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Background: Exercising at a consistent versus variable time of day cross-sectionally relates to greater moderate to vigorous physical activity (MVPA) among weight loss maintainers. This study evaluated the relationships between exercise timing and both MVPA levels and habit strength, as well as stability in exercise timing, over 1 year among maintainers in the National Weight Control Registry. Methods: Participants (n = 709) completed questionnaires assessing exercise timing, MVPA, and exercise automaticity (a measure of habit) at baseline and 1-year follow-up. At each assessment, participants were labeled temporally consistent exercisers if >50% of their exercise sessions per week occurred in one time window: early morning, late morning, afternoon, or evening. Participants exercising consistently during the same window at both assessments were labeled as having stable patterns. Results: Temporally consistent exercise at baseline, regardless of its specific time, related to greater MVPA over time (Ps<.05). Approximately half of temporally consistent exercisers at baseline exhibited stable patterns. Early morning exercise and greater exercise automaticity at baseline predicted stable patterns (Ps<.005). Temporally consistent exercise, especially during the early morning, related to greater automaticity across time (Ps<.01). Conclusions: Consistent exercise timing may help maintainers accrue more MVPA. Consistent early morning exercise was most strongly related to exercise automaticity and routine stability. [ABSTRACT FROM AUTHOR]

Background: This study examines whether performance of bout-related physical activity (PA) during morning hours is related to greater overall bout-related PA increases within a preoperative PA intervention for bariatric surgery (BS) patients. Methods: Participants with severe obesity (n = 33; mean age = 45.6 ± 9.6 years; BMI = 45.7 ± 7.0 kg/m2) seeking BS were randomized to and completed 6 weeks of preoperative PA counseling (retention = 82.5%). Participants were encouraged to walk daily at a moderate intensity in bouts ≥ 10 minutes during morning hours to overcome time-related obstacles and establish a PA habit. Timing and amount of bout-related moderate-to-vigorous PA (MVPA) was assessed via objective monitor at pre- and postintervention. Results: Greater proportion of bout-related MVPA performed during morning hours (4:00 AM-12:00 PM) at postintervention was associated with larger total increases in bout-related MVPA minutes/day (β = .40, P = .03). At postintervention, a greater proportion of participants whose longest MVPA bouts occurred during morning hours (n = 11) achieved the public health guideline (ie, ≥150 bout-related MVPA minutes/week) versus those whose longest MVPA bouts occurred during nonmorning hours (n = 19; 63.6% vs. 26.3%, P = .04). Conclusions: Intervention-related increases in PA tended to be greatest when PA was performed in the morning. Morning exercise may be a viable strategy for promoting habitual PA in inactive BS patients. [ABSTRACT FROM AUTHOR]

Background: Physical activity (PA) is enjoyable, but there are barriers to participation. TV viewing is highly enjoyable with limited barriers. Exercising while viewing TV may impact enjoyment, exercise self-efficacy, and barriers to PA, compared with exercising without TV. Methods: 58 sedentary, overweight adults were randomized to 1 of 2 PA prescriptions: one that increased PA during TV viewing (TV Commercial Stepping), and another that focused solely on PA (Walking). Random effects models tested changes in enjoyment of TV and PA, exercise self-efficacy, and barriers to PA across time (baseline, 3, and 6 months) and PA prescription during a 6-month PA intervention. Results: At baseline, TV was more enjoyable than PA. Over the 6-month intervention, enjoyment of TV viewing did not change, but enjoyment of PA and exercise self-efficacy significantly increased, while barriers to PA significantly decreased for both groups compared with baseline (P < .05). Conclusions: While enjoyment of TV viewing remained constant, PA became more enjoyable, confidence to exercise increased, and barriers to being active were reduced for previously sedentary adults participating in a behavioral PA intervention. These findings highlight the importance of encouraging inactive adults to engage in some form of PA, whether it occurs with or without TV viewing. [ABSTRACT FROM AUTHOR]

This review explores the hypothesis that a consistent exercise time, especially consistent morning exercise, improves exercise adherence and weight management for individuals with overweight or obesity. We discuss data supporting this premise, identify limitations of current research, and outline directions for future research on exercise timing to more robustly evaluate our thesis. [ABSTRACT FROM AUTHOR]

