Carry-over of self-regulation for physical activity to self-regulating eating in women with morbid obesity.
Poor outcomes from behavioral treatments of severe obesity have led to a dependence on invasive medical interventions, including surgery for morbidly obese individuals. Improved methods to self-regulate eating will be required to reduce obesity. The use of self-regulation methods for completing physical activity may carry over to increased self-regulation for eating through improved feelings of competence (self-efficacy) and mood. The study recruited women (Meanage = 43 years) with morbid obesity (MeanBMI = 44 kg/m(2)) to participate in 26 weeks of cognitive-behavioral support of physical activity paired with either nutrition education (n = 51) or cognitive-behavioral nutrition (n = 51) methods. Data collected were from 2011 and 2012. Significant improvements in self-regulation for physical activity, self-regulation for eating, overall mood, and self-efficacy for eating, with greater improvement in self-regulation for eating, were observed in the cognitive-behavioral nutrition group. Changes in mood and self-efficacy for eating significantly mediated the relationship between changes in self-regulation for physical activity and self-regulation for eating. When subscales of overall mood and self-efficacy were entered into separate regression equations as mediators, the only significant mediators were vigor, and controlling eating when socially pressured and when increased cues to overeat were present.
['Annesi|James J|JJ|', 'Porter|Kandice J|KJ|', 'Johnson|Ping H|PH|']
D000328:Adult D000339:Affect D015992:Body Mass Index D015928:Cognitive Behavioral Therapy D004032:Diet D004435:Eating D015444:Exercise D005081:Exercise Therapy D005260:Female D006801:Humans D008875:Middle Aged D009043:Motor Activity D009752:Nutritional Status D009767:Obesity, Morbid D010353:Patient Education as Topic D020377:Self Efficacy D012927:Social Control, Informal D016896:Treatment Outcome D015431:Weight Loss D061217:Weight Reduction Programs
physical activity obesity behavior self-efficacy nutrition psychosocial