寻求治疗的成年人中的体重偏见与体重减轻治疗结果
Weight bias and weight loss treatment outcomes in treatment-seeking adults.
作者信息
Carels Robert A, Young Kathleen M, Wott Carissa B, Harper Jessica, Gumble Amanda, Oehlof Marissa Wagner, Clayton Anna Marie
机构信息
Department of Psychology, Bowling Green State University, Bowling Green, OH 43403, USA.
出版信息
Ann Behav Med. 2009 Jun;37(3):350-5. doi: 10.1007/s12160-009-9109-4. Epub 2009 Jun 23.
BACKGROUND
Few studies have explored the relationship between weight bias and weight loss treatment outcomes.
PURPOSE
This investigation examined the relationship between implicit and explicit weight bias and (a) program attrition, (b) weight loss, (c) self-monitoring adherence, (d) daily exercise levels and overall caloric expenditure, (e) daily caloric intake, and (f) daily caloric deficit among overweight/obese treatment-seeking adults.
METHODS
Forty-six overweight/obese adults (body mass index > or = 27 kg/m(2)) participating in an 18-week, stepped-care, behavioral weight loss program completed implicit and explicit measures of weight bias. Participants were instructed to self-monitor and electronically report daily energy intake, exercise, and energy expenditure.
RESULTS
Greater weight bias was associated with inconsistent self-monitoring, greater caloric intake, lower energy expenditure and exercise, creation of a smaller caloric deficit, higher program attrition, as well as less weight loss during the self-help phase of the stepped-care treatment.
CONCLUSIONS
Weight bias may interfere with overweight/obese treatment-seeking adults' ability to achieve optimal health.
背景
很少有研究探讨体重偏见与减肥治疗结果之间的关系。
目的
本研究调查了内隐和外显体重偏见与（a）项目退出率、（b）体重减轻、（c）自我监测依从性、（d）每日运动水平和总体热量消耗、（e）每日热量摄入以及（f）寻求治疗的超重/肥胖成年人的每日热量缺口之间的关系。
方法
46名超重/肥胖成年人（体重指数≥27kg/m²）参与了一项为期18周的阶梯式护理行为减肥项目，完成了体重偏见的内隐和外显测量。参与者被要求自我监测并通过电子方式报告每日能量摄入、运动和能量消耗情况。
结果
更大的体重偏见与自我监测不一致、热量摄入增加、能量消耗和运动量减少、热量缺口更小、项目退出率更高以及阶梯式护理治疗自助阶段体重减轻更少有关。
结论
体重偏见可能会干扰寻求治疗的超重/肥胖成年人实现最佳健康状态的能力。
Zotero 插件