Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Jun;6(2):169-78.
doi: 10.1007/s13142-016-0401-0.

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

James J Annesi  1   2
Affiliations

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

James J Annesi. Transl Behav Med. 2016 Jun.

Abstract

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-regulation-fruit/vegetable intake and self-regulation-physical activity relationships. Findings suggest that after treatment-induced weight loss, addressing indicated theory-based psychosocial variables might mitigate decay in behavioral predictors of healthier weight.

Keywords: Maintenance; Physical activity; Self-efficacy; Self-regulation; Treatment; Weight loss.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Weight loss treatment timeline
See this image and copyright information in PMC

References

    1. Mann T, Tomiyama J, Westling E, Lew AM, Samuels B, Chatman J. Medicare’s search for effective obesity treatments: diets are not the answer. American Psychologist. 2007;62:220–233. doi: 10.1037/0003-066X.62.3.220. - DOI - PubMed
    1. Jeffery RW, Drewnowski A, Epstein LH, et al. Long-term maintenance of weight loss: current status. Health Psychology. 2000;19(Suppl):5–16. doi: 10.1037/0278-6133.19.Suppl1.5. - DOI - PubMed
    1. Dombrowski SU, Knittle K, Avenell A, Araújo-Soares V, Sniehotta FF. Long term maintenance of weight loss with non-surgical interventions in obese adults: systematic review of meta-analyses of randomised controlled trials. BMJ. 2014;348:g2646. doi: 10.1136/bmj.g2646. - DOI - PMC - PubMed
    1. National Heart, Lung, and Blood Institute. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: the evidence report. National Institutes of Health Publication No. 98-4083. - PubMed
    1. Jensen MD, Ryan DH, Donato KA, et al. Guidelines (2013) for managing overweight and obesity in adults. Obesity. 2014;22(Suppl 2):S1–S409. - PubMed

Publication types