scholarly journals Development and Validation of a Lifestyle Behavior Tool in Overweight and Obese Women through Qualitative and Quantitative Approaches

Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4553
Author(s):  
Chee Wai Ku ◽  
Rachael Si Xuan Loo ◽  
Cheryl Jia En Lim ◽  
Jacinth JX Tan ◽  
Joey Ee Wen Ho ◽  
...  

There is a paucity of effective intervention tools for overweight/obese women to assess, guide and monitor their eating behavior. This study aimed to develop a lifestyle intervention tool, assess its acceptability and usefulness, and verify its construct validity in overweight/obese women. The 6P tool (Portion, Proportion, Pleasure, Phase, Physicality, Psychology) was developed and 15 women with a body mass index (BMI) ≥ 25 kg/m2 were interviewed to assess its perceived acceptability and usefulness. Subsequently, the revised 6P tool was tested in 46 women with a BMI ≥ 25 kg/m2. The Three-Factor Eating Questionnaire (TFEQ), International Physical Activity Questionnaire-Short (IPAQ), and weight were measured at baseline and one-month. Most participants were satisfied with the presentation of the 6P tool (86.8%), and agreed it was useful in guiding healthy eating (81.6%) and raising awareness of eating behavior (97.4%). There were significant improvements in cognitive restraint (p = 0.010) and disinhibition (p = 0.030) (TFEQ), portion size (P1), pleasure behaviors (P3), and total composite 6P score (p < 0.001). However, there was no significant reduction in weight or increase in physical activity. The 6P tool is acceptable and presents with good validity for assessing lifestyle behaviors.

2021 ◽  
Author(s):  
Tanja C. Adam ◽  
Mathijs Drummen ◽  
Ian Macdonald ◽  
Elli Jalo ◽  
Pia Siig-Vestentoft ◽  
...  

<b>Objective:</b> Stress, sleep, eating behavior and physical activity are associated with weight change and insulin resistance. The aim of the analysis was the assessment of the overall and sex specific association of psychobehavioral variables throughout the 3-y PREVIEW intervention using the Homeostatic Model Assessment of Insulin resistance (HOMA-IR), BMI, and length of time in the study.<b></b> <p><b>Methods</b>: Associations of psychobehavioral variables, including stress, mood, eating behavior physical activity (PA), and sleep with BMI, HOMA-IR and time spent in study were assessed in 2184 participants with pre-diabetes and overweight/ obesity (n=706 men; n=1478 women) during a 3-year lifestyle intervention utilizing linear mixed modelling and general linear modelling.The study was a randomized multicenter trial using a 2x2 diet-by- PA design.</p> <p><b>Results: </b>Overall,<b> </b>cognitive restraint and PA increased during the intervention compared to baseline, while BMI, HOMA-IR, disinhibition, hunger and sleepiness decreased (all p<0.05). Cognitive restraint and PA were negatively, while disinhibition, hunger, stress, total mood-disturbance were positively associated with both BMI and HOMA-IR. Sleep-duration, low sleep quality, total mood-disturbance, disinhibition and hunger scores were positively associated with HOMA-IR for men only. Drop-outs at 6 months had higher stress and total mood-disturbance scores at baseline and throughout their time spent in the study compared to study completers.</p> <p><b>Conclusion: </b>Eating behavior and PA, control of<b> </b>stress, mood-disturbance and sleep characteristics were associated with BMI, HOMA-IR and time spent in study with different effects in men and women during the PREVIEW-lifestyle intervention-study.<b> </b></p>


2001 ◽  
Vol 13 (1) ◽  
pp. 35-46 ◽  
Author(s):  
Kate Ridley ◽  
Jim Dollman ◽  
Tim Olds

The aim was to develop and trial a computer delivered multimedia 1-day physical activity questionnaire (CDPAQ) and to compare this with an equivalent hard copy version (HC). Thirty male and female subjects (11.96 ± 0.53 years) were used to assess the validity of the questionnaires by comparing Caltrac counts and heart rate (HR) data with physical activity recalls. Pearson product-moment correlations between the CDPAQ and HR and Caltrac counts ranged from r = 0.36 to 0.63 (p < .05). For the HC, correlations ranged from r = 0.25 to 0.48 (p < .05). While the CDPAQ displayed consistently higher validity correlations, the differences failed to reach statistical significance. Both questionnaires demonstrated high test-retest reliability (r = 0.98, p = .0001). The multimedia features of the CDPAQ may assist children in remembering and characterizing physical activity. The data processing features of the CDPAQ also provide considerable time-saving benefits.


2021 ◽  
Author(s):  
Tanja C. Adam ◽  
Mathijs Drummen ◽  
Ian Macdonald ◽  
Elli Jalo ◽  
Pia Siig-Vestentoft ◽  
...  

