Moderating Effects of Depression, Food Cravings, and Weight-Related Quality-of-Life on Associations of Treatment-Targeted Psychosocial Changes and Physical Activity in Adolescent Candidates for Bariatric Surgery

2018 ◽  
Vol 15 (12) ◽  
pp. 946-953 ◽  
Author(s):  
James Annesi
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Bariatric Surgery ◽  
Self Efficacy ◽  
Strong Predictor ◽  
Negative Mood ◽  
Self Regulation ◽  
Physical Activity Change ◽  
Related Quality

Background: Physical activity is a strong predictor of sustaining weight loss. Yet physical activity has been challenging to maintain. Adolescent bariatric surgery is increasing, and there is typically an initial 6-month period when improving health behaviors such as physical activity are addressed by a clinic-based team. However, there is minimal understanding of how to target psychosocial factors relevant for behavioral changes. Methods: A group of 15 adolescent candidates for bariatric surgery (mean age = 15.1 y; mean body mass index = 55.9 kg/m2) were assessed on changes in 3 theory-based predictors of physical activity from baseline–month 3 and baseline–month 6. Results: Changes in physical activity-related self-regulation and self-efficacy over 3 months significantly predicted change in physical activity over 6 months. Reciprocal relationships were also significant, including the prediction of physical activity change by change in negative mood. The clinical psychology-based factor of weight-related quality-of-life significantly moderated the prediction of self-regulation via physical activity, and degree of depressive symptoms significantly moderated the prediction of changes in physical activity through self-efficacy changes. Conclusions: Because improvements in several theory-based psychosocial variables related to physical activity have demonstrated a carry-over to controlling eating, the improved understanding of those variables for treating adolescents with severe obesity was useful.

scholarly journals Association between exercise self-efficacy and health-related quality of life among dialysis patients: a cross-sectional study

2021 ◽  
Author(s):  
Fan Zhang ◽  
Jing Liao ◽  
Weihong Zhang ◽  
Hui Wang ◽  
Liuyan Huang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Self Efficacy ◽  
Health Related Quality ◽  
Dialysis Patients ◽  
Related Factors ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related

Abstract Background Given the importance of exercise self-efficacy in the process of quality of life change, this study aimed to describe the relationship between exercise self-efficacy and health-related quality of life (HRQOL) in dialysis patients. Methods A cross-sectional study was conducted in Shanghai, China. Structured questionnaires applied to the patients collected basic information about gender, age, marital status, education, and income for socio-demographic and body mass index, causes for end-stage renal disease, dialysis modality, and dialysis vintage for the disease-related factors. Physical activity was assessed by a self-administered questionnaire. Exercise self-efficacy was measured through the Exercise Self-Efficacy Scale (ESES). Health-related quality of life was evaluated by the Kidney Disease Quality of Life Instrument-Short Form version 1.3 (KDQOL-SF™ v1.3). Data were analyzed using a univariate generalized linear model, Spearman correlation, and hierarchical multiple regression. Results A positive association was observed between exercise self-efficacy and HRQOL (r = 0.310, P < 0.001). Physical activity as predictor variables explained 9.8% of the variance in overall HRQOL (P < 0.001). Exercise self-efficacy explained an additional 7.1% of the HRQOL variance. In total, 24.6% of the variation in the HRQOL is explained by the socio-demographic variables, disease-related factors, physical activity, and exercise self-efficacy. Conclusion Overall, only 16.9% of the change in HRQOL was explained by physical activity and exercise self-efficacy. Future research is still needed to explore further the factors influencing the quality of life in dialysis patients. However, this finding suggests the need to consider the importance of HRQOL and physical activity as well as exercise self-efficacy when developing intervention programs.

scholarly journals Effects of treatment factors, comorbidities and health-related quality of life on self-efficacy for physical activity in cancer survivors

2009 ◽  
Vol 18 (4) ◽  
pp. 405-411 ◽  
Author(s):  
Heidi Y. Perkins ◽  
George P. Baum ◽  
Cindy L. Carmack Taylor ◽  
Karen M. Basen-Engquist
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Cancer Survivors ◽  
Self Efficacy ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals Changes in Physical Activity in Relation to Body Composition, Fitness and Quality of Life after Primary Bariatric Surgery: a Two-Year Follow-Up Study

2020 ◽  
Author(s):  
Malou A. H. Nuijten ◽  
Onno M. Tettero ◽  
Rens J. Wolf ◽  
Esmée A. Bakker ◽  
Thijs M. H. Eijsvogels ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Bariatric Surgery ◽  
Body Composition ◽  
Fat Free Mass ◽  
Post Surgery ◽  
Related Quality ◽  
Health Related ◽  
Bariatric Patients

