title: Carry-over of self-regulation for physical activity to self-regulating eating in women with morbid obesity.
abstract: Poor outcomes from behavioral treatments of severe obesity have led to a dependence on invasive medical interventions, including surgery for morbidly obese individuals. Improved methods to self-regulate eating will be required to reduce obesity. The use of self-regulation methods for completing physical activity may carry over to increased self-regulation for eating through improved feelings of competence (self-efficacy) and mood. The study recruited women (Meanage = 43 years) with morbid obesity (MeanBMI = 44 kg/m(2)) to participate in 26 weeks of cognitive-behavioral support of physical activity paired with either nutrition education (n = 51) or cognitive-behavioral nutrition (n = 51) methods. Data collected were from 2011 and 2012. Significant improvements in self-regulation for physical activity, self-regulation for eating, overall mood, and self-efficacy for eating, with greater improvement in self-regulation for eating, were observed in the cognitive-behavioral nutrition group. Changes in mood and self-efficacy for eating significantly mediated the relationship between changes in self-regulation for physical activity and self-regulation for eating. When subscales of overall mood and self-efficacy were entered into separate regression equations as mediators, the only significant mediators were vigor, and controlling eating when socially pressured and when increased cues to overeat were present.
authors.affiliation: a YMCA of Metro Atlanta , Atlanta.
authors.forename: James J
authors.initials: JJ
authors.lastname: Annesi
authors.forename: Kandice J
authors.initials: KJ
authors.lastname: Porter
authors.forename: Ping H
authors.initials: PH
authors.lastname: Johnson
mesh_terms: D000328:Adult; D000339:Affect; D015992:Body Mass Index; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D004032:Diet / Q000523:psychology; D004435:Eating / Q000523:psychology*; D015444:Exercise / Q000523:psychology; D005081:Exercise Therapy / Q000523:psychology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009043:Motor Activity; D009752:Nutritional Status; D009767:Obesity, Morbid / Q000523:psychology / Q000628:therapy*; D010353:Patient Education as Topic / Q000379:methods*; D020377:Self Efficacy; D012927:Social Control, Informal; D016896:Treatment Outcome; D015431:Weight Loss; D061217:Weight Reduction Programs / Q000379:methods
keywords: behavior; nutrition; obesity; physical activity; psychosocial; self-efficacy