clinicians often needing to assess and intervene in these important weight control behaviors. A significant obstacle to improving adherence is that clinicians and clients sometimes disagree on the degree to which clients are actually adherent. However, prior research has not examined how clinicians and clients differ in their perceptions of client adherence to weight control behaviors, nor the implications for treatment outcomes. Purpose In the context of a 6-month weight-loss treatment, we examined differences between participants and clinicians when rating adherence to weight control behaviors (dietary self-monitoring; limiting calorie intake) and evaluated the hypothesis that rating one’s own adherence more highly than one’s clinician would predict less weight loss during treatment. Methods Using clinician and participant-reported measures of self-monitoring and calorie intake adherence, each assessed using a single item with a 7- or 8-point scale, we characterized discrepancies between participant and clinician adherence and examined associations with percent weight change over 6 months using linear mixed-effects models. Results Results indicated that ratings of adherence were higher when reported by participants and supported the hypothesis that participants who provided higher adherence ratings relative to their clinicians lost less weight during treatment (p < 0.001). Conclusions These findings suggest that participants in weight loss treatment frequently appraise their own adherence more highly than their clinicians and that participants who do so to a greater degree tend to lose less weight.

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