Association of Decline in Physical Activity With Increased Negative Mood Following the Weight-Loss Phase in Women Enrolled in a Cognitive Behavioral Obesity Treatment

2020 ◽  
Vol 17 (3) ◽  
pp. 339-342
Author(s):  
James J. Annesi
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Weight Management ◽  
Self Efficacy ◽  
Initial Treatment ◽  
Negative Mood ◽  
Obesity Treatment ◽  
Cognitive Behavioral ◽  
Mood Change ◽  
Management Behaviors

Background: Physical activity (PA)–related mood improvement is important because it positively affects predictors of weight-management behaviors. Methods: Decline in PA, mood, and exercise self-efficacy after an initial 6 months of gains were assessed in 93 women in a behavioral obesity treatment. Results: Reduction in change in PA during months 6 to 24, but not actual PA, significantly predicted increased negative mood. For participants whose negative mood increased, their 7 days per week PA regimens were reduced by ∼2.5 days per week versus ∼1 day per week without an increase. Exercise self-efficacy significantly mediated the PA–mood change relationship. Conclusions: Mood-related benefits of sustaining PA beyond initial treatment months were clarified.

scholarly journals Dietary, physical activity, and sedentary lifestyle behaviors uniquely relate to weight loss intent across sex and sexual orientation in a nationally representative sample of United States youth

2020 ◽  
Author(s):  
Wesley R. Barnhart ◽  
Harrison Drew Angoff
Keyword(s):  
Physical Activity ◽  
United States ◽  
Weight Loss ◽  
Sexual Orientation ◽  
Weight Management ◽  
Sedentary Lifestyle ◽  
Lifestyle Behaviors ◽  
Tv Viewing ◽  
Heterosexual Youth ◽  
Management Behaviors

Purpose: Relations between dietary, physical activity, and sedentary lifestyle behaviors and weight loss intent (WLI) among sexual minority (SM) and heterosexual youth.Design: Cross-sectional, 2017 National Youth Risk Behavior Survey.Setting: United States. Sample: Heterosexual male (n=6195) and female (n=5741) and SM male (n=583) and female (n=1470) youth.Measures: Dichotomized measures of dietary, physical activity, and sedentary lifestyle behaviors, WLI, and self-identified weight status.Analysis: Cumulative logistic regression models examined relations between weight management behaviors and WLI in overall sample and self-identified overweight subsample.Results: Daily breakfast, fruit juice, and salad consumption were uniquely related to WLI across sex in heterosexual youth (ps<.05). Sixty minutes of physical activity was associated with lower odds of WLI among heterosexual youth (p<.05). Strength training was associated with higher odds of WLI for SM females (p<.05). Among self-identified overweight SM youth, dietary (salad consumption), physical activity (involvement in physical education class, strength training), and sedentary lifestyle (video game play and TV viewing) behaviors were uniquely related to WLI (ps<.05) across sex, and additional correlates of WLI (fruit consumption, TV viewing; ps<.05) emerged among self-identified overweight heterosexual female, not male, youth.Conclusions: Weight management behaviors uniquely relate to WLI across sex and sexual orientation, and self-identified overweight status may be an important factor related to outcomes. Findings support accessible health promotion efforts for diverse youth.

scholarly journals Identifying and measuring the behavioural, dietary, and physical activity components of weight management consultations delivered by general practice nurses in routine care

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Heather Tong ◽  
Elizabeth Morris ◽  
Susan A. Jebb ◽  
Dimitrios A. Koutoukidis
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Weight Management ◽  
Care Group ◽  
Dietary Recommendations ◽  
Practice Nurses ◽  
Audio Recordings ◽  
Baseline Weight ◽  
Physical Activity Recommendations ◽  
Activity Recommendations

