Annesi James J, Gorjala Srinivasa
Wellness Department, YMCA of Metropolitan Atlanta, GA 30303, USA.
South Med J. 2010 Jun;103(6):517-21. doi: 10.1097/SMJ.0b013e3181de0eb5.
Interrelations of exercise, mood, and weight reduction are unclear in the behavioral treatment of obesity.
Obese women volunteers with high tension (anxiety) (T), depression (D), or total mood disturbance (TMD) scores, who were previously randomized into conditions of (1) exercise supported by The Coach Approach: a protocol based on social cognitive and self-efficacy theory (CA; n = 53, 66, and 60, respectively), (2) personal demonstration and follow up of exercise methods (EX; n = 27, 27, and 21, respectively), and (3) exercise suggested through written information only (INFO; n = 24, 28, and 20, respectively), were subjects. Identical nutrition information was provided to all subjects in a small group format.
Minutes of exercise over the 6-month study were greatest in the CA condition, with minutes in the EX condition greater than the INFO condition. T, D, and TMD scores were reduced to normal levels mostly in the CA condition, with the EX condition having significantly more normalized D scores than the INFO. Across conditions, normalized mood scores generally predicted a greater reduction in waist circumference, with CA associated with additional benefits when D scores were considered.
Properly accounting for exercise-induced mood change may be important in the behavioral treatment of obesity.
在肥胖症的行为治疗中，运动、情绪和体重减轻之间的相互关系尚不清楚。
将之前随机分为以下三组的肥胖女性志愿者作为研究对象：（1）采用教练指导法支持的运动：一种基于社会认知和自我效能理论的方案（CA组；分别为53人、66人和60人），（2）运动方法的个人示范和随访（EX组；分别为27人、27人和21人），以及（3）仅通过书面信息建议的运动（INFO组；分别为24人、28人和20人）。以小组形式向所有受试者提供相同的营养信息。
在为期6个月的研究中，CA组的运动分钟数最多，EX组的运动分钟数多于INFO组。T、D和TMD评分大多在CA组降至正常水平，EX组的D评分显著比INFO组更多地恢复正常。在所有组中，恢复正常的情绪评分通常预示着腰围有更大程度的减小，当考虑D评分时，CA组有额外的益处。
在肥胖症的行为治疗中，正确考虑运动引起的情绪变化可能很重要。
