Lifestyle and treatment adherence among overweight adolescents

Abstract

This study evaluated the influence of overweight adolescents' lifestyle on the adherence to weight control, and identifies their predictors. Participants were 94 adolescents, aged 12-18 years, attending a Paediatric Obesity Clinic. Lifestyle was assessed using the "Adolescent Lifestyle Profile" and treatment adherence through the "Therapeutic Adherence to Weight Control Questionnaire." Adherence to weight control was associated with various lifestyle domains. Several predictors were identified for lifestyle and adherence to weight control among overweight adolescents. A broad array of inter-correlations and predictors were identified and should be taken into account when designing adolescent weight control interventions.

‘I just don't want to get bullied anymore, then I can lead a normal life’; Insights into life as an obese adolescent and their views on obesity treatment

“…Rapid changes during adolescence often cause anxiety that can confound existing feelings associated with living with obesity potentially influencing a referral to obesity services . Adolescence is thought to present a critical point for the successful implementation of obesity treatments such as physical activity and healthy eating programmes combined with behavioural change, to establish sustainable healthy lifestyle practices . Furthermore, the modification of the obesogenic family environment that focuses on broader determinants, not just the individual, is required …”

“…16 Adolescence is thought to present a critical point for the successful implementation of obesity treatments 17 such as physical activity and healthy eating programmes combined with behavioural change, to establish sustainable healthy lifestyle practices. 18 Furthermore, the modification of the obesogenic family environment that focuses on broader determinants, not just the individual, is required. 19 The family has been identified as one of the primary sites for socialization, laying the foundations of a young person's lifestyle habits, such as the establishment of healthy food practices.…”

Measuring Health‐Promoting Behaviors: Cross‐Cultural Validation of the Health‐Promoting Lifestyle Profile‐II

“…The emergence of the study of lifestyles, as a useful construct in the context of health, has led the scientific community to develop appropriate, valid, and reliable evaluation instruments (Pender, Murdaugh, & Parsons, ; Walker et al., ). The development of reliable instruments for the measurement of healthy lifestyles is essential not only to assess behaviors, but especially to meet the needs of the population, in what concerns the promotion of healthy habits (Laaksonen, Aromaa, Heinonen, Suominen, & Salantera, ; Sousa, Fonseca, Gaspar, & Gaspar, ; Sousa, Gaspar, Fonseca, Hendricks, & Murdaugh, ).…”

O modelo transteórico para auxiliar adolescentes obesos a modificar estilo de vida

“…No entanto, a literatura demonstra que a adesão a programas para perda de peso entre os adolescentes é baixa, tendo em vista que 50% desistem do tratamento e apenas 5% conseguem manter o peso após o término das intervenções (França, Sahade, Nunes, & Adan, 2013). Dentre os principais preditivos para a adesão está o comprometimento com a saúde por meio da modifi cação do comportamento (Sousa, Gaspar, Fonseca, & Gaspar, 2016).…”