231-OR: Neighborhood Walkability Is Associated with Prediabetes in a Behavioral Weight Loss Study

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 231-OR
Author(s):  
JACOB K. KARIUKI ◽  
ZHADYRA BIZHANOVA ◽  
BONNY ROCKETTE-WAGNER ◽  
BETHANY B. GIBBS ◽  
SUSAN M. SEREIKA ◽  
...  
Keyword(s):  
Weight Loss ◽  
Behavioral Weight Loss ◽  
Neighborhood Walkability ◽  
Weight Loss Study

Experiences of Daily Weighing Among Successful Weight Loss Individuals During a 12-Month Weight Loss Study

2016 ◽  
Vol 40 (4) ◽  
pp. 462-480 ◽  
Author(s):  
Y. Zheng ◽  
M. A. Terry ◽  
C. A. Danford ◽  
L. J. Ewing ◽  
S. M. Sereika ◽  
...  
Keyword(s):  
Weight Loss ◽  
Intervention Study ◽  
Weight Loss Intervention ◽  
Behavioral Weight Loss ◽  
Weight Loss Programs ◽  
Behavioral Weight Loss Intervention ◽  
Predominantly Female ◽  
Successful Weight Loss ◽  
Weight Loss Study ◽  
Weight Loss Strategy

The purpose of the study was to describe participants’ experience of daily weighing and to explore factors influencing adherence to daily weighing among individuals who were successful in losing weight during a behavioral weight loss intervention. Participants completed a 12-month weight loss intervention study that included daily self-weighing using a Wi-Fi scale. Individuals were eligible to participate regardless of their frequency of self-weighing. The sample ( N = 30) was predominantly female (83.3%) and White (83.3%) with a mean age of 52.9 ± 8.0 years and mean body mass index of 33.8 ± 4.7 kg/m2. Five main themes emerged: reasons for daily weighing (e.g., feel motivated, being in control), reasons for not weighing daily (e.g., interruption of routine), factors that facilitated weighing, recommendations for others about daily weighing, and suggestions for future weight loss programs. Our results identified several positive aspects to daily self-weighing, which can be used to promote adherence to this important weight loss strategy.

Challenges of conducting a remote behavioral weight loss study: Lessons learned and a practical guide

2021 ◽  
pp. 106522
Author(s):  
Lu Hu ◽  
Paige Illiano ◽  
Mary Lou Pompeii ◽  
Collin J. Popp ◽  
Anna Y. Kharmats ◽  
...  
Keyword(s):  
Weight Loss ◽  
Lessons Learned ◽  
Behavioral Weight Loss ◽  
Practical Guide ◽  
Weight Loss Study

Abstract P125: EMA Data Reveal Associations Between Sleep and Self-Efficacy for Adhering to a Healthy Lifestyle Plan

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Lora E Burke ◽  
Stephen Rathbun ◽  
Pat Strollo ◽  
Eileen Chasens ◽  
Asim Smailagic ◽  
...  
Keyword(s):  
Weight Loss ◽  
Self Efficacy ◽  
Linear Models ◽  
Healthy Lifestyle ◽  
Behavioral Weight Loss ◽  
Previous Night ◽  
Intentional Weight Loss ◽  
Falling Asleep ◽  
Ema Data ◽  
Weight Loss Study

Background: We are conducting a 12-month behavioral weight loss study to provide the background for the study of relapse following intentional weight loss. Ecological momentary assessment (EMA) is being used to assess the triggers of relapse in real time and in the person’s own environment. Objective: The purpose of this abstract is to report on the associations between sleep and self-efficacy for sticking to or adhering to a healthy lifestyle. Methods: Using a smartphone for EMA data collection, participants were prompted daily for 6 months to complete a beginning of the day (BOD) survey that reported on 1) difficulty falling asleep, 2) number of hours slept, 3) number of awakenings, and 4) how well they slept the previous night. Using the BOD survey data, separate mixed linear models were carried out predicting confidence in sticking to a healthy diet from the four items to which participants responded. For each model, subject and subject by predictor interaction were included as random effects. Results: The sample for this analysis is comprised of 89 participants who have completed the first 6 mos. of the study. It is predominantly female (90.3%) and White (81.9%), 58.3% are married with 16.72±2.56 years of education and a mean BMI of 33.90±4.56 kg/m 2 . All four items on the BOD survey were significant predictors of self-efficacy for adhering to a healthy lifestyle: trouble sleeping (b = 0.0182, p 0.0068); hours slept (b = 0.0011, p < 0.0001); number awakenings (b = 0.0706, p 0.0002); and how well slept (b = 0.1117, p <0.0001). Self-efficacy increased with the number of hours slept and how well the person slept, and decreased with trouble sleeping and number of awakenings. Standard deviation (SD) components for intercept were generally larger than the SD components for error suggesting that there was more variability within subjects than between subjects. Moreover, SD components for the slopes of the regression lines were large relative to the slopes of the regression lines, suggesting that that there is considerable variation among subjects in the predictive equations. While on average confidence in maintaining a healthy lifestyle increases with how well subjects slept, a high SD component suggests that for some subjects, confidence in maintaining a healthy lifestyle is negatively related to how well they slept. Conclusions: These preliminary EMA data suggest that for most participants in a weight loss study, reduced quality and quantity of sleep negatively impacted their confidence in adhering to their established plan for a healthy lifestyle. However, some participants reported higher self-efficacy despite poor or reduced sleep the previous night, which might suggest the use of greater resolve and problem-solving to do well in the face of what might be a challenging day. These findings have implications for content and standard approaches to behavioral weight loss treatment.

