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Gepubliceerd in: Journal of Behavioral Medicine 1/2024

12-09-2023

Impact of social connectedness on weight loss outcomes in an online program

Auteurs: Carnisha M. Gilder, Amy A. Gorin, Tania Huedo-Medina, Kristen Cooksey-Stowers, Jeanne M. McCaffery, Zeely Denmat, Christiana Field, Emily Wyckoff, Jessica LaRose, Kayla O’Connor, Nana Marfo, Tricia M. Leahey

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2024

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Abstract

Obesity is linked to many negative health consequences. While online behavioral weight loss programs (BWL) are an effective treatment for obesity, weight losses are modest. Social connectedness has been found to improve weight loss outcomes and previous findings suggests that it may be especially important for people of color. The present study investigated the impact of social connectedness (structural connectedness, or network size; relationship quality, and functional connectedness, or social support) on weight loss outcomes in an online BWL program and whether Black race or Hispanic ethnicity moderates the relationship between social connectedness and weight loss. Participants (N = 387) enrolled in a 16-week online BWL program and completed measures of social connectedness before treatment and had their weight measured. Individuals with less structural connectedness (smaller social networks) had greater weight losses. Further, higher levels of functional connectedness (affectionate support, positive support, and relationship quality) mediated the relationship between smaller network size and better weight loss outcomes. Black race / Hispanic ethnicity did not moderate the relationship between social connectedness and weight loss. These findings suggest that the quality of one’s relationships, not the size of one’s social network, is important for weight loss. Future studies may examine whether online BWL programs that build relationship quality and affectionate and positive support in participants’ existing social networks improve overall weight loss outcomes.
Literatuur
go back to reference Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice Hall. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice Hall.
go back to reference Bandura, A. (1997). Self-efficacy: The exercise of control. W.H. Freeman. Bandura, A. (1997). Self-efficacy: The exercise of control. W.H. Freeman.
go back to reference Bandura, A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31, 143–164.CrossRef Bandura, A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31, 143–164.CrossRef
go back to reference Berzins, T. L., Gere, J., Kelly, S. M., & Updegraff, J. A. (2019). Associations between social control, motivation, and exercise: How romantic partners influence exercise during young adulthood. Berzins, T. L., Gere, J., Kelly, S. M., & Updegraff, J. A. (2019). Associations between social control, motivation, and exercise: How romantic partners influence exercise during young adulthood.
go back to reference Brantley, P., Stewart, D., Myers, V., Matthews-Ewald, M., Ard, J., Coughlin, J., & Stevens, V. (2014). Psychosocial predictors of weight regain in the weight loss maintenance trial. Journal of Behavioral Medicine, 37(6), 1155–1168.CrossRefPubMedPubMedCentral Brantley, P., Stewart, D., Myers, V., Matthews-Ewald, M., Ard, J., Coughlin, J., & Stevens, V. (2014). Psychosocial predictors of weight regain in the weight loss maintenance trial. Journal of Behavioral Medicine, 37(6), 1155–1168.CrossRefPubMedPubMedCentral
go back to reference Chang, M. W. (2008). Motivators and barriers to healthful eating and physical activity among low-income overweight and obese mothers. Journal of the American Dietetic Association, 108(6), 1023–1028.CrossRefPubMed Chang, M. W. (2008). Motivators and barriers to healthful eating and physical activity among low-income overweight and obese mothers. Journal of the American Dietetic Association, 108(6), 1023–1028.CrossRefPubMed
go back to reference Christakis, N. A., & Fowler, J. H. (2007). The spread of obesity in a large social network over 32 years. The New England Journal of Medicine, 357(4), 370–379.CrossRefPubMed Christakis, N. A., & Fowler, J. H. (2007). The spread of obesity in a large social network over 32 years. The New England Journal of Medicine, 357(4), 370–379.CrossRefPubMed