Purpose: To determine if a treadmill-workstation (TMWS) increases physical activity (PA) and influences anthropometric, body composition, cardiovascular, and metabolic variables in overweight and obese office-workers. Methods: Twelve (mean age= 46.2 ± 9.2 years) overweight/obese sedentary office-workers (mean BMI= 33.9 ± 5.0 kg∙m-2) volunteered to participate in this 9-month study. After baseline measurements of postural allocation, steps per day, anthropometric variables, body composition, cardiovascular, and metabolic variables, TMWS were installed in the participants’ offices for their use. Baseline measurements were repeated after 3 and 9 months. Comparisons of the outcome variables were made using repeated-measures ANOVAs or nonparametric Friedman's Rank Tests. Results: Between baseline and 9 months, significant increases were seen in the median standing (146-203 min∙day-1) and stepping time (52-90 min∙day-1) and total steps/day (4351-7080 steps/day; P< .05). Correspondingly, the median time spent sitting/lying decreased (1238-1150 min∙day-1). Using the TMWS significantly reduced waist (by 5.5 cm) and hip circumference (by 4.8 cm), low-density lipoproteins (LDL) (by 16 mg∙dL-1), and total cholesterol (by 15 mg∙dL-1) during the study (P < .05). Conclusion: The additional PA energy expenditure from using the TMWS favorably influenced waist and hip circumferences and lipid and metabolic profiles in overweight and obese office-workers. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to evaluate whether consistency in time of day that moderate- to vigorous-intensity physical activity (MVPA) is performed relates to MVPA levels among successful weight loss maintainers in the National Weight Control Registry.Methods: Participants (n = 375) reporting MVPA on ≥ 2 d/wk completed measures of temporal consistency in physical activity (PA) (> 50% of MVPA sessions per week occurring during the same time window: early/late morning, afternoon, or evening), PA levels, PA automaticity, and consistency in cues underlying PA habit formation (e.g., location).Results: Most (68.0%) participants reported temporally consistent MVPA. These individuals reported higher MVPA frequency (4.8 ± 1.6 vs. 4.4 ± 1.5 d/wk; P = 0.007) and duration (median [IQR]: 350.0 [200.0-510.0] vs. 285.0 [140.0-460.0] min/wk; P = 0.03), and they were more likely to achieve the national MVPA guideline (≥ 150 min/wk) than temporally inconsistent exercisers (86.3% vs. 74.2%, P = 0.004). Among temporally consistent exercisers, 47.8% were early-morning exercisers; MVPA levels did not differ by time of day of routine MVPA performance (P > 0.05). Greater automaticity and consistency in several cues were related to greater MVPA among all participants.Conclusions: Most participants reported consistent timing of MVPA. Temporal consistency was associated with greater MVPA, regardless of the specific time of day of routine MVPA performance. Consistency in exercise timing and other cues might help explain characteristic high PA levels among successful maintainers. [ABSTRACT FROM AUTHOR]

Objective: To evaluate a commercial online weight loss program and activity tracker, which are popular but have unknown efficacy.Methods: Two hundred seventy-nine participants with BMI 27 to 40 kg/m2 were randomized to 12 months of the Weight Watchers Online program alone (WWO) or with the ActiveLink® activity tracking device (WWO+AL) or an online newsletter (Control).Results: Weight losses at 3 months were significantly greater in WWO (2.7 kg [95% confidence interval (CI), 2.0-3.5 kg] than Control (1.3 kg [95% CI, 0.5-2.0 kg]; P = 0.01); neither differed from WWO+AL (2.0 kg [95% CI, 1.3-2.7 kg]; Ps > 0.56). Significantly more WWO participants (24.5%) achieved ≥ 5% weight loss at 3 months than Control (9.4%) (P = 0.01); neither differed from WWO+AL (17.6%) (Ps = 0.13-0.28). At 12 months, there were no significant differences between groups in weight loss (Ps > 0.52). WWO (25.5%) continued to have a higher proportion of participants achieving ≥ 5% weight loss than Control (12.9%) (P = 0.04); neither differed from WWO+AL (14.3%) (Ps > 0.10). There were no significant between-group differences in change in physical activity (Ps > 0.17).Conclusions: WWO produced significantly more weight loss at 3 months relative to Control, but not at 12 months. Significantly more WWO than Control participants lost ≥ 5% at both 3 and 12 months. Participants receiving an activity tracking device did not achieve greater weight loss or physical activity increases than those in a Control condition. [ABSTRACT FROM AUTHOR]

Background This investigation examined whether exposure to greater active videogame variety increases moderate- to vigorous-intensity physical activity (MVPA). Methods Twenty-three participants (age = 22.7 ± 4.2 yrs; body mass index = 23.5 ± 3.0 kg/m 2 ; self-reported MVPA = 298.7 ± 116.7 min/wk; 62.2% female; 73.9% Caucasian) participated in VARIETY (4 different active videogames during 4, 15-min bouts) and NON-VARIETY (only 1 active videogame during 4, 15-min bouts) counterbalanced sessions. VARIETY provided a different active videogame in each bout. NON-VARIETY provided participants their most highly liked active videogame in each bout. The Sensewear Mini Armband objectively assessed MVPA. Results For MVPA minutes, a session × bout (p < 0.05) interaction occurred. In NON-VARIETY, bouts 2, 3, and 4 had significantly (p < 0.05) fewer minutes than bout 1, with no decrease occurring in VARIETY. In bout 4, VARIETY had significantly (p < 0.05) more minutes than NON-VARIETY. A main effect of session (p < 0.05) occurred for MVPA minutes and energy expenditure, with VARIETY achieving greater amounts (31.8 ± 14.3 min vs. 27.6 ± 16.9 min; 186.1 ± 96.8 kcal vs. 171.2 ± 102.8 kcal). Conclusions Exposure to greater activity variety within a session increased MVPA. Future research should examine exposure to a variety of activities over a longer time frame with participants of differing lifestyles in free-living environments. [ABSTRACT FROM AUTHOR]

