Weight Loss and the Prevention of Weight Regain: Evaluation of a Treatment Model of Exercise Self-Regulation Generalizing to Controlled Eating

Annesi, James J.; Johnson, Ping H.; Tennant, Gisèle A.; Porter, Kandice J.; McEwen, Kristin L.

doi:10.7812/tpp/15-146

Cited by 45 publications

(78 citation statements)

References 60 publications

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“…recently tested with women with obesity [18]. This treatment administered a component of supported exercise to improve psychosocial factors such as selfregulatory skills, self-efficacy, and mood 2 months prior to the administration of group nutrition-change sessions.…”

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confidence: 99%

“…This treatment administered a component of supported exercise to improve psychosocial factors such as selfregulatory skills, self-efficacy, and mood 2 months prior to the administration of group nutrition-change sessions. The nutrition sessions then focused upon generalizing and reinforcing those gains for long-term maintenance of controlled eating and weight loss [18].…”

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confidence: 99%

“…This impact is a factor previously shown to be associated with fruit and vegetable intake and consumption of sweets in women [20]. It was thought that this focus on building resilient self-regulatory skills, and accounting for psychosocial factors such as self-efficacy, mood, and emotional eating, would mitigate expected decays in the behaviors that are predictive of maintained weight loss [18,21].…”

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confidence: 99%

“…At the end of its second year, 89 % of participants' initial mean weight loss of 5.8 kg was maintained [18]. Also, this experimental treatment was relatively inexpensive to administer.…”

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confidence: 99%

“…Data from a subsample of participants of the aforementioned experimental treatment [18], who were initially successful at weight loss by losing at least the 3 % of their initial weight required for a reduction in health risks [4,5] but regained a minimum of one third of that weight over 2 years (which is indicative of a failure to sustain longterm effects [2,6]), were assessed. After considering previously suggested relationships between changes in psychosocial and behavioral correlates of weight [8,10,11,16,17,20,25], and incorporating suggestions for the use of mediation analyses to inform the architecture of interventions [26], the following hypotheses were provided:…”

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confidence: 99%

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Psychosocial predictors of decay in healthy eating and physical activity improvements in obese women regaining lost weight: translation of behavioral theory into treatment suggestions

Annesi

2016

Behav. Med. Pract. Policy Res.

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Regain of lost weight is a universal problem for behavioral treatments. An increased understanding of theory-based psychosocial predictors of decay in behavioral correlates of weight loss might improve treatments. Data were derived from a previous weight loss investigation of 110 women with obesity. A subsample from the experimental treatment who lost ≥3 % body weight and regained at least one third of that over 24 months (N = 36) was assessed. During months 6 through 24, there were unfavorable changes in behavioral (fruit/vegetable and sweet intake; physical activity) and psychosocial variables. Mood change predicted change in fruit/vegetable and sweet intake, with emotional eating change mediating the latter relationship. Change in self-regulation predicted changes in sweet and fruit/vegetable intake and physical activity, with self-efficacy mediating the self-regulationfruit/vegetable intake and self-regulation-physical activity relationships. Findings suggest that after treatmentinduced weight loss, addressing indicated theory-based psychosocial variables might mitigate decay in behavioral predictors of healthier weight. KEYWORDSWeight loss, Maintenance, Treatment, Self-regulation, Self-efficacy, Physical activity Although behavioral (non-pharmacological/nonsurgical) treatments have consistently been associated with a 5-8 % loss in initial body weight, even more consistent has been a gradual climb toward baseline weight after approximately 6 months [1][2][3]. Although as little as 3 % weight loss can have health benefits [4,5], from one third to two third regain of weight is expected over 2 years [2,6]. Often, regain will continue beyond a participant's initial weight [1]. Repeating a pattern of weight loss and regain might increase individuals' health risks [7]. Researchers suggest that weight loss maintenance differs considerably from weight loss and thus should be distinctly studied and addressed [8]. In a recent trial incorporating a yearlong, state-of-the-science behavioral weight management protocol directed primarily at reductions in energy intake [9], an initial weight loss of 9 % demonstrated a 91 % regain of baseline weight over the subsequent 3 years [10]. Because of the failure of this seemingly comprehensive protocol that was highly focused upon maintaining weight loss from its outset, along with the long history of behavioral treatments' association with weight regain [1-3], its developers questioned the merits of any further pursuits of such weight management interventions [10]. Although other researchers disagreed [11][12][13], it seemed clear that new and different approaches were needed.As a reaction to this and (a) a consensus that exercise is a primary predictor of maintained weight loss [6,14,15], (b) suggestions that the development of self-regulation prior to pursuing reductions in energy intake is advisable [8], (c) proposed behavioral models of the relationship between exercise and weight loss [11,16,17], and (d) indications that physical activity affects weight loss more thr...

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confidence: 99%

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confidence: 99%

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confidence: 99%

“…At the end of its second year, 89 % of participants' initial mean weight loss of 5.8 kg was maintained [18]. Also, this experimental treatment was relatively inexpensive to administer.…”

mentioning

confidence: 99%