go back to reference Crain, A. L., Sherwood, N. E., Martinson, B. C., & Jeffery, R. W. (2018). Mediators of weight loss maintenance in the keep it off trial. Annals of Behavioral Medicine, 52(1), 9–18.CrossRefPubMed Crain, A. L., Sherwood, N. E., Martinson, B. C., & Jeffery, R. W. (2018). Mediators of weight loss maintenance in the keep it off trial. Annals of Behavioral Medicine, 52(1), 9–18.CrossRefPubMed
go back to reference Diabetes Prevention Research Group. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine, 346(6), 393–403.CrossRef Diabetes Prevention Research Group. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine, 346(6), 393–403.CrossRef
go back to reference Dodani, S. (2009). Fit body and soul: A church-based behavioral lifestyle program for diabetes prevention in African Americans. Ethnicity & Disease, 19(2), 135–141.ADS Dodani, S. (2009). Fit body and soul: A church-based behavioral lifestyle program for diabetes prevention in African Americans. Ethnicity & Disease, 19(2), 135–141.ADS
go back to reference Donnelly, J. E., Blair, S. N., Jakicic, J. M., Manore, M. M., Rankin, J. W., & Smith, B. K. (2009). Appropriate physical activity intervention strategies for weight loss and Prevention of Weight regain for adults. Medicine and Science in Sports and Exercise, 41, 459–471.CrossRefPubMed Donnelly, J. E., Blair, S. N., Jakicic, J. M., Manore, M. M., Rankin, J. W., & Smith, B. K. (2009). Appropriate physical activity intervention strategies for weight loss and Prevention of Weight regain for adults. Medicine and Science in Sports and Exercise, 41, 459–471.CrossRefPubMed
go back to reference Eisenberg, C. M., Ayala, G. X., Crespo, N. C., Lopez, N. V., Zive, M. M., Corder, K., Wood, C., & Elder, J. P. (2012). Examining multiple parenting behaviors on young children’s dietary fat consumption. Journal of Nutrition Education and Behavior, 44(4), 302–309.CrossRefPubMedPubMedCentral Eisenberg, C. M., Ayala, G. X., Crespo, N. C., Lopez, N. V., Zive, M. M., Corder, K., Wood, C., & Elder, J. P. (2012). Examining multiple parenting behaviors on young children’s dietary fat consumption. Journal of Nutrition Education and Behavior, 44(4), 302–309.CrossRefPubMedPubMedCentral
go back to reference Fitzgibbon, M. L. (2012). Weight loss and african-american women: A systematic review of the behavioural weight loss intervention literature. Obesity Reviews, 13(3), 193–213.CrossRefPubMed Fitzgibbon, M. L. (2012). Weight loss and african-american women: A systematic review of the behavioural weight loss intervention literature. Obesity Reviews, 13(3), 193–213.CrossRefPubMed
go back to reference Gorin, A. A., Powers, T. A., Koestner, R., Wing, R. R., & Raynor, H. A. (2014). Autonomy support, self-regulation, and weight loss. Health Psychology, 33(4), 332–339.CrossRefPubMed Gorin, A. A., Powers, T. A., Koestner, R., Wing, R. R., & Raynor, H. A. (2014). Autonomy support, self-regulation, and weight loss. Health Psychology, 33(4), 332–339.CrossRefPubMed
go back to reference Gorin, A. A., Lenz, E. M., Cornelius, T., Huedo, M. T., Wojtanowski, A. C., & Foster, G. D. (2018). Randomized controlled trial examining the ripple effect of a nationally available weight management program on untreated spouses. Obesity (Silver Spring, Md.), 26(3), 499–504.CrossRefPubMed Gorin, A. A., Lenz, E. M., Cornelius, T., Huedo, M. T., Wojtanowski, A. C., & Foster, G. D. (2018). Randomized controlled trial examining the ripple effect of a nationally available weight management program on untreated spouses. Obesity (Silver Spring, Md.), 26(3), 499–504.CrossRefPubMed
go back to reference Gottlieb, B. (1994). The meaning and importance of social support. In: H. Quinney, L. Gauvin, & E. Wall (Eds.). Toward Active Living: Proceedings of the International Conference on Physical Activity, Fitness, and Health (pp. 227–232). Windsor, ON: Human Kinetics. Gottlieb, B. (1994). The meaning and importance of social support. In: H. Quinney, L. Gauvin, & E. Wall (Eds.). Toward Active Living: Proceedings of the International Conference on Physical Activity, Fitness, and Health (pp. 227–232). Windsor, ON: Human Kinetics.
