Response Versus Nonresponse to Self-Regulatory Treatment Targets Is Not Discriminated by Personal Characteristics but Predicts Physical Activity, Eating Behavior, and Weight Changes in Women With Obesity

2018 ◽  
Vol 38 (2) ◽  
pp. 107-114
Author(s):  
James J. Annesi
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Eating Behaviors ◽  
Vegetable Consumption ◽  
Self Regulation ◽  
Personal Characteristics ◽  
Behavioral Weight Loss ◽  
Weight Changes ◽  
Behavioral Weight Loss Treatment ◽  
Post Hoc

Background Results of behavioral weight-loss treatments vary widely, with mostly unsuccessful outcomes beyond the short term. Women with obesity participating in a new cognitive-behavioral weight-loss treatment were assessed on their responses to psychological targets. Methods Groups of responders ( n = 43) and nonresponders ( n = 48) were established post hoc. Results Age, race/ethnicity, education, income, body composition, physical activity, and eating behaviors at baseline were not discriminated between responders and nonresponders. Over both 6 and 24 months, responders improved significantly more in physical activity and fruit/vegetable consumption but not sweets intake. Weight loss over 6 and 24 months was significantly greater for the responder group at 8.1% and 8.6% versus nonresponders at 4.7% and 3.8%, respectively. Self-regulation change significantly predicted all behavioral changes, with mood change improving the predictive strength for only sweets intake. Discussion Although further research is required to determine the etiology of, and to maximize, positive responses, findings suggested prospects for treatment improvements.

scholarly journals The association between negative affect and physical activity among adults in a behavioral weight loss treatment

2020 ◽  
Vol 47 ◽  
pp. 101507 ◽  
Author(s):  
Stephanie G. Kerrigan ◽  
Leah Schumacher ◽  
Stephanie M. Manasse ◽  
Caitlin Loyka ◽  
Meghan L. Butryn ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Negative Affect ◽  
Behavioral Weight Loss ◽  
Weight Loss Treatment ◽  
Behavioral Weight Loss Treatment

Relationships Between Learned Self-Regulatory Skills and Changes in Weight-Loss Behaviors: Mediation by Barriers Self-Efficacy

2020 ◽  
pp. 263207702097514
Author(s):  
James J. Annesi
Keyword(s):  
Weight Loss ◽  
Self Efficacy ◽  
Eating Behaviors ◽  
Social Cognitive ◽  
Vegetable Intake ◽  
Self Regulation ◽  
Behavioral Weight Loss ◽  
Long Term Changes ◽  
Weight Loss Treatments

This study aimed to assess changes in learned self-regulatory skills and barriers self-efficacy associated with theory-based behavioral weight-loss treatments with different curricular emphases, and to evaluate mechanisms of short- and long-term changes in exercise and eating behaviors via self-regulatory skills usage to inform theory and improve lagging intervention effects. Women with obesity volunteered and were randomly allocated into 1-year community-based behavioral weight-loss treatments with either a high ( n = 37) or moderate ( n = 41) focus on building self-regulatory skills to overcome lifestyle barriers. They were periodically assessed on measures of exercise- and eating-related self-regulatory skill usage, exercise- and eating-related barriers self-efficacy, exercise outputs, fruit/vegetable intake, and body composition. Reductions in weight and waist circumference, increases in exercise- and eating-related self-regulation and barriers self-efficacy, and increases in exercise and fruit/vegetable intake were each significant overall, and significantly greater in the group with a high self-regulatory skills-building focus. Change in barriers self-efficacy significantly mediated relationships between self-regulation change and changes in exercise outputs and fruit/vegetable intake from both baseline–Month 6 and baseline–Month 12. Change in barriers self-efficacy also significantly mediated relationships between change in self-regulation for eating from baseline–Month 3 and long-term changes in self-regulation for eating. Findings supported tenets of social cognitive, self-efficacy, and self-regulation theories: and indicated the importance of emphasizing, and facilitating a high amount of instruction and rehearsal time for self-regulatory skills development within behavioral weight-loss treatments. The ability to nurture self-efficacy through overcoming lifestyle barriers was also indicated.

scholarly journals Obesity in Children and Adolescents during COVID-19 Pandemic

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 135
Author(s):  
Androniki Stavridou ◽  
Evangelia Kapsali ◽  
Eleni Panagouli ◽  
Athanasios Thirios ◽  
Konstantinos Polychronis ◽  
...  
Keyword(s):  
Physical Activity ◽  
Young Adults ◽  
Health Care Providers ◽  
Eating Behaviors ◽  
Adolescents And Young Adults ◽  
Care Providers ◽  
Weight Changes ◽  
Sugary Drinks ◽  
Precautionary Measures ◽  
Obesity In Children

Background: The COVID-19 pandemic has led to special circumstances and changes to everyday life due to the worldwide measures that were imposed such as lockdowns. This review aims to evaluate obesity in children, adolescents and young adults during the COVID-19 pandemic. Methods: A literature search was conducted to evaluate pertinent studies up to 10 November 2020. Results: A total of 15 articles were eligible; 9 identified 17,028,111 children, adolescents and young adults from 5–25 years old, 5 pertained to studies with an age admixture (n = 20,521) and one study included parents with children 5–18 years old (n = 584). During the COVID-19 era, children, adolescents and young adults gained weight. Changes in dietary behaviors, increased food intake and unhealthy food choices including potatoes, meat and sugary drinks were noted during the ongoing COVID-19 pandemic. Food insecurity associated with financial reasons represents another concern. Moreover, as the restrictions imposed reduced movements out of the house, physical activity was limited, representing another risk factor for weight gain. Conclusions: COVID-19 restrictions disrupted the everyday routine of children, adolescents and young adults and elicited changes in their eating behaviors and physical activity. To protect them, health care providers should highlight the risk of obesity and provide prevention strategies, ensuring also parental participation. Worldwide policies, guidelines and precautionary measures should ideally be established.

scholarly journals Associations between change in sedentary behavior and outcome in standard behavioral weight loss treatment

2018 ◽  
Vol 8 (2) ◽  
pp. 299-304 ◽  
Author(s):  
Stephanie G Kerrigan ◽  
Christine Call ◽  
Katherine Schaumberg ◽  
Evan Forman ◽  
Meghan L Butryn
Keyword(s):  
Weight Loss ◽  
Sedentary Behavior ◽  
Behavioral Weight Loss ◽  
Weight Loss Treatment ◽  
Behavioral Weight Loss Treatment

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

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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