title: Effects of group- versus home-based exercise in the treatment of obesity.
abstract: This study examined the effects of 2 aerobic exercise regimens on exercise participation, fitness, eating patterns, treatment adherence, and weight change in 49 obese women undergoing a year-long behavioral weight loss program. Participants were assigned randomly to weight loss treatment plus either group- or home-based exercise. All participants were instructed to complete a moderate-intensity walking program (30 min/day, 5 days/week). Group exercise participants were provided with 3 supervised group exercise sessions per week for the first 26 weeks and with 2 sessions per week thereafter. Home exercise participants were instructed to complete all exercise in their home environment. After 6 months, both conditions displayed significant improvements in exercise participation, fitness, eating patterns, and weight loss. At 12 months, the home-based program showed superior performance to the group condition in exercise participation and treatment adherence; at 15 months, participants in the home program demonstrated significantly greater weight losses than those in the group program.
authors.affiliation: Department of Clinical and Health Psychology, University of Florida, Gainesville 32610-0165, USA.
authors.forename: M G
authors.initials: MG
authors.lastname: Perri
authors.forename: A D
authors.initials: AD
authors.lastname: Martin
authors.forename: E A
authors.initials: EA
authors.lastname: Leermakers
authors.forename: S F
authors.initials: SF
authors.lastname: Sears
authors.forename: M
authors.initials: M
authors.lastname: Notelovitz
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D003131:Combined Modality Therapy; D015444:Exercise / Q000523:psychology; D005260:Female; D006126:Group Processes; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D009765:Obesity / Q000628:therapy*; D010349:Patient Compliance; D012648:Self Care / Q000592:standards*; D016896:Treatment Outcome; D015431:Weight Loss