Mind Body Wellbing, LLC, Manahawkin, New Jersey, UK.
Kinesiology Department, California State University, Monterey Bay, California, USA.
Women Health. 2024 Jul;64(6):513-525. doi: 10.1080/03630242.2024.2374783. Epub 2024 Jul 4.
Obesity in the United States has risen to 42 percent of its adult population and is similarly problematic in many other countries. Although the U.S. government has provided education on healthy eating and the need to exercise regularly, behavioral obesity treatments have largely failed to sustain reductions in weight. Self-regulation, and the incorporation of exercise for its psychological impacts on eating, has sometimes been targeted. While there has been sporadic investigation into the carry-over of exercise-related self-regulation to eating-related self-regulation, the present aim is to further inquiry in that area to inform future treatment content for improved effects. Women enrolled in community-based obesity treatments with either a self-regulation ( = 106) or education ( = 54) focus were assessed on changes in exercise- and eating-related self-regulation, negative mood, completed exercise, and weight. Improvements were significantly greater in the self-regulation-focused group. After controlling for initial change in eating-related self-regulation, change in that measure from Month 3 to 6 was significantly predicted by change in exercise-related self-regulation during the initial 3 treatment months. This suggested a carry-over effect. A stronger predictive relationship was associated with the self-regulation-focused treatment. In further analyses, paths from changes in exercise→negative mood→self-regulation of both exercise and eating were significant. Increase in eating-related self-regulation was significantly associated with weight loss over 6, 12, and 24 months. The self-regulation-focused group had stronger relationships, again. Findings suggested utility in targeting exercise-related self-regulation to impact later change in eating-related self-regulation, and the use of exercise-associated mood improvement to bolster participants' self-regulation capabilities.
美国的肥胖率已经上升到其成年人口的 42%，在许多其他国家也同样存在这个问题。尽管美国政府已经提供了关于健康饮食和定期锻炼的教育，但行为肥胖治疗在很大程度上未能持续减少体重。自我调节，以及将锻炼纳入其中，以其对饮食的心理影响，有时是目标。虽然已经对锻炼相关的自我调节向饮食相关的自我调节的延续进行了零星的调查，但目前的目的是进一步探究这一领域，为改善治疗效果提供信息。参加基于社区的肥胖治疗的女性，分别以自我调节（ = 106）或教育（ = 54）为重点，评估锻炼和饮食相关的自我调节、负面情绪、完成的锻炼和体重的变化。自我调节重点组的改善明显更大。在控制了饮食相关自我调节的初始变化后，从第 3 个月到第 6 个月的该指标变化与前 3 个月治疗期间的锻炼相关自我调节变化显著相关。这表明存在延续效应。与自我调节重点治疗相关的预测关系更强。在进一步的分析中，锻炼→负面情绪→锻炼和饮食自我调节的变化之间的路径是显著的。饮食相关自我调节的增加与 6、12 和 24 个月时的体重减轻显著相关。自我调节重点组的关系更强。研究结果表明，将锻炼相关的自我调节作为目标，以影响随后的饮食相关自我调节的变化是有用的，同时利用与锻炼相关的情绪改善来增强参与者的自我调节能力。
