Trends in Presentations of Environmental and Policy Studies Related to Physical Activity, Nutrition, and Obesity at Society of Behavioral Medicine, 1995–2010: a Commentary to Accompany the Active Living Research Supplement to Annals of Behavioral Medicine

Sallis, James F.; Carlson, Jordan; Mignano, Alexandra M.; Lemes, Amanda; Wägner, Nicole

doi:10.1007/s12160-012-9415-0

Cited by 16 publications

(11 citation statements)

References 16 publications

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“…Over the past decade, the ecological perspective has gained ground as a new paradigm in research on PA behaviour and maintenance [ 19 , 94 – 96 ]. It is to be expected that this will lead to more transdisciplinary research [ 97 ] and the use of hierarchical data structures and multilevel statistical procedures [ 25 , 75 , 88 ]. What our study shows is that studying socially vulnerable groups from the perspective of PA and health inequalities, applying multilevel modelling, still suffers from highly abstracted social concepts to make them measurable and interpretable.…”

Section: Discussionmentioning

confidence: 99%

Health-Related Quality of Life, Self-Efficacy and Enjoyment Keep the Socially Vulnerable Physically Active in Community-Based Physical Activity Programs: A Sequential Cohort Study

Herens

Bakker²,

Ophem

et al. 2016

PLoS ONE

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Physical inactivity is most commonly found in socially vulnerable groups. Dutch policies target these groups through community-based health-enhancing physical activity (CBHEPA) programs. As robust evidence on the effectiveness of this approach is limited, this study investigated whether CBHEPA programs contribute to an increase in and the maintenance of physical activity in socially vulnerable groups. In four successive cohorts, starting at a six-month interval, 268 participants from 19 groups were monitored for twelve months in seven CBHEPA programs. Data collection was based on repeated questionnaires. Socio-economic indicators, program participation and coping ability were measured at baseline. Physical activity, health-related quality of life and on-going program participation were measured three times. Self-efficacy and enjoyment were measured at baseline and at twelve months. Statistical analyses were based on a quasi-RCT design (independent t-tests), a comparison of participants and dropouts (Mann-Whitney test), and multilevel modelling to assess change in individual physical activity, including group level characteristics. Participants of CBHEPA programs are socially vulnerable in terms of low education (48.6%), low income (52.4%), non-Dutch origin (64.6%) and health-related quality of life outcomes. Physical activity levels were not below the Dutch average. No increase in physical activity levels over time was observed. The multilevel models showed significant positive associations between health-related quality of life, self-efficacy and enjoyment, and leisure-time physical activity over time. Short CBHEPA programs (10–13 weeks) with multiple trainers and gender-homogeneous groups were associated with lower physical activity levels over time. At twelve months, dropouts' leisure-time physical activity levels were significantly lower compared to continuing participants, as were health-related quality of life, self-efficacy and enjoyment outcomes. BMI and care consumption scored significantly higher among dropouts. In conclusion, Dutch CBHEPA programs reach socially vulnerable, but not necessarily inactive, groups in terms of socio-economic and health-related quality of life outcomes. Our findings suggest that CBHEPA programs particularly contribute to physical activity maintenance in socially vulnerable groups, rather than to an increase in physical activity behaviour over time.

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Section: Discussionmentioning

confidence: 99%

Health-Related Quality of Life, Self-Efficacy and Enjoyment Keep the Socially Vulnerable Physically Active in Community-Based Physical Activity Programs: A Sequential Cohort Study

Herens

Bakker²,

Ophem

et al. 2016

PLoS ONE

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“…As the costs and scope of severe obesity increases, so does public and professional interest in developing solutions that can counteract it. In recent years there has been an increased focus on understanding behavior, particularly relating to health, as the result of a complex interplay of various psychological and social factors, as well as public policies (Sallis, Carlson, Mignano, Lemes, & Wagner, 2013). Much of this research focuses on the individual and seeks to promote strategies for behavior change that enables him or her in achieving behavioral goals through better self-regulation of nutrition and exercising habits.…”

Section: Discussionmentioning

confidence: 99%

Apples versus brownies: A field experiment in rearranging conference snacking buffets to reduce short-term energy intake

Skov

Jespersen

Skov³

et al. 2016

Journal of Foodservice Business Research

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More and more people eat out and, therefore, foodservice business has an increasing influence on people's dietary intake. Foodservice business should, first and foremost, deliver a nice tasting meal of high quality-but health should not be neglected. Nudging and choice architecture is a field of foodservice business research that is gaining interest and this article offers original research in this field.

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“…Behavioral therapy can minimize the need for more intensive medical treatments, improve outcomes, and improve adherence to treatment plans. 46,47 A behavioral medicine framework for obesity counseling is the "5 As" behavioral change model -Assess, Advise, Arrange, Agree and Assist -that health care providers can use to help patients formulate a personal action plan for behavior change. 48 Structured WMPs often include guidance on behavioral strategies and approaches to accomplish the prescribed dietary intake and physical activity goals.…”

Section: Behavioral Therapiesmentioning

confidence: 99%

Tipping the scales: Provider perspectives on a multi-disciplinary approach to obesity

Bright

O’Hare

Beesley

et al. 2019

Exp Biol Med (Maywood)

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Obesity is a costly and complex health issue that precipitates and/or complicates many medical conditions. Clinical recommendations include a comprehensive approach to weight loss with a combination of diet, physical activity, behavioral interventions, pharmacotherapy or surgery to achieve weight loss. Care in the primary care setting is integral in obesity management. Outside of their clinical role, primary care physicians serve as role models, educators, and promoters of healthy lifestyle practices and leaders in obesity treatment. Physician recommendations have consistently been shown to exert a powerful influence on patient behavior, but there is a substantial gap between patients who would benefit from obesity care and those receiving it. Providers, especially primary care, cite many obstacles to addressing obesity including lack of time, expertise, and resources. This review focuses on describing the feasibility and evidence for tackling obesity through provider-led multidisciplinary weight management programs. A literature search was conducted in Med Line and PubMed for published articles on multidisciplinary weight management programs that included lifestyle modification (diet and exercise), behavioral modification and a physician (MD/DO) with one or more of the following multidisciplinary team members: nutritionist/registered dietician (RD), behavioral health provider (BH), case manager (CM), pharmacist (Pharm), nursing (RN), and research staff. Relevant articles from bibliographies of systematic reviews/meta-analyses were included as well. Ten studies qualified, and we organized the articles to discuss the following three themes: diet and exercise, behavioral therapies and barriers, and facilitators for clinical weight management programs. The studies in this mini-review of multidisciplinary weight programs that included physicians reiterate the guidelines for successful treatment of obesity, with more research needed to fully understand how primary care providers can assist higher risk patient populations, particularly those of lower socioeconomic status who are disproportionally impacted by obesity.

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Trends in Presentations of Environmental and Policy Studies Related to Physical Activity, Nutrition, and Obesity at Society of Behavioral Medicine, 1995–2010: a Commentary to Accompany the Active Living Research Supplement to Annals of Behavioral Medicine

Cited by 16 publications

References 16 publications

Health-Related Quality of Life, Self-Efficacy and Enjoyment Keep the Socially Vulnerable Physically Active in Community-Based Physical Activity Programs: A Sequential Cohort Study

Health-Related Quality of Life, Self-Efficacy and Enjoyment Keep the Socially Vulnerable Physically Active in Community-Based Physical Activity Programs: A Sequential Cohort Study

Apples versus brownies: A field experiment in rearranging conference snacking buffets to reduce short-term energy intake

Tipping the scales: Provider perspectives on a multi-disciplinary approach to obesity

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