go back to reference Hales, C. M. (2017). Prevalence of obesity among adults and youth. United States, 2015–2016. Nchs Data Brief, 288, 1–8 Hales, C. M. (2017). Prevalence of obesity among adults and youth. United States, 2015–2016. Nchs Data Brief, 288, 1–8
go back to reference Hayes, A. F. (2018). Introduction to Mediation, Moderation, and conditional process analysis: A regression-based Approach (Methodology in the Social Sciences) (2nd ed.). The Guilford Press. Hayes, A. F. (2018). Introduction to Mediation, Moderation, and conditional process analysis: A regression-based Approach (Methodology in the Social Sciences) (2nd ed.). The Guilford Press.
go back to reference Hayward, M. D., & Gorman, B. K. (2004). The long arm of childhood: the influence of early-life Social conditions on men’s mortality. Demography, 41, 87–107. Hayward, M. D., & Gorman, B. K. (2004). The long arm of childhood: the influence of early-life Social conditions on men’s mortality. Demography, 41, 87–107.
go back to reference Holt-Lunstad, J., Robles, T. F., & Sbarra, D. A. (2017). Advancing social connection as a public health priority in the United States. American Psychologist, 72(6), 517–530.CrossRefPubMed Holt-Lunstad, J., Robles, T. F., & Sbarra, D. A. (2017). Advancing social connection as a public health priority in the United States. American Psychologist, 72(6), 517–530.CrossRefPubMed
go back to reference Knowler, W. C. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. The New England Journal of Medicine, 346(6), 393–403.CrossRefPubMed Knowler, W. C. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. The New England Journal of Medicine, 346(6), 393–403.CrossRefPubMed
go back to reference Leahey, T. M., Thomas, G., Fava, J. L., Subak, L. L., Schembri, M., Krupel, K., Kumar, R., Weinberg, B., & Wing, R. R. (2014). Adding evidence-based behavioral weight loss strategies to a statewide wellness campaign: A randomized clinical trial. American Journal of Public Health, 104(7), 1300–1306.CrossRefPubMedPubMedCentral Leahey, T. M., Thomas, G., Fava, J. L., Subak, L. L., Schembri, M., Krupel, K., Kumar, R., Weinberg, B., & Wing, R. R. (2014). Adding evidence-based behavioral weight loss strategies to a statewide wellness campaign: A randomized clinical trial. American Journal of Public Health, 104(7), 1300–1306.CrossRefPubMedPubMedCentral
go back to reference Leahey, T. M., Doyle, C. Y., Xu, X., Bihuniak, J., & Wing, R. R. (2015). Social networks and social norms are associated with obesity treatment outcomes. Obesity (Silver Spring, Md.), 23(8), 1550–1554.CrossRefPubMed Leahey, T. M., Doyle, C. Y., Xu, X., Bihuniak, J., & Wing, R. R. (2015). Social networks and social norms are associated with obesity treatment outcomes. Obesity (Silver Spring, Md.), 23(8), 1550–1554.CrossRefPubMed
go back to reference Lubben, J. (1988). Assessing social networks among elderly populations. Family & Community Health: The Journal of Health Promotion & Maintenance, 11, 42–52.CrossRef Lubben, J. (1988). Assessing social networks among elderly populations. Family & Community Health: The Journal of Health Promotion & Maintenance, 11, 42–52.CrossRef
