title: Psychosocial predictors of decay in healthy eating and physical activity improvements in obese women regaining lost weight: translation of behavioral theory into treatment suggestions.
abstract: Regain of lost weight is a universal problem for behavioral treatments. An increased understanding of theory-based psychosocial predictors of decay in behavioral correlates of weight loss might improve treatments. Data were derived from a previous weight loss investigation of 110 women with obesity. A subsample from the experimental treatment who lost ≥3 % body weight and regained at least one third of that over 24 months (N = 36) was assessed. During months 6 through 24, there were unfavorable changes in behavioral (fruit/vegetable and sweet intake; physical activity) and psychosocial variables. Mood change predicted change in fruit/vegetable and sweet intake, with emotional eating change mediating the latter relationship. Change in self-regulation predicted changes in sweet and fruit/vegetable intake and physical activity, with self-efficacy mediating the self-regulation-fruit/vegetable intake and self-regulation-physical activity relationships. Findings suggest that after treatment-induced weight loss, addressing indicated theory-based psychosocial variables might mitigate decay in behavioral predictors of healthier weight.
authors.affiliation: YMCA of Metro Atlanta, 100 Edgewood Avenue, NE, Suite 1100, Atlanta, GA, 30303, USA. jamesa@ymcaatlanta.org.|Department of Health Promotion and Physical Education, Kennesaw State University, Kennesaw, GA, USA. jamesa@ymcaatlanta.org.
authors.forename: James J
authors.initials: JJ
authors.lastname: Annesi
mesh_terms: D000328:Adult; D004435:Eating / Q000523:psychology*; D015444:Exercise / Q000523:psychology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000178:diet therapy* / Q000523:psychology; D020377:Self Efficacy; D000068356:Self-Control / Q000523:psychology*; D061217:Weight Reduction Programs
keywords: Maintenance; Physical activity; Self-efficacy; Self-regulation; Treatment; Weight loss