1. Effects of Women's Body Satisfaction, Emotional Eating, and Race on Short-, Mid-, and Long-term Weight Loss.
- Author
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Annesi, James J. and Powell, Sara M.
- Subjects
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OBESITY treatment , *COMMUNITY health services , *STATISTICAL models , *REPEATED measures design , *WEIGHT loss , *AFRICAN Americans , *BODY weight , *MULTIPLE regression analysis , *PSYCHOLOGY of women , *EMOTIONS , *WHITE people , *DESCRIPTIVE statistics , *TREATMENT effectiveness , *RACE , *FOOD habits , *ANALYSIS of variance , *COGNITIVE therapy - Abstract
To improve understanding of psychosocial factors, their changes, and racial differences with implications for behavioral obesity treatments. Women with obesity of White (n = 64) and Black (n = 33) racial groups participated in cognitive-behavioral community-based obesity treatment and were assessed on body satisfaction, emotional eating, and weight changes over 3, 6, 12, and 24 months via mixed-model repeated-measures analysis of variance and stepwise multiple regression analyses. Baseline body satisfaction scores were significantly higher (P < 0.001) in Black participants. White participants had significantly higher (P = 0.04) emotional eating scores. Significant overall improvements (P < 0.001) in body satisfaction, emotional eating, and weight were found, with weight reduction significantly greater (P = 0.05) among the White women. Weight reductions were significantly predicted by changes in body satisfaction and emotional eating (R 2 = 0.12–0.20, P < 0.01). When racial group was entered into the analyses, the explained variance in weight change over 6 and 12 months significantly increased (P < 0.05). Findings suggest addressing body satisfaction, emotional eating, and racial differences by adjusting obesity treatment targets could improve outcomes. Research-to-practice needs include a control group and further identification/elucidation of other psychosocial and economic factors that might affect outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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