go back to reference Lubben, J., Blozik, E., Gillmann, G., IIiffe, S., von Renteln Kruse, W., Beck, J. C., & Stuck, A. E. (2006). Performance of an abbreviated version of the Lubben Social Network Scale among three European community–dwelling older adult populations. The Gerontologist, 46(4), 503–513.CrossRefPubMed Lubben, J., Blozik, E., Gillmann, G., IIiffe, S., von Renteln Kruse, W., Beck, J. C., & Stuck, A. E. (2006). Performance of an abbreviated version of the Lubben Social Network Scale among three European community–dwelling older adult populations. The Gerontologist, 46(4), 503–513.CrossRefPubMed
go back to reference Luszczynska, A., & Schwarzer, R. (2005). Social cognitive theory. In M. Connor, & P. Norman (Eds.), Predicting health behavior (pp. 127–169). Open University Press. Luszczynska, A., & Schwarzer, R. (2005). Social cognitive theory. In M. Connor, & P. Norman (Eds.), Predicting health behavior (pp. 127–169). Open University Press.
go back to reference Marquez, B., Anderson, A., Wing, R. R., West, D. S., Newton, R. L., Meacham, M., et al. (2016). The relationship of social support with treatment adherence and weight loss in Latinos with type 2 diabetes. Obesity (Silver Spring), 24(3), 568–575.CrossRefPubMed Marquez, B., Anderson, A., Wing, R. R., West, D. S., Newton, R. L., Meacham, M., et al. (2016). The relationship of social support with treatment adherence and weight loss in Latinos with type 2 diabetes. Obesity (Silver Spring), 24(3), 568–575.CrossRefPubMed
go back to reference Miller, P., Moore, R. H., & Kral, T. V. E. (2011). Children’s daily fruit and vegetable intake: Associations with maternal intake and child weight status. Journal of Nutrition Education and Behavior, 43, 396–400.CrossRefPubMed Miller, P., Moore, R. H., & Kral, T. V. E. (2011). Children’s daily fruit and vegetable intake: Associations with maternal intake and child weight status. Journal of Nutrition Education and Behavior, 43, 396–400.CrossRefPubMed
go back to reference Mitchell, N. S., Catenacci, V. A., Wyatt, H. R., & Hill, J. O. (2011). Obesity: Overview of an epidemic. Psychiatric Clinics of North America, 34(4), 717–732.CrossRefPubMed Mitchell, N. S., Catenacci, V. A., Wyatt, H. R., & Hill, J. O. (2011). Obesity: Overview of an epidemic. Psychiatric Clinics of North America, 34(4), 717–732.CrossRefPubMed
go back to reference National Institute of Diabetes and Digestive and Kidney Diseases (2019). Understanding Adult Overweight and Obesity. National Institute of Diabetes and Digestive and Kidney Diseases (2019). Understanding Adult Overweight and Obesity.
go back to reference National Center for Health and Statistics. (2017). Health, United States, 2016. U.S. Department of Health and Human Services. National Center for Health and Statistics. (2017). Health, United States, 2016. U.S. Department of Health and Human Services.
