Back to Search
Start Over
Impact of a Weight Management Intervention on Eating Competence: Importance of Measurement Interval in Protocol Design.
- Source :
-
American journal of health promotion : AJHP [Am J Health Promot] 2018 Mar; Vol. 32 (3), pp. 718-728. Date of Electronic Publication: 2017 Mar 07. - Publication Year :
- 2018
-
Abstract
- Purpose: To examine changes in eating competence (EC) in 12-month weight loss intervention.<br />Design: Randomized, parallel-arm with weight loss phase (baseline to month 4) and weight-maintenance phase (months 4-12).<br />Setting: Face-to-face in University classrooms, supervised and self-directed fitness sessions at University fitness center, and home.<br />Participants: Premenopausal, mostly college-educated Pennsylvania women, body mass index >25 (n = 101).<br />Intervention: Twenty-eight, 1-hour classes tailored for extremes of the Dietary Guidelines' fat recommendations, based on social cognitive theory, problem-based learning delivery over 12 months. Exercise component included supervised and self-directed stretching, aerobics, and strength training.<br />Measures: Anthropometrics, lipid profile, blood pressure, 24-hour dietary recalls, cognitive behavioral measures, Satter Eating Competence Inventory (ecSI).<br />Analysis: General linear model repeated measures analysis of variance for outcome variables.<br />Results: A total of 40% (n = 40) completed the ecSI. Overall, education and supervised exercise session attendance were 77% and 88%, respectively. Similar weight loss for lower and moderate fat groups (6.7 kg and 5.4 kg). The EC was unchanged baseline to month 4 but increased significantly from months 4 to 12, baseline to month 12 for both groups. The EC change baseline to month 12 was inversely associated with weight change from baseline to months 4 and 12.<br />Conclusion: Weight management interventions, likely to introduce concerns with eating attitudes, behaviors, and foods, can reduce EC. Short-term measurement of EC change captures these consequent adjustments without opportunity to regain self-efficacy. Extending the measurement interval better reflects intervention impact on EC.
- Subjects :
- Adult
Blood Pressure
Body Image
Body Mass Index
Body Weight
Body Weights and Measures
Female
Health Behavior
Humans
Lipids blood
Middle Aged
Pennsylvania
Self Efficacy
Socioeconomic Factors
Exercise psychology
Feeding Behavior psychology
Health Education organization & administration
Weight Reduction Programs organization & administration
Subjects
Details
- Language :
- English
- ISSN :
- 2168-6602
- Volume :
- 32
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- American journal of health promotion : AJHP
- Publication Type :
- Academic Journal
- Accession number :
- 29214863
- Full Text :
- https://doi.org/10.1177/0890117117692201