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Gepubliceerd in: Journal of Behavioral Medicine 5/2020

15-10-2019 | Brief Report

Adherence to behavioral recommendations for weight loss and associated psychosocial factors among African American adults

Auteurs: Stephanie L. Fitzpatrick, Neon Brooks, Bethany Bray, Victor J. Stevens

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2020

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Abstract

Purpose

To identify patterns of behavioral adherence among 388 African Americans who participated in the Weight Loss Maintenance trial and examine associated psychosocial factors.

Methods

Using repeated measures latent class analysis, we modeled patterns of adherence to recommendations regarding fruit and vegetable, total fat, and saturated fat intake and physical activity at baseline, 6, and 18 months. Latent classes were compared on the SF-36 (mental health composite and vitality subscale), Perceived Stress Scale, and PHQ-8 at each time point.

Results

Three distinct latent classes emerged: Nutrition Adherers (n = 96); Physical Activity Adherers (n = 61); and Non-Adherers (n = 231). All groups showed initial improvement in psychosocial measures followed by relapse. Non-Adherers had significantly lower mean mental health and vitality scores and higher depression scores than adherers at 6 and 18 months.

Conclusion

Psychological well-being should be addressed with African Americans in weight loss treatment to enhance behavior change and improve weight loss outcomes.
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Metagegevens
Titel
Adherence to behavioral recommendations for weight loss and associated psychosocial factors among African American adults
Auteurs
Stephanie L. Fitzpatrick
Neon Brooks
Bethany Bray
Victor J. Stevens
Publicatiedatum
15-10-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 5/2020
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-019-00108-2