go back to reference Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999–2004. JAMA: Journal of the American Medical Association, 295(13), 1549–1555.CrossRefPubMed Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999–2004. JAMA: Journal of the American Medical Association, 295(13), 1549–1555.CrossRefPubMed
go back to reference Powers, T. A., Koestner, R., & Gorin, A. A. (2008). Autonomy support from family and friends and weight loss in college women. Families Systems & Health, 26(4), 404–416.CrossRef Powers, T. A., Koestner, R., & Gorin, A. A. (2008). Autonomy support from family and friends and weight loss in college women. Families Systems & Health, 26(4), 404–416.CrossRef
go back to reference Raley, R. K., Sweeney, M. M., & Wondra, D. (2015). The growing racial and ethnic divide in U.S. marriage patterns. The Future of Children, 25(2), 89–109.CrossRefPubMedPubMedCentral Raley, R. K., Sweeney, M. M., & Wondra, D. (2015). The growing racial and ethnic divide in U.S. marriage patterns. The Future of Children, 25(2), 89–109.CrossRefPubMedPubMedCentral
go back to reference Rodenburg, G. (2012). Associations of children’s appetitive traits with weight and dietary behaviours in the context of general parenting. PloS One, 7(12). Rodenburg, G. (2012). Associations of children’s appetitive traits with weight and dietary behaviours in the context of general parenting. PloS One, 7(12).
go back to reference Schoenborn, C. A. (2004). Marital status and health: United States, 1999–2002. Advance Data, No. 351. Schoenborn, C. A. (2004). Marital status and health: United States, 1999–2002. Advance Data, No. 351.
go back to reference Sharma, M., Sargent, L., & Stacy, R. (2005). Predictors of leisure-time physical activity among african american women. American Journal of Health Behavior, 29(4), 352–359.CrossRefPubMed Sharma, M., Sargent, L., & Stacy, R. (2005). Predictors of leisure-time physical activity among african american women. American Journal of Health Behavior, 29(4), 352–359.CrossRefPubMed
go back to reference Shaya, F. T., Chirikov, V. V., Howard, D., Foster, C., Costas, J., Snitker, S., & Kucharski, K. (2014). Effect of social networks intervention in type 2 diabetes: A partial randomized study. Journal of Epidemiology and Community Health, 68(4), 326–332.CrossRefPubMed Shaya, F. T., Chirikov, V. V., Howard, D., Foster, C., Costas, J., Snitker, S., & Kucharski, K. (2014). Effect of social networks intervention in type 2 diabetes: A partial randomized study. Journal of Epidemiology and Community Health, 68(4), 326–332.CrossRefPubMed
go back to reference Sherbourne, C., & Stewart, A. (1991). The MOS social support survey. Social Science & Medicine, 32(6), 705–714.CrossRef Sherbourne, C., & Stewart, A. (1991). The MOS social support survey. Social Science & Medicine, 32(6), 705–714.CrossRef
go back to reference Spanakis, E. K., & Golden, S. H. (2013). Race/ethnic difference in diabetes and diabetic complications. Current Diabetes Reports, 13, 814–823.CrossRefPubMed Spanakis, E. K., & Golden, S. H. (2013). Race/ethnic difference in diabetes and diabetic complications. Current Diabetes Reports, 13, 814–823.CrossRefPubMed
go back to reference Spanier, P. A., & Allison, K. R. (2001). General social support and physical activity: An analysis of the Ontario Health Survey. Canadian Journal of Public Health, 92, 210–213.CrossRefPubMedPubMedCentral Spanier, P. A., & Allison, K. R. (2001). General social support and physical activity: An analysis of the Ontario Health Survey. Canadian Journal of Public Health, 92, 210–213.CrossRefPubMedPubMedCentral
go back to reference Thrasher, J. F., Campbell, M. K., & Oates, V. (2004). Behavior-specific social support for healthy behaviors among african American Church Members: Applying optimal matching theory. Health Education & Behavior, 31(2), 193–205.CrossRef Thrasher, J. F., Campbell, M. K., & Oates, V. (2004). Behavior-specific social support for healthy behaviors among african American Church Members: Applying optimal matching theory. Health Education & Behavior, 31(2), 193–205.CrossRef
go back to reference Van Bel, D., Smolders, K., Ijsselsteijn, W., & De Kort, Y. (2009). Social connectedness: Concept and measurement. 67–74. Van Bel, D., Smolders, K., Ijsselsteijn, W., & De Kort, Y. (2009). Social connectedness: Concept and measurement. 67–74.