It is the position of the Academy of Nutrition and Dietetics that successful treatment of overweight and obesity in adults requires adoption and maintenance of lifestyle behaviors contributing to both dietary intake and physical activity. These behaviors are influenced by many factors; therefore, interventions incorporating more than one level of the socioecological model and addressing several key factors in each level may be more successful than interventions targeting any one level and factor alone. Registered dietitian nutritionists, as part of a multidisciplinary team, need to be current and skilled in weight management to effectively assist and lead efforts that can reduce the obesity epidemic. Using the Academy of Nutrition and Dietetics’ Evidence Analysis Process and Evidence Analysis Library, this position paper presents the current data and recommendations for the treatment of overweight and obesity in adults. Evidence on intrapersonal influences, such as dietary approaches, lifestyle intervention, pharmacotherapy, and surgery, is provided. Factors related to treatment, such as intensity of treatment and technology, are reviewed. Community-level interventions that strengthen existing community assets and capacity and public policy to create environments that support healthy energy balance behaviors are also discussed. [ABSTRACT FROM AUTHOR]

Background: The use of mobile phones for physical activity (PA) promotion and assessment represents an attractive research area because this technology is characterized by a widespread reach and dynamic features.Purpose:The purpose of this study was to conduct a systematic review of mobile phone–based approaches for encouraging and assessing PA.Methods:Eligible studies were identified through a search of PubMed and PsycINFO and required to address the usability of mobile phones for PA promotion and/or measurement, be written in English, and be published in a peer-reviewed journal between 2010 and 2013.Results:Fifty-two studies were included in this review. The use of mobile phones for PA promotion, assessment, and both promotion and assessment were addressed by 27, 19, and 6 studies, respectively. Out of 26 studies that reported a PA behavior change outcome, 13 observed favorable PA changes, 3 found mixed results, and 10 found no improvements. Ten studies examined the validity of mobile phones for PA assessment and 9 reported favorable outcomes. Participants found mobile phones to be highly acceptable.Discussion:The findings suggest that mobile phones have great potential as a PA promotion and assessment tool among a variety of individuals.Translation to Health Education Practice:Mobile phones may provide practitioners with efficient ways to promote PA and valid ways to assess PA. [ABSTRACT FROM PUBLISHER]

The article discusses a study which evaluated the relationship between physical activity (PA) and moderate- to vigorous-intensity PA (MVPA) strength output and body mass index (BMI). It describes how the study was conducted and discusses the use of the Physical Activity Readiness Questionnaire in determining the participants' eligibility. It also cites an increase in the MVPA strength output as PA varied weekly during treatment for obesity.

Purpose: Excessive sedentary time (SED) has been linked to obesity and other adverse health outcomes. However, few sedentary-reducing interventions exist and none have utilized smartphones to automate behavioral strategies to decrease SED. We tested a smartphone-based intervention to monitor and decrease SED in overweight/obese individuals, and compared 3 approaches to prompting physical activity (PA) breaks and delivering feedback on SED. Design and Methods: Participants [N = 30; Age  = 47.5(13.5) years; 83% female; Body Mass Index (BMI) = 36.2(7.5) kg/m2] wore the SenseWear Mini Armband (SWA) to objectively measure SED for 7 days at baseline. Participants were then presented with 3 smartphone-based PA break conditions in counterbalanced order: (1) 3-min break after 30 SED min; (2) 6-min break after 60 SED min; and (3) 12-min break after 120 SED min. Participants followed each condition for 7 days and wore the SWA throughout. Results: All PA break conditions yielded significant decreases in SED and increases in light (LPA) and moderate-to-vigorous PA (MVPA) (p<0.005). Average % SED at baseline (72.2%) decreased by 5.9%, 5.6%, and 3.3% [i.e. by mean (95% CI) −47.2(−66.3, −28.2), −44.5(−65.2, −23.8), and −26.2(−40.7, −11.6) min/d] in the 3-, 6-, and 12-min conditions, respectively. Conversely, % LPA increased from 22.8% to 26.7%, 26.7%, and 24.7% [i.e. by 31.0(15.8, 46.2), 31.0(13.6, 48.4), and 15.3(3.9, 26.8) min/d], and % MVPA increased from 5.0% to 7.0%, 6.7%, and 6.3% (i.e. by 16.2(8.5, 24.0), 13.5(6.3, 20.6), and 10.8(4.2, 17.5) min/d] in the 3-, 6-, and 12-min conditions, respectively. Planned pairwise comparisons revealed the 3-min condition was superior to the 12-min condition in decreasing SED and increasing LPA (p<0.05). Conclusion: The smartphone-based intervention significantly reduced SED. Prompting frequent short activity breaks may be the most effective way to decrease SED and increase PA in overweight/obese individuals. Future investigations should determine whether these SED reductions can be maintained long-term. Trial Registration: ClinicalTrials.gov NCT01688804 [ABSTRACT FROM AUTHOR]

