title: Psychosocial factors that have an influence on the effects of obesity improvement programs.
abstract: OBJECTIVE
  The objective of the present study was to clarify the relationship between factors having an influence on obesity improvement programs and psychosocial factors from a more comprehensive point of view.
  
  
  METHODS
  We studied a total of 43 subjects with a body mass index (BMI) of 25 kg/m(2) or higher who wished to take part in an obesity improvement program and agreed to participate in the study. We conducted an obesity improvement program based on behavior change theories for three months and evaluated physical composition, mental health, social support, stress-coping and the like before intervention and immediately after completion of the program.
  
  
  RESULTS
  The average weight showed a significant decrease from 69.0 ± 8.8 kg to 65.7 ± 8.7 kg before and after intervention (p<0.001), respectively. It was also shown that the presence or absence of chronic diseases, social support from a spouse and the decrease of avoidance stress coping were related to weight loss.
  
  
  CONCLUSIONS
  The findings suggest that it will be further necessary to continue working on the need to enhance awareness about stress with a view to preventing occurrence of rebound after the end of weight loss programs and acquisition coping techniques, apart from the cooperation of attending doctors, strengthening of social support from family and friends and managing stress for the duration of the program.
authors: Department of Physical Therapy and Occupational Therapy Sciences, Graduate School of Health Sciences, Hiroshima University, Hiroshima 734-8551, Japan.
authors: Hideaki
authors: H
authors: Hanaoka
authors: Department of Physical Therapy and Occupational Therapy Sciences, Graduate School of Health Sciences, Hiroshima University, Hiroshima 734-8551, Japan.
authors: Hitoshi
authors: H
authors: Okamura
authors: Department of Environmental & Preventive Medicine, Shimane University School of Medicine, Shimane 693-8501, Japan.
authors: Mamiko
authors: M
authors: Iwamoto
authors: Department of Physical Therapy, School of Rehabilitation Sciences at Fukuoka, International University of Health and Welfare, Fukuoka 831-8501, Japan.
authors: Chiaki
authors: C
authors: Yagura
authors: Department of Life Science, Shimane University School of Medicine, Shimane 693-8501, Japan.
authors: Isao
authors: I
authors: Kihara
authors: Department of Human Nutrition, Faculty of Nursing and Human Nutrition, Yamaguchi Prefectural University, Yamaguchi 753-8520, Japan.
authors: Akiko
authors: A
authors: Nogi
authors: Department of Physical Therapy and Occupational Therapy Sciences, Graduate School of Health Sciences, Hiroshima University, Hiroshima 734-8551, Japan.
authors: Hajime
authors: H
authors: Shimizu
authors: Department of Environmental & Preventive Medicine, Shimane University School of Medicine, Shimane 693-8501, Japan.
authors: Kuninori
authors: K
authors: Shiwaku
keywords: overweight; psychosocial; weight loss
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