Abstract Purpose The success of bariatric surgery varies largely, which may relate to variance in adopting a physically active lifestyle. This study aimed to determine whether two-year changes in physical activity (PA) were associated with weight loss, fat-free mass, cardiorespiratory fitness and quality of life up to two years after bariatric surgery. Materials and Methods In this retrospective study, 3879 post-bariatric patients were divided into three groups: 1) decreased PA (n = 388), 2) maintained PA (n = 2002) or 3) increased PA (n = 1498). Measurements regarding PA (Baecke questionnaire), body composition (bioelectrical impedance analysis), estimated cardiorespiratory fitness (Åstrand test) and health-related quality of life (RAND-36) were performed preoperatively and two years post-surgery. Results Bariatric patients with increased PA had greater excess weight loss (76.3% vs. 73.2% vs. 72.9%, P < 0.001), greater increases in %fat-free mass (Δ14.0% vs. 13.0% vs. 12.8%; P < 0.001), larger improvements in VO2max (Δ11.8 vs. 10.2 vs. 8.0 ml/kg/min, P < 0.001), and larger increases in health related quality of life subscale scores (P < 0.05) compared to patients with maintained- and decreased PA. Conclusions Bariatric patients who managed to induce improvements in habitual physical activity had better body composition, fitness and quality of life at 2 years post-surgery, compared to patients who maintained or even reduced their PA levels. These findings underscore the importance of perioperative-bariatric care programs to change lifestyle and achieve sustainable improvements in PA levels.

Levels of Physical Activity and Their Relationship With Motivational Determinants, Self-Regulation, and Other Health-Related Parameters in University Students

2021 ◽  
pp. 003329412110051
Author(s):  
José María Faílde-Garrido ◽  
Laura Ruiz Soriano ◽  
Miguel A. Simón
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
University Students ◽  
Physical Inactivity ◽  
Self Regulation ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Physically Inactive

Motivational processes and emotional self-regulation are relevant factors for predicting the practice of physical exercise and for certain health-related parameters. The aim of the present work, developed along two different phases, was, on the one hand, to determine the prevalence of physical inactivity and, on the other hand, to carry out a comparative analysis between physically active and inactive university students in relation to their motivational determinants, emotional self-regulation, physical condition, health-related quality of life and other health parameters. The results obtained showed a prevalence of physical inactivity of 12.78%. Physically inactive participants showed significantly lower scores in intrinsic motivation, emotion regulation, and in some dimensions of health-related quality of life, as well as significantly high levels of body fat mass. Lastly, logistic regression analysis identified low scores in Emotional Clarity ( p= .009) and Identified Regulation ( p = .011), and high scores in Amotivation ( p = .006) as reliable predictors of a physically inactive lifestyle. These results are useful for the design and implementation of programs aimed at promoting health and physical activity, with special attention on physically inactive youth populations.

scholarly journals The “Super-Fontan” Phenotype: Characterizing Factors Associated With High Physical Performance

2021 ◽  
Vol 8 ◽  
Author(s):  
Derek L. Tran ◽  
David S. Celermajer ◽  
Julian Ayer ◽  
Leeanne Grigg ◽  
Carley Clendenning ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Physical Performance ◽  
Exercise Performance ◽  
Self Efficacy ◽  
Work Rate ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Background: People with a Fontan circulation usually have moderately impaired exercise performance, although a subset have high physical performance (“Super-Fontan”), which may represent a low-risk phenotype.Methods: People with a “Super-Fontan” phenotype were defined as achieving normal exercise performance [≥80% predicted peak oxygen uptake (VO2) and work rate] during cardiopulmonary exercise testing (CPET) and were identified from the Australian and New Zealand Fontan Registry. A Fontan control group that included people with impaired exercise performance (&lt;80% predicted VO2 or work rate) was also identified based on a 1:3 allocation ratio. A subset of participants were prospectively recruited and completed a series of physical activity, exercise self-efficacy, and health-related quality of life questionnaires.Results: Sixty CPETs (“Super-Fontan”, n = 15; control, n = 45) were included. A subset (“Super-Fontan”, n = 10; control, n = 13) completed a series of questionnaires. Average age was 29 ± 8 years; 48% were males. Exercise capacity reflected by percent predicted VO2 was 67 ± 17% in the entire cohort. Compared to the “Super-Fontan” phenotype, age at Fontan completion was higher in controls (4.0 ± 2.9 vs. 7.2 ± 5.3 years, p = 0.002). Only one (7%) person in the “Super-Fontan” group had a dominant right ventricle compared to 15 (33%) controls (p = 0.043). None of those in the “Super-Fontan” group were obese, while almost a quarter (22%) of controls were obese based on body mass index (p = 0.046). Lung function abnormalities were less prevalent in the “Super-Fontan” group (20 vs. 70%, p = 0.006). Exercise self-efficacy was greater in the “Super-Fontan” group (34.2 ± 3.6 vs. 27.9 ± 7.2, p = 0.02). Self-reported sports participation and physical activity levels during childhood and early adulthood were higher in the “Super-Fontan” group (p &lt; 0.05). The total average time spent participating in structured sports and physical activity was 4.3 ± 2.6 h/wk in the “Super-Fontan” group compared to 2.0 ± 3.0 h/wk in controls, p = 0.003. There were no differences in self-reported current total physical activity score or health-related quality of life between groups (p ≥ 0.05).Conclusions: The “Super-Fontan” phenotype is associated with a healthy weight, lower age at Fontan completion, better exercise self-efficacy, and higher overall levels of sport and physical activity participation during physical development.

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