Objective To develop and validate the Weight Control Strategies Scale (WCSS), a self-report instrument to assess the use of specific behaviors thought to facilitate weight loss. Design and Methods Factor analysis was conducted on 323 overweight and obese adults (mean age = 48.7 ± 10.9 years, mean body mass index = 35.4 ± 4.9 kg/m2, 74% female) enrolled in three different behavioral weight loss trials who completed the WCSS prior to starting treatment. To evaluate construct validity, additional data on dietary intake, physical activity, treatment session attendance, and weight change were obtained from a subsample of participants before and after participation in a 48-week weight loss program. Results Principal components analysis with varimax rotation revealed a four-component solution for the WCSS, representing the following subscales: Dietary Choices, Self-monitoring Strategies, Physical Activity, and Psychological Coping (α from 0.79 to 0.89). Longitudinal analyses showed that WCSS subscale scores increased during treatment ( P < 0.01). In adjusted models, changes in WCSS total and subscale scores were associated with post-treatment weight loss ( P < 0.01). Additionally, changes in WCSS Dietary Choices and Physical Activity subscales were related to post-treatment changes in total daily kilocalorie consumption ( P = 0.019) and weekly kilocalorie expenditure through physical activity ( P < 0.001), respectively. Conclusions Findings support the validity and reliability of the WCSS in a weight loss treatment-seeking sample. [ABSTRACT FROM AUTHOR]

Abstract: Objective: To examine the independent effects of physical activity (PA) intensity and choice of PA intensity when comparing affective response to and relative preference for self-selected-intensity versus imposed higher intensity PA. Design: Within-subjects experiment. Methods: Twenty-nine healthy, low-active women completed four PA bouts over two sessions. The first session consisted of a one-third mile self-selected-intensity treadmill walk during which the speed was recorded, but was not visible to the participants. The second session consisted of three, counterbalanced, one-third mile treadmill conditions: (a) self-selected intensity, (b) same intensity as recorded for the first-session-self-selected-intensity walk, but with the intensity imposed by the experimenter (i.e., yoked-self-selected intensity), and (c) intensity set at 20% higher than the first-session-self-selected-intensity walk (imposed higher intensity). Acute affective valence (pleasure/displeasure) was recorded prior to, during, and following each walking bout. Preference for each walking intensity was assessed using a behavioral-choice paradigm. Results: Contrary to hypotheses, there was no effect of condition on acute affective valence. However, consistent with hypotheses, there was a linear trend, F(1, 22) = 11.00, p = .003, indicating preference in descending order from self-selected-intensity to yoked-self-selected-intensity to imposed higher intensity PA. Conclusions: Both choice over the intensity and a lower intensity per se contributed to greater preference for self-selected-intensity over imposed higher intensity PA among healthy low-active women; however, there was no evidence to support the notion that affective response to PA mediated this relationship. [Copyright &y& Elsevier]

Abstract: Background: Sedentary behavior (SB), independent of physical activity, represents a significant health risk. We previously used objective measures to demonstrate that bariatric surgery candidates engage in high levels of SB overall, but supplementing these measures with subjective reports would provide information about time allocated to different forms of SB. The aim of this study was to examine self-reported time spent performing specific types of SB and discrepancy between self-reported and objectively measured estimates of total sedentary time in bariatric surgery candidates. Methods: A total of 52 bariatric surgery candidates (87% female; age = 46.2±9.1 years; body mass index [BMI] = 45.3±6.7) completed the 9-item Sedentary Behavior Questionnaire (SBQ) as a subjective measure of SB and wore the SenseWear Armband (SWA; SenseWear, Pittsburgh, PA) as an objective measure. Paired samples t tests and the intraclass correlation coefficient (ICC) assessed measurement discrepancy. Results: Television-viewing was the most frequently performed type of SB (2.7±1.6 hours per day), followed by paper/computer work (1.9±1.8 hours per day), driving/riding in automobile (1.2±1.1 hours per day), and sitting/talking on telephone (1.1±1.2 hours per day). On average, the SBQ and SWA produced similar estimates of daily sedentary time (hours per day) at the group level (9.6±4.8 versus 9.3±1.9; mean difference = –.34±4.6; P = .59), although agreement between the measures at the individual level was poor (mean absolute value of difference = 3.8±2.8 hours per day; ICC = .22; P = .06). Conclusion: Television-viewing was the single SB in which participants most frequently engaged and thus may be an important modifiable target for reducing total sedentary time in bariatric surgery candidates. The SBQ and SWA can be used similarly to describe SB levels in this patient population at the group level; however, ability of these measures to produce comparable estimates of sedentary time for any individual patient is limited. [Copyright &y& Elsevier]