Abstract Background Many people with obesity receive weight loss consultations by general practice nurses (GPNs) in routine primary care. This exploratory study aimed to characterise the components of these consultations, including behaviour change techniques (BCTs), and dietary and physical activity recommendations. Methods We analysed audio recordings of weight management consultations conducted by 8 GPNs as part of the ‘usual care’ group in a randomised controlled trial (ISRCTN75092026). Consultations were coded against three taxonomies to classify BCTs, dietary recommendations, and physical activity recommendations. Associations between coded content and weight loss were assessed. Differences in the content of consultations where weight loss was < 5% or ≥ 5% from baseline weight at 6 months were explored. Results One hundred and fifty audio recordings were available from 53 out of 140 (38%) participants in the usual care group. Participants had on average 3 (SD = 1) recorded consultations over 3 months, lasting 14 (SD = 7) minutes each. Weight change at 3, 6, and 12 months was -3.6% (SD = 4.3), -5.5% (SD = 6.0) and -4.2% (SD = 6.5) for participants with audio recordings. GPNs used 3.9 (SD = 1.6) of 93 BCTs, 3.3 (SD = 2.7) of 30 dietary recommendations and 1.4 (SD = 1.2) of 10 physical activity recommendations per consultation. The most commonly employed BCTs were feedback on outcome of behaviour (80.0%), problem solving (38.0%), and social reward (34.3%). The most common dietary recommendations were about portion size (31.3%), nutrients (28.0%), and balanced diet (19.7%). The main physical activity recommendation was about walking (30.3%). There was no association between weight loss and the number of dietary recommendations, physical activity recommendations, or BCTs used per consultation, or per participant. Social reward was the only technique used significantly more in consultations of participants that lost ≥ 5% of their baseline weight at 6 months. Conclusions The study provides a new method that could be used to describe the content of weight management consultations. Specific dietary or physical activity recommendations and BCTs were used infrequently and inconsistently in this group of GPNs. Although replication is required in larger samples, this may point to a weakness in current practice.

scholarly journals Are Men More Intuitive When It Comes to Eating and Physical Activity?

2011 ◽  
Vol 6 (2) ◽  
pp. 164-171 ◽  
Author(s):  
Julie Gast ◽  
Hala Madanat ◽  
Amy Campbell Nielson
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Weight Loss ◽  
Intrinsic Motivation ◽  
Weight Management ◽  
Body Mass ◽  
Demographic Variables ◽  
Intuitive Eating ◽  
Lower Body ◽  
Behavioral Regulation

The purpose of this study was to determine where men fall on the motivation continuum based on intuitive eating status and if motivation for physical activity and intuitive eating are correlated. Results indicate that being an intuitive eater was associated with a lower body mass index. In terms of demographic variables, as age increased, intuitive eating status decreased and body mass index increased. Men scored high on the antidieting and self-care subscales of the Intuitive Eating Scale. Men who were classified as intuitive eaters scored higher on the external and introjected regulation of the Behavioral Regulation in Exercise Questionnaire but no significant differences were reported by eating status and the identified and intrinsic motivation subscales. Intuitive eating holds promise as a weight management and weight loss tool for men. Intuitive eating may also influence initial motivation for physical activity for men.

scholarly journals “Taking Charge of One’s Life”: A Model for Weight Management Success

2015 ◽  
Author(s):  
Marlene Adams
Keyword(s):  
Weight Loss ◽  
Grounded Theory ◽  
Postmenopausal Women ◽  
Weight Management ◽  
Self Efficacy ◽  
Weight Control ◽  
Weight Loss Program ◽  
Taking Charge ◽  
Weight Loss Treatments ◽  
Weight Loss Study

Obesity is a serious, prevalent, and refractory disorder that increases with age particularly in women who enroll in formal weight loss treatments. This study examined the processes used by obese postmenopausal women as they participated in a formal weight loss program. Using grounded theory, interviews were conducted with 14 women engaged in a formal weight loss study examining success with specific, targeted weight loss treatments based on one’s weight control self-efficacy typology. “Taking Charge of One’s Life” emerged as a model for weight management success, comprised of three phases: engaging, internalizing, and keeping one’s commitment. This study supports the unique, complex, and individualized nature of making a decision to lose weight and then maintaining one’s commitment to weight loss.

scholarly journals Using an Adjunctive Treatment to Address Psychological Distress in a National Weight Management Program: Results of an Integrated Pilot Study

2020 ◽  
Vol 185 (9-10) ◽  
pp. e1662-e1670
Author(s):  
Gina Evans-Hudnall ◽  
Mary O Odafe ◽  
Adrienne Johnson ◽  
Nicholas Armenti ◽  
Jennifer O’Neil ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Psychological Distress ◽  
Weight Management ◽  
Physical Functioning ◽  
Psychological Symptoms ◽  
Post Treatment ◽  
Adjunctive Treatment ◽  
Depression Symptom ◽  
Depression And Anxiety