scholarly journals A web-based intervention to increase weight loss treatment initiation: results of a cluster randomized feasibility and acceptability trial

2019 ◽  
Author(s):  
Megan A McVay ◽  
William S Yancy ◽  
Gary G Bennett ◽  
Erica Levine ◽  
Seung-Hye Jung ◽  
...  
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
Treatment Initiation ◽  
Primary Care Providers ◽  
Feasibility Trial ◽  
Care Providers ◽  
Behavioral Weight Loss ◽  
Weight Loss Treatment ◽  
Primary Care Patients ◽  
Cluster Randomized

Abstract Evidence-based behavioral weight loss treatment is under-utilized. To increase initiation of treatment, we developed a single-session, online, primary care-based intervention (“mobilization tool”). We evaluated the mobilization tool's acceptability for primary care patients with obesity, trial design feasibility, and signal of an effect of the tool on treatment initiation. In this cluster randomized feasibility trial, primary care providers (PCPs) were randomized to a mobilization tool or comparator tool arm. Patients with obesity and a scheduled appointment with a randomized PCP were assigned to complete the mobilization or comparator tool prior to their appointment. The online mobilization tool asks patients to answer questions about a variety of weight-related topics and then provides automated, tailored feedback that addresses psychosocial determinants of weight loss treatment initiation. The comparator tool provided a nontailored description of treatments. All participants were offered free enrollment in behavioral weight loss treatments. Six PCPs were randomized. Sixty patients (57% female; 66% white; aged 55 ± 13 years) participated in this study of 296 contacted for eligibility evaluation (20.2%). Six-month follow-up assessments were completed by 65% (22/34) of the mobilization and 73% (19/26) of comparator tool participants. Participants completing the acceptability survey reported that the mobilization tool was usable, enjoyable, informative, and useful. Weight loss treatment was initiated by 59% (n = 19) of mobilization and 33% (n = 8) of comparator tool participants. The mobilization tool shows promise for increasing treatment initiation among primary care patients, which may increase population weight loss. Trial Registration: Clinicaltrials.gov identifier: NCT02708121.

Social Jetlag and Emerging Adults’ Performance in a Behavioral Weight Loss Trial

2020 ◽  
pp. 216769682098243
Author(s):  
Autumn Lanoye ◽  
Jessica Gokee LaRose
Keyword(s):  
Weight Loss ◽  
Emerging Adults ◽  
Life Transitions ◽  
Behavioral Weight Loss ◽  
Fat Percentage ◽  
Sleep Timing ◽  
Social Jetlag ◽  
Suboptimal Weight Loss ◽  
Weight Loss Outcomes ◽  
Program Engagement

Social jetlag (SJ)—the shift in sleep timing between workdays and free days—is linked to deleterious cardiometabolic outcomes. SJ is greatest among emerging adults, who are already at high risk for overweight/obesity and experience suboptimal weight loss outcomes. Goals of this ancillary study were to assess SJ among emerging adults enrolled in a 6-month behavioral weight loss trial and examine the association between SJ and treatment outcomes. Bedtime/waketime were self-reported at baseline, and program engagement was monitored throughout the intervention. Weight, waist circumference, and body fat percentage were measured at baseline and post-treatment. Participants (N = 282) reported 1.5 hours of SJ on average, with 30.5% reaching the threshold for clinical significance. There were no significant associations between SJ and program engagement nor between SJ and change in adiposity. Life transitions and chaotic schedules are common during emerging adulthood; thus, further research is needed to capture nuanced patterns of sleep disruption.

Abstract P249: A Behavioral Weight Loss Intervention is Effective for Change in CVD Risk Factors in Young Adults: The IDEA Study

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
John M Jakicic ◽  
Kelliann K Davis ◽  
Bethany Barone Gibbs ◽  
Diane Helsel ◽  
Wendy C King ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Weight Loss ◽  
Young Adults ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Cardiovascular Disease Risk Factors ◽  
Weight Loss Intervention ◽  
Behavioral Weight Loss ◽  
Behavioral Weight Loss Intervention

