A new frontier for clinical health psychologists: Our leadership role in the development and management of an inpatient weight management program.

James, Larry C.; Folen, Raymond A.; Garland, Frederick N.; Davis, Mark K.

doi:10.1037/0735-7028.28.2.146

Cited by 9 publications

(20 citation statements)

References 22 publications

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“…With the exception of 3 interventions [26,32,33], self-monitoring techniques were generally included. Behavioural or lifestyle change was a central topic in all but one of the interventions [32], whilst creating a supportive environment was only partially referred to in 8 of the interventions [23][24][25][26][27][28][29][30], each of which followed a 'cognitive-behavioural' approach. Significantly the intervention that used PA in isolation [32] was the least effective, achieving <1% weight loss.…”

Section: Resultsmentioning

confidence: 99%

“…Where comparison is possible [34,35,54], a reduction in reported body fat (Cohen's d = 0.42-0.66) as opposed to body weight (d = 0.14-0.38) or BMI (d = 0.03-0.53) was observed to be more significant. Several of the interventions [26][27][28][29][30]34] could be defined as successful as they produced reductions in body weight beyond that required by the US Institute of Medicine [35] ( 5% of initial body weight). Whilst the most successful (>10% weight loss) interventions [29,30] approach advocated by previous reviews [17,36,37] and classifies correlates as demographic and biological; psychological, cognitive and emotional; dealing with behavioural attributes and skills; social and cultural; dealing with physical environment; or dealing with PA characteristics.…”

Section: Resultsmentioning

confidence: 99%

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The Correlates and Treatment of Obesity in Military Populations: A Systematic Review

Sanderson

Clemes

Biddle³

2011

Obes Facts

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Objective: The emergence of obesity as a distinct disease could have far reaching consequences for an organisation where optimum health and physical fitness are required for personnel to perform their occupational roles effectively. The objectives of this paper are to systematically review the literature concerning correlates and treatment of obesity in military populations. Methods: Through computerised searches of English language studies, 17 papers were identified (treatment (13), correlates (4)). Results: Successful treatment interventions incorporated exercise, healthy eating information, behavioural modification, self-monitoring, relapse prevention, and structured follow-up and were supported by trained personnel. Efficacy due to physical activity was underreported. Reduction in body fat rather than body weight was the most significant outcome. The major significant correlates of obesity were being enlisted personnel, male, ≧35 years of age, African-American/Hispanic ethnicity, and married (with spouse present). Conclusion: This systematic review highlights the deficit in knowledge concerning treatment and the lack of engagement in relation to the specific correlates of obesity in military populations.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Correlates and Treatment of Obesity in Military Populations: A Systematic Review

Sanderson

Clemes

Biddle³

2011

Obes Facts

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“…The majority of studies were conducted in the US [14, 17, 21–42], followed by Europe [43–54]. Ten studies included recruits during basic military training [21, 25, 43, 44, 47, 48, 50, 52, 55, 56], while 28 included fully qualified military personnel [14, 17, 22–24, 26–42, 45, 46, 49, 51, 53, 54]. Included studies were conducted in different military branches, including the Navy [14, 22, 26, 32], Air Force [17, 23, 30, 31, 34, 40–42], Army [33, 35–38, 49, 51, 53, 54], Defense Force [46], multiple military branches [24, 26–29] and military service/basic military training [21, 25, 43, 44, 47, 48, 50, 52, 55, 56].…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies included recruits during basic military training [21, 25, 43, 44, 47, 48, 50, 52, 55, 56], while 28 included fully qualified military personnel [14, 17, 22–24, 26–42, 45, 46, 49, 51, 53, 54]. Included studies were conducted in different military branches, including the Navy [14, 22, 26, 32], Air Force [17, 23, 30, 31, 34, 40–42], Army [33, 35–38, 49, 51, 53, 54], Defense Force [46], multiple military branches [24, 26–29] and military service/basic military training [21, 25, 43, 44, 47, 48, 50, 52, 55, 56]. Twelve studies were RCTs [14, 23, 25, 30, 32, 33, 35–37, 41, 51, 52], nine studies were nonrandomized control trials or quasi-experimental studies [17, 26, 31, 43, 44, 46, 47, 50, 52], 13 studies were longitudinal studies [21, 22, 24, 28, 38–40, 45, 48, 49, 54–56], and four studies were retrospective studies […”