Abstract: Dietary goals specific for lowering energy density (ED) may promote a nutrient-dense diet and weight loss. This pilot study examined the effects of ED-based diet prescriptions on diet quality and weight loss during a 3-month behavior-based obesity intervention conducted in a research setting. Forty-four adults with overweight/obesity (age 52.1±7.6 years, body mass index [BMI; calculated as kg/m2] 34.8±4.8, 81.8% women, and 93.2% white) were recruited between December 2009 and March 2010 and randomly assigned to: Low ED (consume ≥10 foods ≤1.0 kcal/g dietary ED and ≤2 foods ≥3.0 kcal/g dietary ED per day (n=15); Low-Energy, Low-Fat (1,200 to 1,500 kcal/day, ≤30% energy from fat (n=15); or Low-ED, Low-Energy, Low-Fat (n=14). Participants received 12 weekly group sessions led by a research interventionist. Dietary intake (measured by 3-day food records), self-reported physical activity, and weight were measured at baseline and 3 months. Intent-to-treat analyses showed all conditions reduced dietary ED and energy intake (P<0.001). Low-ED and Low-ED, Low-Energy, Low-Fat interventions increased fruit consumption (P<0.05). All conditions increased self-reported physical activity (P<0.001), with no difference between conditions. Although participants in all conditions lost weight (P<0.001), those in the Low-ED condition lost more (P<0.05) than those in the Low-ED, Low-Energy, Low-Fat condition (Low-ED −20.5±7.0 lb, Low-Energy, Low-Fat −16.9±10.1 lb, and Low-ED, Low-Energy, Low-Fat −12.5± 6.5 lb). A diet prescription that lowered ED increased fruit intake and enhanced weight loss compared with other weight loss prescriptions. [Copyright &y& Elsevier]

Background: Dietary variety is a factor that influences consumption but has received little attention in obesity treatment. Objective: This study examined the effect of limiting the variety of different non-nutrient-dense, energy-dense foods (NND-EDFs) (ie, chips, ice cream, cookies) on dietary intake and weight loss during an 18-mo lifestyle intervention. Design: Two hundred two adults aged 51.3 ± 9.5 y with a BMI (in kg/m2) 34.9 ± 4.3 (57.8% women, 92.2% white) were randomly assigned to 1 of 2 interventions: Lifestyle (1200-1500 kcal/d, ≤30% of energy as fat; n = 101) or Lifestyle + limited variety (LV) (limit variety of NND-EDFs, ie, 2 choices; n = 101). Both interventions involved 48 group sessions. Dietary intake, NND-EDF hedonics, NND-EDF variety in the home, and weight were assessed at 0, 6, 12, and 18 mo. Results: Intent-to-treat analyses showed that the Lifestyle+LV group consumed less variety (P < 0.01) and energy daily (P < 0.05) from NND-EDFs than did the Lifestyle group at 6, 12, and 18 mo. The Lifestyle+LV group consumed less total energy daily (P < 0.05) at 6 mo than did the Lifestyle group. The Lifestyle+LV group reported less (P < 0.05) NND-EDF variety in the home at 6 and 18 mo than did the Lifestyle group. The hedonics of one chosen NND-EDF decreased more (P < 0.05) in the Lifestyle+LV group. Despite these effects, no difference in percentage weight loss occurred at 18 mo (Lifestyle+LV: -9.9 ± 7.6%; Lifestyle: -9.6 ± 9.2%). Conclusions: Limitations in dietary variety decreased intakes in the targeted area but did not affect weight loss. Limiting variety in more areas may be needed to improve weight loss and weight-loss maintenance. This trial was registered at clinicaltrials.gov as NCT01096719. [ABSTRACT FROM AUTHOR]

Eating frequency has been inversely related to BMI but the impact of eating frequency on weight loss is unclear. This randomized controlled trial pilot study examined the effect of eating frequency on hunger, energy intake, and weight loss during a 6-month behavioral weight loss intervention. Participants (age: 51.0 ± 9.9 years, BMI: 35.5 ± 4.8 kg/m2, 57.8% female, 94.1% white) were randomized to one of two eating frequency prescriptions: Three meal (n = 25): three eating bouts/day; or grazing (n = 26): eat at least 100 kcals every 2-3 h. Both groups attended 20 sessions and had identical dietary (1,200-1,500 kcals/day, <30% kcals from fat) and physical activity goals (200 min/week). Assessments were conducted at 0, 3, and 6 months. Using intent-to-treat analyses, grazing reported a greater eating frequency than three meal at 6 months (5.8 ± 1.1 eating bouts/day vs. 3.2 ± 0.6 eating bouts/day, P < 0.001). Grazing reported a significant reduction in hunger from 0 to 6 months (56.3 ± 15.7 mm vs. 47.9 ± 18.5 mm, P < 0.05). Energy intake and BMI were significantly (P < 0.001) reduced from 0 to 6 months (energy intake: 2,198 ± 692 kcals/day vs. 1,266 ± 353 kcals/day; BMI: 35.5 ± 4.8 kg/m2 vs. 30.6 ± 4.9 kg/m2). There were no significant differences in energy intake or BMI between the groups. While eating more frequently reduced hunger, it may not be related to greater reductions in energy intake or BMI during a behavioral weight loss intervention. [ABSTRACT FROM AUTHOR]

