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评估时间自我调节理论在理解行为减肥维持计划中身体活动结果方面的效用。

Evaluating the utility of temporal self-regulation theory for understanding physical activity outcomes in a behavioral weight loss maintenance program.

作者信息

Field Christiana M, Leahey Tricia M, Denmat Zeely A, Wyckoff Emily P, Gilder Carnisha M, O'Connor Kayla F, Gorin Amy A

机构信息

Weight Management Research Group, University of Connecticut, Storrs, CT, USA.

Department of Psychological Sciences, University of Connecticut, Storrs, CT, USA.

出版信息

Psychol Health. 2024 May 8:1-18. doi: 10.1080/08870446.2024.2347656.

Abstract

OBJECTIVE

Physical activity (PA) is critical for weight loss maintenance (WLM) success. Clarifying mechanisms behind PA engagement may suggest new WLM intervention targets. This study examined an application of temporal self-regulation theory (TST) to enhance our understanding of PA during WLM.

METHODS AND MEASURES

Participants ( = 214) who achieved a ≥ 5% weight loss during a 4-month weight loss intervention were recruited into an 18-month WLM trial. TST constructs (i.e. PA beliefs, intention, behavioral prepotency, self-regulatory capacity) were measured self-report measures. PA was subsequently assessed over a 7-day period with waist-worn Actigraph GT9X. Robust linear regression models and generalized linear mixed models tested the association between PA beliefs and intention, and the associations between intention, behavioral prepotency, self-regulatory capacity and device-measured PA at baseline and 18-months.

RESULTS

Short-term positive beliefs were associated with intention at baseline and 18-months, whereas short-term negative beliefs were associated with intention at 18-months only. Intention was associated with moderate/vigorous PA (MVPA) minutes and bouted MVPA at baseline and 18-months. The intention by self-regulatory capacity interaction was significant at baseline.

CONCLUSION

Findings lend some support for the use of TST for understanding PA and suggest that short-term beliefs about PA may represent a meaningful target for intervention.

摘要

目的

身体活动(PA)对于维持减肥成功至关重要。阐明参与PA背后的机制可能会提示新的维持减肥干预靶点。本研究考察了时间自我调节理论(TST)的一种应用,以增进我们对维持减肥期间PA的理解。

方法与测量

在一项为期4个月的减肥干预中体重减轻≥5%的参与者(n = 214)被招募进入一项为期18个月的维持减肥试验。通过自我报告测量法测量TST结构(即PA信念、意图、行为优势、自我调节能力)。随后使用佩戴在腰部的Actigraph GT9X在7天内评估PA。稳健线性回归模型和广义线性混合模型检验了PA信念与意图之间的关联,以及意图、行为优势、自我调节能力与基线和18个月时通过设备测量的PA之间的关联。

结果

短期积极信念在基线和18个月时与意图相关,而短期消极信念仅在18个月时与意图相关。意图在基线和18个月时与中度/剧烈身体活动(MVPA)分钟数和分段MVPA相关。意图与自我调节能力的交互作用在基线时显著。

结论

研究结果为使用TST来理解PA提供了一些支持,并表明关于PA的短期信念可能是一个有意义的干预靶点。

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