Introduction: Few studies have examined behavioral weight loss interventions with respect to change in cardiovascular disease risk factors in young adults (aged 18 to 35 years). Hypothesis: We tested the hypothesis that a 6 month behavioral weight loss intervention resulted in significant improvements in selective cardiovascular disease risk factors in young adults. Methods: Data are presented as median [25 th , 75 th percentiles]. 470 participants (age: 30.9 [27.8, 33.7] years); BMI: 31.2 [28.4, 34.3] kg/m 2 ) were enrolled in a 6 month behavioral weight loss intervention that included weekly group sessions and prescribed an energy restricted diet and moderate-to-vigorous physical activity. Assessments included weight using a standardized protocol, resting blood pressure, and fasting lipids, glucose, and insulin. Statistical significance of change was according to tests of symmetry or the Wilcoxon matched pairs signed ranks test. Results: The primary outcome (weight) was available for 424 of the 470 participants (90.2%). Weight significantly decreased (-7.8 kg [-12.2, -3.7]) (p<0.0001). Systolic (-4.0 mmHg [-8.5, 0.5] and diastolic blood pressure (-3.0 mmHg [-6.5, 1.0]) decreased (p<0.0001). Total cholesterol (-13 mg/dl [-28.0, 2.0]), LDL cholesterol (-9.5 mg/dl [-21.7, 2.0]), triglycerides (-8.5 mg/dl [-44.0, 9.0]), glucose (-4.0 mg/dl [-8.0, 1.0]), and insulin (-2.6 mIU/L [-5.9, 0.7]) decreased (p<0.0001, n=416). There was not a significant change in HDL cholesterol (p=0.72). Conclusions: In conclusion, after 6 months, weight loss was observed in young adults assigned to this behavioral intervention that focused on physical activity and diet modification. They tended to also have improved cardiovascular disease risk factors. This may demonstrate an approach to reducing cardiovascular disease risk in young adults. Supported by NIH (U01HL096770) and AHA (12BGIA9410032)

Abstract P117: Day to Day Variation in Self-Efficacy Associated with Weight Loss and Risk of Dietary Lapses

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Lora E Burke ◽  
Linda J Ewing ◽  
Saul Shiffman ◽  
Dan Siewiorek ◽  
Asim Smailagic ◽  
...  
Keyword(s):  
Weight Loss ◽  
Self Efficacy ◽  
Healthy Lifestyle ◽  
Social Setting ◽  
Behavioral Weight Loss ◽  
Intentional Weight Loss ◽  
Logistic Regression Models ◽  
Unit Increase ◽  
Behavioral Weight Loss Intervention ◽  
Ecological Momentary

Introduction: Ecological momentary assessment (EMA) assesses individuals' experiences, behaviors, and moods as they occur in real time and in their own environment, making it useful to understand the processes of behavior change. We report the use of EMA to study the triggers of lapses after intentional weight loss in a 12-mo. study that includes a standard behavioral weight loss intervention. Purpose: We examined daily self-reports of self-efficacy and how they were related to unplanned eating episodes (‘lapses’) and weight change over the first 6 mos. of the study. Hypothesis: Higher self-efficacy is related to fewer “lapses” and better weight loss over time. Methods: Participants were provided a smartphone app programmed to administer EMA assessments up to 5 randomly-selected times/day. Each assessment included the self-efficacy query, How confident are you that if you have an urge to go off your healthy lifestyle plan, you can resist the urge? measured on a scale of 1-10. Participants were weighed at weekly, and after 3 months bi-weekly, group sessions. To account for replicate observations among subjects, generalized estimating equations were used to fit logistic regression models predicting lapses as a function of self-efficacy, adjusting for location (e.g., home, work, restaurant) and social setting (e.g., with others, alone). Results: The sample (N = 151) was 90.7% female and 79.5% White, and on average, 51.18 (10.22) years of age with a mean BMI of 34.0 (4.6) kg/m2. Of the 59,913 random assessments conducted over 6 mos., eating episodes were recorded in 7,991 (13.34%) of those assessments, of which 881 (11.03%) were not planned. Most of the 7,991 planned and unplanned eating episodes were captured when individuals were with others who were eating (49%), or when completely alone (24%). After adjusting for location and social setting, self-efficacy remained a significant predictor of a lapse (p < 0.001). The odds of a lapse decreased by 70% (95% CI, 64%, 76%) for every unit increase in self efficacy. After controlling for social setting, participants were estimated to lose 0.35 more lbs/mo. (SE = 0.14; p = 0.02) for each unit increase in self efficacy. Self-efficacy maintained a stable level between 7.3 and 7.4 for the first 4 mos., before decreasing at a rate of 0.11 points/month (SE = 0.04; p = 0.002) in the last 2 mos. This temporal trend in self-efficacy was paralleled by a similar trend in participants’ weights; they lost an average of 3.26 lbs/mo. (SE = 0.18) in the first 4 mos. compared to only 0.59 lbs/mo. (SE = 0.29) in the last 2 mos. Conclusions: The data suggest that as self-efficacy decreased to near 7.0, individuals were at greater risk to experience a lapse in their diet, an integral part of the healthy lifestyle plan. Targeting enhanced and sustained levels of self-efficacy above 7 may enable a person to resist lapses and prevent weight regain.

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