Given the importance of physical activity (PA) for weight control, identifying strategies to achieve higher PA levels is imperative. We hypothesized that performing a greater variety of self-reported moderate-to-vigorous activities (MVPAs) would relate to higher objectively measured MVPA minutes in two groups who were successfully maintaining their body weight: weight loss maintainers (WLM/n = 226) and normal-weight individuals (NW/n = 169). The Paffenbarger Questionnaire and RT3 accelerometer were used to determine variety/number of different MVPAs performed and MVPA minutes, respectively. The variety/number of different activities performed by WLM and NW was similar (1.8 ± 1.2 versus 1.7 ± 1.2, P = 0.52). Regression analyses showed that greater variety (P < 0.01) and WLM status (P < 0.05) were each positively related to greater MVPA minutes/day and meeting the ⩾250 MVPA minutes/week guideline for long-term weight maintenance. The association between greater variety and higher MVPA was similar in NW and WLM. Future studies should test whether variety can facilitate engagement in higher MVPA levels for more effective weight control. [ABSTRACT FROM AUTHOR]

Objective. To determine whether eating, sedentary, and physical activity behaviors differ on weekdays and weekends in a sample of children who are overweight and obese. Methods. Eighty-one children aged 6-9 years old who were overweight or obese and enrolled in a weight management program completed three-day food diaries and three-day Previous Day Physical Activity Recalls (PDPARs) for two weekdays and one weekend day. All data were obtained at baseline prior to intervention delivery. Results. Children consumed a greater percentage of calories from fat ( t == 2.15, p == 0.04) and fewer fruits ( t == 6.83, p < 0.001), vegetables ( t == 2.91, p == 0.002), non-nutrient dense (NND) snack foods ( t == 5.58, p < 0.001), and sweetened drinks ( t == 2.91, p == 0.005) on weekends. Children watched more television ( t == 5.25, p < 0.001), expended more energy ( t == 4.37, p < 0.001), and spent a greater percentage of time in moderate-to-vigorous physical activity ( p < 0.001) on weekends compared to weekdays. Conclusions. Findings demonstrate a number of differences in children's eating and activity habits on weekends and weekdays. They also suggest that attending to differences in food intake and activity habits on weekdays and weekends separately may help to identify periods of high risk, which could be modified with effective intervention approaches. Trial Registration Numbers: NCT00259324, NCT00200265. [ABSTRACT FROM AUTHOR]

Observational studies of the relationship between TV viewing and health outcomes (overweight/obesity, cholesterol/lipids, blood pressure/hypertension, type 2 diabetes, and metabolic syndrome) in adults are reviewed. Studies indicate that in adults, greater amounts of TV viewing are consistently associated with increased overweight risk, both cross-sectionally and longitudinally, but that results are mixed regarding the relationship between adult TV viewing and other health outcomes. It is theorized that greater TV viewing is related to increased weight status and poorer health outcomes by reducing energy expenditure, predominantly through reducing time spent in physical activity, and increasing energy intake. No randomized trials that manipulated TV viewing time measured the effects of this manipulation on diet and physical activity and then measured future health outcomes in adults. However, experimental studies, predominantly conducted in children, show relationships between TV viewing, energy intake, physical activity, and weight status, which follow the hypothesized mechanisms. Interventions targeting TV viewing in adults appear to be justified, and proposed methods for conducting these interventions, as well as potential barriers to implementing these interventions, are discussed. [ABSTRACT FROM PUBLISHER]

Obese children were randomly assigned to a family-based behavioral treatment that included either stimulus control or reinforcement to reduce sedentary behaviors. Significant and equivalent decreases in sedentary behavior and high energy density foods, increases in physical activity and fruits and vegetables, and decreases in standardized body mass index (z-BMI) were observed. Children who substituted active for sedentary behaviors had significantly greater z-BMI changes at 6 (-1,21 vs. -0,76) and 12 (-1.05 vs. -0.51) months, respectively. Substitution of physically active for sedentary behaviors and changes in activity level predicted 6- and 12-month z-BMI changes. Results suggest stimulus control and reinforcing reduced sedentary behaviors are equivalent ways to decrease sedentary behaviors, and behavioral economic relationships in eating and activity may mediate the effects of treatment. [ABSTRACT FROM AUTHOR]

The authors reflect on a study on the link of watching television and children's and adolescents' weight status with disease risks. They discuss the use of the term sedentary in describing behaviors that do not meet the level of energy consumption equal to moderate physical activity. They tackle various mechanisms in which sedentary behaviors have negative effects on health such as the reduction of energy expenditure when watching television.