Section: Resultsmentioning

confidence: 99%

“…The sample size of the participants ranged from 18 to 68,591, and ages were 18 years or older. Study duration ranged from six weeks to five years; 23 studies conducted follow-up measurements for six months or less [14, 23, 24, 26, 27, 30–36, 38, 40–42, 44, 46, 47, 50, 52, 55, 56], and 14 studies conducted follow-up for more than six months [17, 21, 22, 28, 29, 37, 39, 43, 45, 48, 49, 51, 53, 54]. The follow-up duration was not stated by one study [25] (see Additional file 2).…”

Section: Resultsmentioning

confidence: 99%

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Dietary, physical activity, and weight management interventions among active-duty military personnel: a systematic review

2018

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BackgroundResearch has been conducted to assess the effectiveness of weight management, dietary and physical activity interventions in military settings. However, a recent and comprehensive overview is lacking. The aim of this systematic review is to examine the evidence and describe key components of effective interventions in terms of improving body composition, dietary behaviors, and physical activity among active-duty military personnel.MethodsPubMed, PsycInfo, and CINAHL were searched on the 17th of November 2017 to identify interventions that promoted diet and/or physical activity among active-duty military personnel. Studies were included if they assessed outcomes related to anthropometric measurements, dietary behaviors, or fitness/physical activity levels. There were no restrictions regarding publication date, follow-up duration, and sex. After screening, a total of 136 studies were eligible. Of these studies, 38 included an educational and/or behavioral change component, and 98 had only physical or fitness training as part of basic military training. Only studies that included an educational and/or behavioral change component were assessed for quality using the Effective Public Health Practice Project tool and included in the qualitative synthesis of the results.ResultsBased on consistent evidence from studies that were rated as moderate or strong, there is good evidence that military weight management interventions are effective in improving body composition for durations of up to 12 months. Effective interventions are more likely to be high intensity (have a greater number of sessions), are more often delivered by specialists, and use theoretical base/behavioral change techniques and a standardized guideline. Dietary interventions can potentially reduce total fat and saturated fat intake. Dietary interventions that target the kitchen staff and/or increase the availability of healthy food are more likely to be effective in the short term. The results regarding military physical fitness interventions were inconclusive.ConclusionDespite limitations such as the diversity and heterogeneity of the included interventions, outcome measurements, and follow-up duration, this systematic review found good evidence that weight management interventions are effective, especially in terms of weight loss. More studies are needed to acquire solid evidence for effectiveness for durations longer than 12 months and to identify key components of the effective dietary and physical activity educational and/or behavioral change interventions, especially in countries outside Europe and the US.Electronic supplementary materialThe online version of this article (10.1186/s40779-018-0190-5) contains supplementary material, which is available to authorized users.

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Why Do Some People Lose Weight and Keep It Off? Ten Common Steps for Successful Weight Loss Over the Lifespan

James

2008

Handbook of Obesity Intervention for the Lifespan

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A new frontier for clinical health psychologists: Our leadership role in the development and management of an inpatient weight management program.

Cited by 9 publications

References 22 publications

The Correlates and Treatment of Obesity in Military Populations: A Systematic Review

The Correlates and Treatment of Obesity in Military Populations: A Systematic Review

Dietary, physical activity, and weight management interventions among active-duty military personnel: a systematic review

Why Do Some People Lose Weight and Keep It Off? Ten Common Steps for Successful Weight Loss Over the Lifespan

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