<b>Objective:</b> Stress, sleep, eating behavior and physical activity are associated with weight change and insulin resistance. The aim of the analysis was the assessment of the overall and sex specific association of psychobehavioral variables throughout the 3-y PREVIEW intervention using the Homeostatic Model Assessment of Insulin resistance (HOMA-IR), BMI, and length of time in the study.<b></b> <p><b>Methods</b>: Associations of psychobehavioral variables, including stress, mood, eating behavior physical activity (PA), and sleep with BMI, HOMA-IR and time spent in study were assessed in 2184 participants with pre-diabetes and overweight/ obesity (n=706 men; n=1478 women) during a 3-year lifestyle intervention utilizing linear mixed modelling and general linear modelling.The study was a randomized multicenter trial using a 2x2 diet-by- PA design.</p> <p><b>Results: </b>Overall,<b> </b>cognitive restraint and PA increased during the intervention compared to baseline, while BMI, HOMA-IR, disinhibition, hunger and sleepiness decreased (all p<0.05). Cognitive restraint and PA were negatively, while disinhibition, hunger, stress, total mood-disturbance were positively associated with both BMI and HOMA-IR. Sleep-duration, low sleep quality, total mood-disturbance, disinhibition and hunger scores were positively associated with HOMA-IR for men only. Drop-outs at 6 months had higher stress and total mood-disturbance scores at baseline and throughout their time spent in the study compared to study completers.</p> <p><b>Conclusion: </b>Eating behavior and PA, control of<b> </b>stress, mood-disturbance and sleep characteristics were associated with BMI, HOMA-IR and time spent in study with different effects in men and women during the PREVIEW-lifestyle intervention-study.<b> </b></p>


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Angela De Leon ◽  
James Roemmich ◽  
Shanon Casperson

Abstract Objectives The Three Factor Eating Questionnaire (TFEQ) is a validated psychometric tool widely used in nutrition research. The TFEQ measures three constructs related to human eating behavior (cognitive restraint of eating, disinhibition, and perceived hunger) and is typically used to identify “fixed” traits associated with obesity. Although inconsistent, evidence suggests that these constructs may be modifiable with diet and weight loss. We sought to determine the mutability of each TFEQ construct in response to a controlled energy-restricted diet in overweight and obese women. Methods Healthy overweight and obese women aged 20–44 (N = 19) were provided with all foods for daily consumption at a level of 20% reduction of usual energy intake for a period of 8 weeks. Study food was packaged as separate meals representing breakfast, lunch, and dinner. Participants were instructed to consume all foods together as separate meals and between-meal snacking was prohibited. Body weight was measured at baseline and then weekly during the intervention. The TFEQ was administered at baseline and at the end of the 8-week controlled feeding. Differences in scores for each factor of the TFEQ were analyzed using paired t-tests. Results are presented as means ± SD. Results On average, participants lost 3.8 ± 1.7 kg. TFEQ restraint scores were greater at the end of week 8 (12.3 ± 4.5) compared to baseline (8.2 ± 4.4), t(18) = 4.00, P < 0.001. Conversely, TFEQ disinhibition scores were lower at week 8 (6.9 ± 3.4) compared to baseline (9.5 ± 2.6), t(18) = 3.42, P = 0.003. Though not significantly different, TFEQ hunger scores were greater at baseline (6.7 ± 3.3) compared to week 8 (5.2 ± 3.4) despite 8 weeks of weight loss. Changes in TFEQ scores did not correlate with change in body weight. Conclusions These results suggest that dietary restriction aimed at eliminating between-meal snacking increases cognitive restraint of eating and decreases disinhibition, independent of weight loss. Additionally, the conscious intention of adhering to eating only 3 meals a day may have improved the perception of hunger cues while reducing susceptibility to external food cues. These attitudinal and behavioral changes are important for adherence to a healthy eating pattern. Funding Sources United States Department of Agriculture, Agricultural Research Service #3062-51000-051-00D and the North Dakota Beef Commission.


2013 ◽  
Vol 26 (5) ◽  
pp. 529-537 ◽  
Author(s):  
Leonardo de Sousa Fortes ◽  
Fabiane Frota da Rocha Morgado ◽  
Sebastião de Sousa Almeida ◽  
Maria Elisa Caputo Ferreira

OBJECTIVE: The aim of this study was to compare the inappropriate eating behaviors of adolescents as a function of habitual level of physical activity. METHODS: Participants were 462 youth of both genders aged 10 to 19 years. The Eating Attitudes Test-26 was used for inappropriate eating behaviors assessment. A short version of the International Physical Activity Questionnaire was used for classifying the habitual level of physical activity. RESULTS: No statistically significant differences were found for the comparison of inappropriate eating behaviors in the multivariate covariance model either for females or males. Moreover, the level of physical activity had no significant influence on the inappropriate eating behaviors of these adolescents. CONCLUSION: In conclusion, inappropriate eating behaviors in both genders were similar regardless of the habitual level of physical activity.


Sign in / Sign up

Export Citation Format

Share Document