Abstract Introduction Obesity is highly comorbid with psychological symptoms in veterans, particularly post-traumatic stress disorder (PTSD), depression, and anxiety. Obese veterans with comorbid psychological symptoms often display suboptimal weight loss and poor physical functioning when participating in weight management programs. The MOVE! program aims to increase healthy eating and physical activity to promote weight loss in obese veterans. Adequately addressing psychological barriers is necessary to maximize outcomes in MOVE! for veterans with PTSD, depression, and anxiety. We examined the preliminary outcomes of administering the Healthy Emotions and Improving Health BehavioR Outcomes (HERO) intervention. HERO is adjunctive cognitive-behavioral therapy to MOVE! that addresses PTSD, depression, and anxiety symptom barriers to engagement in physical activity. Materials and Methods All recruitment and study procedures were approved by the institutional review board and research and development committees of the Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine in Houston, Texas. Participants gave written informed consent before enrollment. Thirty-four obese veterans with a diagnosis of PTSD, depression, and/or anxiety who were attending MOVE! were assigned to the 8-session HERO group or the usual care (UC) group. Veterans completed assessments of PTSD, depression and anxiety symptoms, physical activity, physical functioning, and weight at baseline, 8 and 16 weeks post treatment. Changes from baseline to 8- and 16-week follow-up on the self-report and clinician-rated measures were assessed, using independent samples t-tests and analyses of covariance. Results At 8 weeks post treatment, participants in the HERO group had significantly higher step counts per day than participants in the UC group. Similarly, at 16 weeks post-treatment, participants in the HERO group continued to experience a significant increase in daily steps taken per day, as well as statistically and clinically significantly lower scores on the depression symptom and PTSD symptom severity. Participants in the HERO group also demonstrated significantly higher scores on the physical functioning inventory than participants in the UC group (44.1 ± 12.1 vs. 35.7 ± 10.7, P = 0.04) at 16 weeks post treatment. Conclusions Findings of this small trial have important implications pending replication in a more rigorously designed large-scale study. Providing an adjunctive treatment to MOVE! that addresses psychological distress has potential benefits for psychological symptom reduction, engagement in healthy dietary habits, and greater physical activity for individuals who traditionally experience barriers to making positive weight management changes.

scholarly journals Barriers to and Facilitators of Weight Management in Adults Using a Meal Replacement Program That Includes Health Coaching

2019 ◽  
Vol 10 ◽  
pp. 215013271985164
Author(s):  
Hope D. Kleine ◽  
Lacey A. McCormack ◽  
Alyson Drooger ◽  
Jessica R. Meendering
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Weight Management ◽  
Health Coaching ◽  
Program Participation ◽  
Health Coach ◽  
Meal Replacement ◽  
Initial Weight Loss ◽  
Social Settings ◽  
Health Coaches

Purpose: The Academy of Nutrition and Dietetics supports meal replacement (MR) programs as an effective diet-related weight management strategy. While MR programs have been successful promoting initial weight loss, weight regain has been as high as 50% 1 year following MR program participation. The purpose of this article is to identify barriers to and facilitators of weight loss (WL) and weight loss maintenance (WM) among individuals participating in a MR program. Methods: Sixty-one MR program clients participated in focus groups (WL = 29, WM = 32). Barriers and facilitators were discussed until saturation of themes was reached. Focus group transcriptions were coded into themes to identify the barriers to and facilitators of weight management that emerged within each phase. Queries were run to assess frequencies of references to each theme. Results: The primary barriers within the WL phase included program products, physical activity, and social settings. WM phase participants referenced nutrition, lack of health coach knowledge, and physical activity as barriers. Personal benfits, ability to adhere to the program, and family support emerged as leading facilitators for WL phase participants. Personal benefits, health coach support, and physical activity emerged as facilitators by WM phase participants. Conclusions: Health coaches have the unique opportunity to use perceived facilitators to improve participant success, and help participants address their personal barriers in order to progress through successful, long-term weight management. Current health coaching models used in MRP should aim to identify participants’ specific barriers and develop steps to overcome them.

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