Department of Aging and Geriatric Research, University of Florida, Gainesville, Florida, USA.
Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida, USA.
Obesity (Silver Spring). 2021 Dec;29(12):1982-1986. doi: 10.1002/oby.23257. Epub 2021 Oct 27.
Despite the utility of social cognitive theory for facilitating individual behavior changes needed for initial weight loss, this model has been less effective in facilitating adherence to recommended lifestyle changes required for sustainable weight-loss maintenance. One potential reason for the limited long-term effectiveness of lifestyle interventions guided by this model is that the model does not consider the important influence that biology can have on weight-relevant behaviors, during both weight loss and weight-loss maintenance, via sensations of hunger and satiety and changes in energy metabolism (expenditure and fat oxidation). We describe here a proposed revision to social cognitive theory that allows for biological factors to exist in reciprocal determinism with behavioral, environmental, and personal factors, with the goal of creating a theoretical basis for lifestyle interventions with greater personalization in order to facilitate better long-term adherence and improve weight-loss maintenance.
尽管社会认知理论对于促进初始体重减轻所需的个体行为改变很有用，但在促进可持续体重维持所需的推荐生活方式改变方面，该理论的效果较差。以该理论为指导的生活方式干预措施长期效果有限的一个潜在原因是，该理论没有考虑生物学在减肥和减肥维持期间对与体重相关的行为的重要影响，这是通过饥饿感和饱腹感以及能量代谢（支出和脂肪氧化）的变化来实现的。在这里，我们描述了对社会认知理论的一个修正建议，该建议允许生物学因素与行为、环境和个人因素相互作用，目的是为生活方式干预措施提供一个更具个性化的理论基础，以促进更好的长期坚持，并改善体重维持。
