Weight Loss Treatment and Psychological Well-being

Blaine, Bruce; Rodman, Jennifer; Newman, James

doi:10.1177/1359105307071741

Cited by 112 publications

(119 citation statements)

References 93 publications

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“…Weight loss can show dramatic results to the self esteem, cardiovascular function, and arthritic symptoms experienced by an obese individual [143,144]. The cardiovascular effects can cascade throughout the negative cofactors associated with metabolic syndrome.…”

Section: Interventions/management Of Obesitymentioning

confidence: 99%

Obesity and vascular dysfunction

et al. 2008

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One of the most profound challenges facing public health and public health policy in Western society is the increased incidence and prevalence of both overweight and obesity. While this condition can have significant consequences for patient mortality and quality of life, it can be further exacerbated as overweight/obesity can be a powerful stimulus for the development of additional risk factors for a negative cardiovascular outcome, including increased insulin resistance, dyslipidemia and hypertension. This manuscript will present the effects of systemic obesity on broad issues of vascular function in both afflicted human populations and in the most relevant animal models. Among the topics that will be covered are alterations to vascular reactivity (both dilator and constrictor responses), adaptations in microvascular network and vessel wall structure, and alterations to the patterns of tissue/organ perfusion as a result of the progression of the obese condition. Additionally, special attention will be paid to the contribution of chronic inflammation as a contributor to alterations in vascular function, as well as the role of perivascular adipose tissue in terms of impacting vessel behavior. When taken together, it is clearly apparent that the development of the obese condition can have profound, and frequently difficult to predict, impacts on integrated vascular function. Much of this complexity appears to have its basis in the extent to which other co-morbidities associated with obesity (e.g., insulin resistance) are present and exert contributing effects.

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Section: Interventions/management Of Obesitymentioning

confidence: 99%

Obesity and vascular dysfunction

et al. 2008

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“…Similar relationships have been reported for health-related quality of life 16 and self-esteem. 37 Healthcare professionals in general practice are often reluctant to counsel patients on weight management because of the perceived need for additional training. 11 Nurses in the present study did receive training, and the majority of participants receiving structured support found study participation helpful in achieving their goals.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Weight-management interventions in primary care: a pilot randomised controlled trial

Nanchahal¹,

Townsend²,

Letley³

et al. 2009

Br J Gen Pract

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There is a paucity of randomised controlled trials of weight management in primary care. AimTo ascertain the feasibility of a full trial of a nurse-led weight-management programme in general practice. Design of studyFactorial randomised control trial. SettingPrimary care, UK. MethodA total of 123 adults (80.3% women, mean age 47.2 years) with body mass index ≥27 kg/m 2 , recruited from eight practices, were randomised to receive structured lifestyle support (n = 30), structured lifestyle support plus pedometer (n = 31), usual care (n = 31), or usual care plus pedometer (n = 31) for a 12-week period. ResultsA total of 103 participants were successfully followed up. The adjusted mean difference in weight in structured support compared to usual care groups was -2.63 kg (95% confidence interval [CI] = -4.06 to -1.20 kg), and for pedometer compared to no pedometer groups it was -0.11 kg (95% CI = -1.52 to 1.30 kg). One in three participants in the structuredsupport groups (17/50, 34.0%) lost 5% or more of their initial weight, compared to less than one in five (10/53, 18.9%) in usual-care groups; provision of a pedometer made little difference (14/48, 29.2% pedometer; 13/55, 23.6% no pedometer). Difference in waist circumference change between structured-support and usual-care groups was -1.80 cm (95% CI = -3.39 to -0.20 cm), and between the pedometer and no pedometer groups it was -0.84 cm (95% CI = -2.42 to 0.73 cm). When asked about their experience of study participation, most participants found structured support helpful. ConclusionThe structured lifestyle support package could make substantial contributions to improving weightmanagement services. A trial of the intervention in general practice is feasible and practicable.

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“…Thus, recently researchers have been highlighting the importance of shifting the way individuals cope with their weight and weight-related experiences (including weight stigma) in order to increase their health-related quality-of-life (e.g., Blaine, Rodman, & Newman, 2007;Durso, Latner, White, et al, 2012;Hilbert, et al, 2013;Latner, et al, 2014;Lillis et al, 2010;Puhl & Bronwell, 2001;Puhl & Heuer, 2009;Tylka et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

The role of weight self-stigma on the quality of life of women with overweight and obesity: A multi-group comparison between binge eaters and non-binge eaters

2016

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Weight self-stigma is conceptualized as a multidimensional concept involving experiences of shame, self-devaluation and the perception of being discriminated against in social situations due to one's weight. It has been associated with experiential avoidance, unhealthy eating behaviours, binge eating and diminish quality-of-life (QoL). The current study aims to explore the mediation effect of weight-related experiential avoidance on the relationship between weight self-stigma and obesity-related QoL in women with and without binge eating (BE).The sample comprised 282 women with overweight or obesity, from which 100 presented BE symptoms. Sample's mean age was 44.24 (SD = 11.30), with a mean BMI of 31.40 (SD = 4.53). Participants completed a set of self-reported measures regarding BE symptoms, weight self-stigma, weight-related experiential avoidance and QoL.Results from path analysis supported the mediation of weight-related experiential avoidance on the relationship between weight self-stigma and QoL, even when controlling for BMI. The model accounted 58% of QoL variance. Furthermore, the multi-group analysis revealed that the model was not invariant for both groups. The analysis of the critical ratios showed that the path from weight-related experiential avoidance to QoL was stronger for the BE group. Also the model only explained 39% of QoL for the group without BE and 65% of QoL for the BE group.This study highlights the pervasive role of weigh self-stigma, particularly fear of being discriminated and weight-related experiential avoidance on obesity-related quality-of-life, especially for those women with BE. Additionally, it supports that interventions should focus not only in weight loss but also in improving individual's QoL, promoting the development of adaptive emotional regulation strategies.

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Weight Loss Treatment and Psychological Well-being

Cited by 112 publications

References 93 publications

Obesity and vascular dysfunction

Obesity and vascular dysfunction

Weight-management interventions in primary care: a pilot randomised controlled trial

The role of weight self-stigma on the quality of life of women with overweight and obesity: A multi-group comparison between binge eaters and non-binge eaters

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