Objective: To determine associations among objectively-measured nocturnal sleep time, bedtime and obesogenic behaviors, including dietary intake, timing of intake, and physical activity, in a diverse sample of school-aged children who presented for behavioral treatment to enhance sleep duration.Methods: Eighty-seven children (8-11 y, 66.7% female, zBMI: 0.86 ± 1.0) who self-reported sleeping <9.5 h/night were studied for one week using wrist actigraphy to estimate sleep; hip-worn accelerometers to measure physical activity; and 24 h dietary recalls to capture dietary intake and meal timing. Pearson and Spearman's rho correlations and linear regressions controlling for age, gender and race were used for statistical analyses.Results and Conclusion: Mean bedtime was 10:31 PM (±58.2 min) and mean nocturnal sleep time was 7.7 h (±37.5 min). Although later bedtime was associated with shorter sleep time (r = -0.61, p < 0.001), the two variables were differentially related to obesity risk factors. Later bedtime, but not sleep time, correlated with greater daily fat intake, later first meal of the day, and greater after-dinner intake (all p < 0.05). Nocturnal sleep time, but not bedtime, correlated with zBMI (p = 0.04). Both sleep time and later bedtime were associated with a later last meal of the day (all p < 0.05). Findings remained consistent after controlling for demographic factors. In short-sleeping school-aged children, bedtime may be more predictive of dietary obesity risk factors whereas sleep duration may be more predictive of zBMI. Results suggest that health providers should consider both bedtime and sleep duration for reducing obesity risk in children.Clinical Trial: Enhancing Sleep Duration: Effects on Children's Eating and Activity Behaviors, NCT03186508, https://clinicaltrials.gov/ct2/show/NCT03186508. [ABSTRACT FROM AUTHOR]

Abstract: Acute energy and macronutrient intake following an Exercise and Control protocol was compared to determine if active, normal-weight males regulate acute energy intake better, demonstrating more acute accurate energy compensation capabilities, than inactive, normal-weight males after exercise. Males (21.2±1.9years) of normal percent body fat (10.0–18.0%) and body mass index (23.4±1.7kg/m2), exercising ⩾150min/week (Active: n =10) or ⩽60min/week (Inactive: n =10), completed two protocols, counterbalanced across participants. The exercise protocol (Exercise) was 45-min on a cycle ergometer and the Control protocol consisted of 45-min of reading. Sixty minutes after protocols, an ad libitum meal was provided. Energy and macronutrient intake from the meal was determined. Inactive ate significantly less energy in the ad libitum meal in Exercise as compared to Control, demonstrating acute negative energy compensation (consumed less in the meal while expending more energy in Exercise as compared to Control). Active had no difference in meal energy intake between the protocols, but due to Inactive’s reduced acute energy intake in Exercise, Active demonstrated better acute energy compensation than Inactive. No difference in meal macronutrient intake was found. Overall, Active demonstrated better acute energy compensation than Inactive. [Copyright &y& Elsevier]

We propose that enjoyment is an important factor in the adoption and long-term maintenance of exercise. Television (TV) viewing is believed to be a highly enjoyed leisure-time activity, combining it with exercise may make for a more enjoyable exercise experience. The objective of this study was to examine the effects of television (TV) viewing on psychological and physiological variables during a moderate-intensity exercise bout. Twenty-eight insufficiently active (<150 minutes per week of moderate intensity PA and/or 75 minutes of vigorous PA) adults (Age: M = 47.4 ± 7.6 years) participated in this study. Each participant performed three separate 30-minute walking bouts on a motorized treadmill. During each bout, participants watched a program they selected (30-minute scripted show) (self-selected TV condition), a British Broadcasting Corporation (BBC) nature program (standardized TV condition), or no TV program (no TV condition). Participants were unable to select the nature program as their self-selected program, as it was not a 30-minute scripted program. A Polar Heart Rate (HR) monitor and validated surveys on affect and enjoyment were used. Participants reported greater enjoyment of exercise for both self-selected and standardized TV conditions (97.1 ±15.2 and 92.7 ± 15.2), compared to the No TV condition (77.5 ± 13.4, p < 0.001). The two TV conditions resulted in similar levels of focus on TV viewing (self-selected TV: 81.2 ± 19.7; standardized TV: 79.1 ± 14.2, p > 0.05) and dissociation from walking (self-selected TV: 38.1 ± 6.7 and standardized TV: 33.2 ± 3.9); they also resulted in more dissociation than the no TV condition (TV: 72.6 ± 5.6, p = 0.002). The findings indicate that TV viewing, regardless of whether the programming is self-selected or standardized, associates with greater enjoyment of exercise. [ABSTRACT FROM AUTHOR]

