title: Relations of changes in exercise self-efficacy, physical self-concept, and body satisfaction with weight changes in obese white and African American women initiating a physical activity program.
abstract: OBJECTIVE
  To determine the effectiveness of changes in factors associated with self-efficacy theory for predicting weight change in obese women of two ethnic groups.
  
  
  METHODS
  Obese (body mass index [BMI] > or = 30 kg/m2) White (n = 34) and African American (n = 30) women (mean age 44 years) were assessed on measures of body satisfaction, self-efficacy, and weight change over 20 weeks.
  
  
  METHODS
  Community wellness centers.
  
  
  METHODS
  A supported exercise and nutrition information treatment.
  
  
  METHODS
  Changes in Body Areas Satisfaction Scale (BAS), Physical Self-Concept Scale (PSCS), and Exercise Self-Efficacy Scale (ESES) scores and changes in body weight over 20 weeks.
  
  
  RESULTS
  Significant improvements were found on measures of exercise self-efficacy, body satisfaction, and weight, with a trend (P = .073) toward significantly greater mean weight loss by the White group (-15.5 kg vs -9.1 kg). Linear multiple regression analyses, with simultaneous entry of changes in BAS, PSCS, and ESES scores, significantly predicted changes in weight for both the White (R2 = .25) and African American (R2 = .50) group. The primary predictor of weight change for the White group was change in BAS scores (beta = -.42) and for the African American group was change in ESES scores (beta = -.68).
  
  
  CONCLUSIONS
  Self-efficacy theory was supported as an explanatory model for both groups, with notable differences. Implications for weight loss intervention design and application are discussed.
authors.affiliation: Wellness Department, YMCA of Metropolitan Atlanta, Georgia, USA. jamesa@ymcaatlanta.org
authors.forename: James J
authors.initials: JJ
authors.lastname: Annesi
mesh_terms: D000328:Adult; D001741:Black or African American; D001828:Body Image; D015992:Body Mass Index; D015444:Exercise / Q000523:psychology*; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000523:psychology* / Q000628:therapy; D020377:Self Efficacy; D015431:Weight Loss; D044465:White People