Psychosocial predictors of weight regain in the weight loss maintenance trial

被引：38

作者：

Brantley, Phillip J. ^{[1
]}

Stewart, Diana W. ^{[2
]}

Myers, Valerie H. ^{[3
]}

Matthews-Ewald, Molly R. ^{[1
]}

Ard, Jamy D. ^{[4
]}

Coughlin, Janelle W. ^{[5
]}

Jerome, Gerald J. ^{[6
]}

Samuel-Hodge, Carmen ^{[7
,8
]}

Lien, Lillian F. ^{[9
]}

Gullion, Christina M. ^{[10
]}

Hollis, Jack F. ^{[10
]}

Svetkey, Laura P. ^{[11
,12
]}

Stevens, Victor J. ^{[10
]}

机构：

[1] Louisiana State Univ Syst, Pennington Biomed Res Ctr, Behav Med Lab, Baton Rouge, LA 70808 USA

[2] Univ Texas MD Anderson Canc Ctr, Dept Hlth Dispar Res, Houston, TX 77030 USA

[3] Klein Buendel Inc, Golden, CO USA

[4] Wake Forest Baptist Med Ctr, Dept Epidemiol & Prevent, Winston Salem, NC USA

[5] Johns Hopkins Univ, Sch Med, Dept Psychiat & Behav Sci, Baltimore, MD 21205 USA

[6] Towson Univ, Dept Kinesiol, Towson, MD USA

[7] Univ N Carolina, Sch Publ Hlth, Dept Nutr, Chapel Hill, NC 27599 USA

[8] Univ N Carolina, Sch Med, Dept Nutr, Chapel Hill, NC USA

[9] Duke Univ, Med Ctr, Div Endocrinol, Durham, NC USA

[10] Kaiser Permanente Northwest, Hlth Sci Programs, Ctr Hlth Res, Portland, OR USA

[11] Duke Univ, Med Ctr, Div Nephrol, Durham, NC USA

[12] Duke Univ, Med Ctr, Sarah W Stedman Nutr & Metab Ctr, Durham, NC USA

来源：

JOURNAL OF BEHAVIORAL MEDICINE | 2014年 / 37卷 / 06期

关键词：

Weight loss maintenance; Psychosocial predictors; Obesity; Quality of life; Social support; LIFE-STYLE INTERVENTION; HEALTH SURVEY SF-36; TRANSTHEORETICAL MODEL; PREVENTION; WOMEN; OBESITY; STRATEGIES; EXERCISE; RELAPSE; STIGMA;

D O I：

10.1007/s10865-014-9565-6

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

This study's purpose was to identify psychosocial predictors of weight loss maintenance in a multi-site clinical trial, following a group-based weight loss program. Participants (N = 1025) were predominately women (63 %) and 38 % were Black (mean age = 55.6 years; SD = 8.7). At 12 months, higher SF-36 mental health composite scores were associated with less weight regain (p < .01). For Black participants, an interaction existed between race and friends' encouragement for exercise, where higher exercise encouragement was related to more weight regain (p < .05). At 30 months, friends' encouragement for healthy eating was associated with more weight regain (p < .05), whereas higher SF-36 mental health composite scores were related to less weight regain (p < .0001). Perceived stress and select health-related quality of life indices were associated with weight regain; this relationship varied across gender, race, and treatment conditions. Temporal changes in these variables should be investigated for their impact on weight maintenance.

引用

页码：1155 / 1168

页数：14

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Diana W. Stewart
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Molly R. Matthews-Ewald
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Janelle W. Coughlin
Gerald J. Jerome
Carmen Samuel-Hodge
Lillian F. Lien
Christina M. Gullion
Jack F. Hollis
Laura P. Svetkey
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