Changes in Theory-Based Psychological Factors Predict Weight Loss in Women with Class III Obesity Initiating Supported Exercise

Background. Psychological factors' effect on weight loss is poorly understood, in general, and specifically in the severely obese. Objective. To examine whether a behavioral model based on tenets of social cognitive and self-efficacy theory will increase understanding of the relationship betwee...

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Main Authors: James J. Annesi, Srinivasa Gorjala
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2010/171957
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author James J. Annesi
Srinivasa Gorjala
author_facet James J. Annesi
Srinivasa Gorjala
author_sort James J. Annesi
collection DOAJ
description Background. Psychological factors' effect on weight loss is poorly understood, in general, and specifically in the severely obese. Objective. To examine whether a behavioral model based on tenets of social cognitive and self-efficacy theory will increase understanding of the relationship between exercise and weight loss. Methods. Fifty-one women with severe obesity participated in a 24-week exercise and nutrition information treatment and were measured on changes in psychological factors and exercise attendance. Results. A significant portion of the variance in BMI change (adjusted for number of predictors) was accounted for by the behavioral model (𝑅2adj=0.23). Entry of exercise session attendance only marginally improved the prediction to 0.27. Only 19% of the weight lost was directly attributable to caloric expenditure from exercise. Conclusions. Findings suggest that participation in an exercise program affects weight loss through psychological pathways and, thus, may be important in the behavioral treatment of severe obesity.
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spelling doaj-art-296bd7e94e1e4b32a775955e35abeed22025-08-20T03:54:47ZengWileyJournal of Obesity2090-07082090-07162010-01-01201010.1155/2010/171957171957Changes in Theory-Based Psychological Factors Predict Weight Loss in Women with Class III Obesity Initiating Supported ExerciseJames J. Annesi0Srinivasa Gorjala1Department of Wellness, YMCA of Metropolitan Atlanta, 100 Edgewood Avenue NE, Suite 1100, Atlanta, GA 30303, USABariatric Center, Southern Regional Health System, 33 Upper Riverdale Road SW, Suite 121, Riverdale, GA 30274-2642, USABackground. Psychological factors' effect on weight loss is poorly understood, in general, and specifically in the severely obese. Objective. To examine whether a behavioral model based on tenets of social cognitive and self-efficacy theory will increase understanding of the relationship between exercise and weight loss. Methods. Fifty-one women with severe obesity participated in a 24-week exercise and nutrition information treatment and were measured on changes in psychological factors and exercise attendance. Results. A significant portion of the variance in BMI change (adjusted for number of predictors) was accounted for by the behavioral model (𝑅2adj=0.23). Entry of exercise session attendance only marginally improved the prediction to 0.27. Only 19% of the weight lost was directly attributable to caloric expenditure from exercise. Conclusions. Findings suggest that participation in an exercise program affects weight loss through psychological pathways and, thus, may be important in the behavioral treatment of severe obesity.http://dx.doi.org/10.1155/2010/171957
spellingShingle James J. Annesi
Srinivasa Gorjala
Changes in Theory-Based Psychological Factors Predict Weight Loss in Women with Class III Obesity Initiating Supported Exercise
Journal of Obesity
title Changes in Theory-Based Psychological Factors Predict Weight Loss in Women with Class III Obesity Initiating Supported Exercise
title_full Changes in Theory-Based Psychological Factors Predict Weight Loss in Women with Class III Obesity Initiating Supported Exercise
title_fullStr Changes in Theory-Based Psychological Factors Predict Weight Loss in Women with Class III Obesity Initiating Supported Exercise
title_full_unstemmed Changes in Theory-Based Psychological Factors Predict Weight Loss in Women with Class III Obesity Initiating Supported Exercise
title_short Changes in Theory-Based Psychological Factors Predict Weight Loss in Women with Class III Obesity Initiating Supported Exercise
title_sort changes in theory based psychological factors predict weight loss in women with class iii obesity initiating supported exercise
url http://dx.doi.org/10.1155/2010/171957
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AT srinivasagorjala changesintheorybasedpsychologicalfactorspredictweightlossinwomenwithclassiiiobesityinitiatingsupportedexercise