Prevention is a priority in the absence of a cure for dementia. Physical activity and a neuroprotective diet such as the Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND) diet are healthy lifestyle behaviors that may slow the onset of dementia. However, research on the relationship between the combination of physical activity and the MIND diet and cognition is rare. The purpose of this study was to investigate whether the combination of high-intensity physical activity and the MIND diet is associated with better cognition compared with either behavior alone or neither behavior. A population-based, cross-sectional study was conducted using data from the Health and Retirement Study. Using information from a total of 3463 participants (age 68.0 ± 10.0 years), multivariate linear regression models and binary logistic regression models with interaction terms between high-intensity physical activity (PA) and the MIND diet (MIND) were used to assess associations of PA and MIND with global cognition and odds of cognitive decline. Group comparisons were conducted among four groups: PA −/MIND −, PA +/MIND −, PA −/MIND +, and PA +/MIND +. PA +/MIND − did not predict cognitive outcomes (versus PA −/MIND −). PA −/MIND + was associated with better global cognition (mean difference [d] = 0.81; 95% confidence interval [CI] = 0.50–1.11; p < 0.001) and lower odds of cognitive decline (odds ratio [OR] = 0.68; 95% CI = 0.54–0.86; p = 0.001) (versus PA −/MIND −). PA +/MIND + predicted better global cognition (d = 0.98; 95% CI = 0.59–1.36; p < 0.001) and lower odds of cognitive decline (OR = 0.69; 95% CI = 0.50–0.94; p = 0.004) (versus PA −/MIND −). PA +/MIND + was associated with better global cognition (d = 0.60; 95% CI = 0.08–1.12; p < 0.001), but did not predict lower odds of cognitive decline (versus PA +/MIND −). PA +/MIND + did not predict cognitive outcomes (versus PA −/MIND +). Combining high-intensity physical activity and the MIND diet was associated with better cognitive health than high-intensity physical activity alone or non-adherence to both behaviors. To potentially exert additive effects, it will be important to encourage these two healthy habits. More research on the role of combined physical activity and dietary change is necessary to further inform policy and clinical guidance. [ABSTRACT FROM AUTHOR]

Abstract: Little is known as to how 6-n-propylthiouracil (PROP) taster status may influence changes in dietary intake in adults participating in a lifestyle intervention to assist with reducing weight. This secondary data analysis examined changes in energy, percent energy from macronutrients, and food group intake; physical activity; and body mass index (BMI) in super-tasters and non-tasters participating in two randomized controlled trials implementing a lifestyle obesity intervention. One trial focused on lowering energy density of the diet and the other trial focused on changing eating frequency. Overweight and obese participants (n=57) who completed measures of dietary intake, physical activity, and anthropometrics at 0 and 3months were included in the analyses. Taster status was determined at baseline: 46 non-tasters and 11 super-tasters. After controlling for condition assignment and baseline values, results indicated that a significantly greater reduction in energy intake occurred for super-tasters as compared to non-tasters (−1149±561kcal/day vs. −902±660kcal/day, p<0.05). No other significant differences in changes in dietary intake, physical activity, or BMI were found. These results suggest that in situations of reducing energy intake, overweight and obese super-tasters may be more successful than overweight and obese non-tasters. More research is needed to understand the influence of taster-status on dietary change during a lifestyle intervention and how this may impact weight loss. [Copyright &y& Elsevier]

This publication describes the rationale and protocol, including design, aims, intervention, and measures, of Families Becoming Healthy Together, a randomized clinical trial examining the effect of a limited RED (non-nutrient-dense, energy-dense) food variety prescription delivered within an 18-month family-based behavioral obesity treatment (FBT) on body mass index (BMI) and habituation rate to RED foods. One hundred fifty-six children (ages: 8–12 y; BMI: ≥ 85th percentile-for-age) and a caregiver (BMI: ≥ 25 kg/m2), both with overweight or obesity, will be randomized to one of two, interventions: FBT or FBT + Variety. All participants will receive 29 sessions of FBT and be prescribed the Traffic Light Diet (1000–1500 kcal/day, ≤ 2 RED food servings/day), and a physical activity goal (≥ 60 min/day [child] or 150 min/week [adult] of moderate-vigorous physical activity (MVPA)). FBT + Variety will also identify two RED foods, a dinner entrée and snack food, and develop meal plans that reduce variety of RED foods by regularly consuming these foods and limiting consumption of other RED foods. Measures of anthropometrics, dietary intake, habituation of salivary response to food cues, and physical activity will be assessed at 0, 6, 12, and 18-months. This study translates a line of basic behavioral research examining how dietary variety influences habituation into a dietary prescription that will be tested within an efficacy trial. It is hypothesized that a novel, limited dietary variety prescription within FBT should promote a faster food habituation rate, reducing energy intake and amplifying long-term weight loss in children. [ABSTRACT FROM AUTHOR]