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1.
J Acad Nutr Diet ; 112(4): 499-505, 2012 Apr.
Article in English | MEDLINE | ID: mdl-22709701

ABSTRACT

Obesity is remarkably refractory to treatment. Despite a plethora of quantitative studies, little qualitative research has been conducted on the topic of weight loss maintenance. This study used six focus groups to explore which factors promoted or prevented maintaining weight loss among a diverse, urban population. Eligible participants were those who had intentionally lost ≥10% of their body weight in the past 2 years and were categorized as either "regainers" or "maintainers" using self-reported length of weight maintenance and amount (%) regained. Regainers had regained ≥33% of their weight loss and maintainers had regained ≤15%. Participants (n=29) were predominantly African-American (58.6%) females (65.6%) with a mean age of 46.9±11.2 years. Four themes reflected similarities between regainers and maintainers, and four reflected differences between the groups. Both groups experienced lapses, used clothing fit for feedback on weight status, desired greater support during maintenance, and decreased self-monitoring of food intake over time. When compared with regainers, maintainers more often continued strategies used during weight loss, weighed themselves regularly, and used productive problem-solving skills and positive self-talk. Regainers experienced greater difficulty independently continuing food and exercise behaviors during maintenance, identifying decreased accountability and waning motivation as barriers. These findings suggest that weight loss maintenance efforts can be improved by addressing challenges such as long-term self-monitoring and problem-solving skills, and that maintenance success might depend on how people think as much as what they do.


Subject(s)
Exercise/psychology , Feeding Behavior/psychology , Health Behavior , Obesity/prevention & control , Weight Loss/physiology , Black or African American/psychology , Female , Focus Groups , Hispanic or Latino/psychology , Humans , Life Style , Male , Middle Aged , Motivation , Obesity/psychology , Obesity/therapy , Problem Solving , Self Concept , Social Support , Time Factors
3.
Am J Clin Nutr ; 82(1 Suppl): 230S-235S, 2005 07.
Article in English | MEDLINE | ID: mdl-16002827

ABSTRACT

Behavioral treatment is an approach used to help individuals develop a set of skills to achieve a healthier weight. It is more than helping people to decide what to change; it is helping them identify how to change. The behavior change process is facilitated through the use of self-monitoring, goal setting, and problem solving. Studies suggest that behavioral treatment produces weight loss of 8-10% during the first 6 mo of treatment. Structured approaches such as meal replacements and food provision have been shown to increase the magnitude of weight loss. Most research on behavioral treatment has been conducted in university-based clinic programs. Although such studies are important, they tell us little about the effectiveness of these approaches in settings outside of specialized clinics. Future research might focus more on determining how these behavioral techniques can be best applied in a real-world setting.


Subject(s)
Behavior Therapy , Diet, Reducing , Empathy , Obesity , Weight Loss , Feeding Behavior , Female , Humans , Life Style , Obesity/diet therapy , Obesity/drug therapy , Obesity/psychology , Patient Compliance , Randomized Controlled Trials as Topic
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