Weight Loss and Self-Regulatory Eating Efficacy in Older Adults: The Cooperative Lifestyle Intervention Program
W. Jack Rejeski,Shannon L. Mihalko,Walter T. Ambrosius,Lucille B. Bearon,Jacquelyn W. McClelland +4 more
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TLDR
It is illustrated that WL + PA can be effective in improving older adults’ self-efficacy for the self-regulation of eating behavior and that these changes are prospectively related to the amount of weight loss.Abstract:
Objectives. Using the weight efficacy lifestyle questionnaire (WEL), we examined whether a group-mediated inter vention for weight loss among older, obese adults resulted in changes in self-regulatory self-efficacy for eating behavior and whether these changes mediated weight loss. Methods. This was a randomized controlled design, and 288 older adults received 1 of 3 treatments for 6 months: physical activity only (PA), weight loss + physical activity (WL + PA), or a successful aging (SA) health education program. The WEL was administered prior to randomization and again at the 6-month follow-up visit. Results. A significant treatment effect was observed for the WEL, F (2,249) = 15.11, p < .0001, partial eta 2 = .11, showing that improvement occurred only in the WL + PA group as compared with PA and SA. Changes in WEL scores partially mediated the effects of the WL + PA intervention on weight loss. Discussion. These results illustrate that WL + PA can be effective in improving older adults’ self-efficacy for the selfregulation of eating behavior and that these changes are prospectively related to the amount of weight loss. Further research is warranted on an expanded concept of self-efficacy as well as controlled experimental studies on eating behavior in older adults.read more
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Transtheoretical model stages of change for dietary and physical exercise modification in weight loss management for overweight and obese adults
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TL;DR: The results indicate that a lifestyle intervention delivered via a web- and mobile-based weight-loss app is a feasible option by which to elicit short-term reductions in weight.
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Self-efficacy, quality of life, and weight loss in overweight/obese endometrial cancer survivors (SUCCEED): A randomized controlled trial☆ , ☆☆
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