Abstract:
Obesity in the United States has risen to 42 percent of its adult population and is similarly problematic in many other countries. Although the U.S. government has provided education on healthy eating and the need to exercise regularly, behavioral obesity treatments have largely failed to sustain reductions in weight. Self-regulation, and the incorporation of exercise for its psychological impacts on eating, has sometimes been targeted. While there has been sporadic investigation into the carry-over of exercise-related self-regulation to eating-related self-regulation, the present aim is to further inquiry in that area to inform future treatment content for improved effects. Women enrolled in community-based obesity treatments with either a self-regulation (n = 106) or education (n = 54) focus were assessed on changes in exercise- and eating-related self-regulation, negative mood, completed exercise, and weight. Improvements were significantly greater in the self-regulation-focused group. After controlling for initial change in eating-related self-regulation, change in that measure from Month 3 to 6 was significantly predicted by change in exercise-related self-regulation during the initial 3 treatment months. This suggested a carry-over effect. A stronger predictive relationship was associated with the self-regulation-focused treatment. In further analyses, paths from changes in exercise→negative mood→self-regulation of both exercise and eating were significant. Increase in eating-related self-regulation was significantly associated with weight loss over 6, 12, and 24 months. The self-regulation-focused group had stronger relationships, again. Findings suggested utility in targeting exercise-related self-regulation to impact later change in eating-related self-regulation, and the use of exercise-associated mood improvement to bolster participants\' self-regulation capabilities.
摘要:
美国的肥胖症已上升到其成年人口的42%,并且在许多其他国家也同样存在问题。尽管美国政府提供了有关健康饮食和定期锻炼的教育,行为肥胖治疗在很大程度上未能维持体重减轻。自我调节,以及运动对饮食的心理影响,有时会成为目标。虽然对运动相关的自我调节向饮食相关的自我调节的结转进行了零星的调查,目前的目的是在该领域进一步调查,以告知未来的治疗内容以改善效果。以自我调节(n=106)或教育(n=54)为重点的社区肥胖治疗的女性被评估为运动和饮食相关的自我调节的变化。负面情绪,完成练习,和重量。以自我调节为中心的组的改善明显更大。在控制与饮食相关的自我调节的初始变化后,从第3个月到第6个月,该指标的变化可通过在最初3个月治疗期间与运动相关的自我调节的变化来显著预测.这表明存在结转效应。更强的预测关系与自我调节为中心的治疗相关。在进一步的分析中,从运动变化→负面情绪→运动和饮食的自我调节的路径是显着的。与饮食相关的自我调节的增加与6、12和24个月的体重减轻显着相关。以自我调节为中心的群体有更强的关系,再次。研究结果表明,针对运动相关的自我调节可以影响饮食相关的自我调节的后期变化,以及使用与运动相关的情绪改善来增强参与者的自我调节能力。