Similarities and Differences between Weight Loss Maintainers and Regainers: A Qualitative Analysis

作者: Naomi R. Reyes , Tracy L. Oliver , Alicia A. Klotz , Caitlin A. LaGrotte , Stephanie S. Vander Veur

DOI: 10.1016/J.JAND.2011.11.014

关键词: Weight lossObesityQualitative researchQualitative analysisSelf-conceptMedicineSocial supportFocus groupDemographyPopulation

摘要: Abstract Obesity is remarkably refractory to treatment. Despite a plethora of quantitative studies, little qualitative research has been conducted on the topic weight loss maintenance. This study used six focus groups explore which factors promoted or prevented maintaining among diverse, urban population. Eligible participants were those who had intentionally lost ≥10% their body in past 2 years and categorized as either "regainers" "maintainers" using self-reported length maintenance amount (%) regained. Regainers regained ≥33% maintainers ≤15%. Participants (n=29) predominantly African-American (58.6%) females (65.6%) with mean age 46.9±11.2 years. Four themes reflected similarities between regainers maintainers, four differences groups. Both experienced lapses, clothing fit for feedback status, desired greater support during maintenance, decreased self-monitoring food intake over time. When compared regainers, more often continued strategies loss, weighed themselves regularly, productive problem-solving skills positive self-talk. difficulty independently continuing exercise behaviors identifying accountability waning motivation barriers. These findings suggest that efforts can be improved by addressing challenges such long-term skills, success might depend how people think much what they do.

参考文章(32)
Karen M. Muoio, Laura D. Koss, Richard L. Cleland, Walter C. Gross, Matthew Daynard, WEIGHT-LOSS ADVERTISING: An Analysis of Current Trends ,(2002)
Qualitative research in health care BMJ Books/Blackwell Publishing. ,(2006) , 10.1002/9780470750841
Claude Bouchard, George A. Bray, Handbook of Obesity: Clinical Applications ,(2003)
Christopher G. Fairburn, Zafra Cooper, Deborah M. Hawker, Cognitive-Behavioral Treatment of Obesity: A Clinician's Guide ,(2003)
Gary D Foster, Angela P Makris, Brooke A Bailer, Behavioral treatment of obesity The American Journal of Clinical Nutrition. ,vol. 82, ,(2005) , 10.1093/AJCN/82.1.230S
Zafra Cooper, Helen A. Doll, Deborah M. Hawker, Susan Byrne, Gillie Bonner, Elizabeth Eeley, Marianne E. O’Connor, Christopher G. Fairburn, Testing a new cognitive behavioural treatment for obesity: A randomized controlled trial with three-year follow-up Behaviour Research and Therapy. ,vol. 48, pp. 706- 713 ,(2010) , 10.1016/J.BRAT.2010.03.008
Faith-Anne Dohm, Julie A. Beattie, Carolyn Aibel, Ruth H. Striegel-Moore, Factors differentiating women and men who successfully maintain weight loss from women and men who do not. Journal of Clinical Psychology. ,vol. 57, pp. 105- 117 ,(2001) , 10.1002/1097-4679(200101)57:1<105::AID-JCLP11>3.0.CO;2-I
Thomas A. Wadden, Gary D. Foster, Albert J. Stunkard, Alicia M. Conill, Effects of weight cycling on the resting energy expenditure and body composition of obese women. International Journal of Eating Disorders. ,vol. 19, pp. 5- 12 ,(1996) , 10.1002/(SICI)1098-108X(199601)19:1<5::AID-EAT2>3.0.CO;2-T
Thomas A. Wadden, Renee A. Vogt, Susan J. Bartlett, Psychosocial consequences of weight cycling. Journal of Consulting and Clinical Psychology. ,vol. 64, pp. 587- 592 ,(1996) , 10.1037/0022-006X.64.3.587