go back to reference Wang, M. L., Pbert, L., & Lemon, S. C. (2014). Influence of family, friend and coworker social support and social undermining on weight gain prevention among adults. Obesity (Silver Spring Md), 22(9), 1973–1980.CrossRefPubMed Wang, M. L., Pbert, L., & Lemon, S. C. (2014). Influence of family, friend and coworker social support and social undermining on weight gain prevention among adults. Obesity (Silver Spring Md), 22(9), 1973–1980.CrossRefPubMed
go back to reference West, D. S., Prewitt, T. E., Bursac, Z., & Felix, H. C. (2008). Weight loss of black, white, and hispanic men and women in the diabetes prevention program. Obesity (Silver Spring, Md.), 16(6), 1413–1420.CrossRefPubMed West, D. S., Prewitt, T. E., Bursac, Z., & Felix, H. C. (2008). Weight loss of black, white, and hispanic men and women in the diabetes prevention program. Obesity (Silver Spring, Md.), 16(6), 1413–1420.CrossRefPubMed
go back to reference Wieland, M. L., Njeru, J. W., Okamoto, J. M., Novotny, P. J., Breen-Lyles, M. K., Goodson, M., Capetillo, P., Molina, G. D., L. E., & Sia, I. G. (2020). Association of social network factors with weight status and weight loss intentions among hispanic adults. Journal of Behavioral Medicine, 43(2), 155–165.CrossRefPubMedPubMedCentral Wieland, M. L., Njeru, J. W., Okamoto, J. M., Novotny, P. J., Breen-Lyles, M. K., Goodson, M., Capetillo, P., Molina, G. D., L. E., & Sia, I. G. (2020). Association of social network factors with weight status and weight loss intentions among hispanic adults. Journal of Behavioral Medicine, 43(2), 155–165.CrossRefPubMedPubMedCentral
go back to reference Wing, R. R., & Jeffery, R. W. (1999). Benefits of recruiting participants with friends and increasing social support for weight loss and maintenance. Journal of Consulting and Clinical Psychology, 67(1), 132–138.CrossRefPubMed Wing, R. R., & Jeffery, R. W. (1999). Benefits of recruiting participants with friends and increasing social support for weight loss and maintenance. Journal of Consulting and Clinical Psychology, 67(1), 132–138.CrossRefPubMed
go back to reference Winston, G. J., Phillips, E. G., Wethington, E., Devine, C., Wells, M., Peterson, J. C., Hippolyte, J., Ramos, R., Martinez, G., Eldridge, J., & Charlson, M. (2015). Social network characteristics associated with weight loss among black and hispanic adults. Obesity (Silver Spring, Md.), 23(8), 1570–1576.CrossRefPubMed Winston, G. J., Phillips, E. G., Wethington, E., Devine, C., Wells, M., Peterson, J. C., Hippolyte, J., Ramos, R., Martinez, G., Eldridge, J., & Charlson, M. (2015). Social network characteristics associated with weight loss among black and hispanic adults. Obesity (Silver Spring, Md.), 23(8), 1570–1576.CrossRefPubMed
go back to reference Witherspoon, D. N. (2014). Face-to-face and online social networking as predictors of social connectedness and interpersonal relationship satisfaction. Dissertation Abstracts International, 75. Witherspoon, D. N. (2014). Face-to-face and online social networking as predictors of social connectedness and interpersonal relationship satisfaction. Dissertation Abstracts International, 75.
Metagegevens
Titel
Impact of social connectedness on weight loss outcomes in an online program
Auteurs
Carnisha M. Gilder
Amy A. Gorin
Tania Huedo-Medina
Kristen Cooksey-Stowers
Jeanne M. McCaffery
Zeely Denmat
Christiana Field
Emily Wyckoff
Jessica LaRose
Kayla O’Connor
Nana Marfo
Tricia M. Leahey
Publicatiedatum
12-09-2023
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 1/2024
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-023-00447-1

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