Impact of Lifestyle Strategies on Longer-Term Physical Activity and Weight

2017 ◽  
Vol 14 (8) ◽  
pp. 606-611 ◽  
Author(s):  
Margaret P. Lott ◽  
Andrea Kriska ◽  
Emma Barinas-Mitchell ◽  
Li Wang ◽  
Kristi Storti ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Regain ◽  
Professional Support ◽  
Behavioral Strategies ◽  
Vascular Effects ◽  
Behavioral Skills ◽  
Self Monitoring ◽  
Modifiable Activity Questionnaire ◽  
Percent Decrease ◽  
Activity Questionnaire

Background:Lifestyle interventions promote increased physical activity (PA) and weight loss; however, relapse to sedentary behavior and weight regain are common.Methods:We analyzed baseline and 24-month data from participants in the Slow the Adverse Vascular Effects (SAVE) study. SAVE included an 18-month behavioral intervention. At 24 months, participants completed a survey about lifestyle strategies used in past 6 months. PA levels were assessed with the Modifiable Activity Questionnaire. We compared change in weight, BMI, and PA from baseline to 24 months by use of strategies vs. no use.Results:214 participants (61%) completed 24-month visit. 74% were female and 86% were white. At 24 months, 65% used self-monitoring, 67% group/commercial support, 94% other behavioral skills, and 27% used professional support within past 6 months. At 24 months, participants who used self-monitoring (5.2 vs. –0.8 MET-hr/wk; P = .001) and group/commercial support (4.3 vs. 0 MET-hrs/wk; P = .01) had greater PA increases compared with those who did not use strategies. Participants who used other behavioral strategies had a significantly greater percent decrease in weight than those who did not.Conclusions:Of the lifestyle strategies used following intervention, self-monitoring and group/commercial support may be particularly important in longer-term PA levels.

Abstract MP84: Use of Lifestyle Strategies Following Intervention and Impact on Longer-term Weight Loss Success

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Margaret Lott ◽  
Laura Kinzel ◽  
Emma Barinas-Mitchell ◽  
Daniel G Winger ◽  
Li Wang ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Professional Support ◽  
Group Support ◽  
Weight Loss Intervention ◽  
Behavioral Strategies ◽  
Behavioral Skills ◽  
Self Monitoring ◽  
Percent Change ◽  
Monitoring Group

Background: Behavioral weight loss interventions are successful in producing weight loss; however, weight regain following cessation of intervention is common. Little is known about use of lifestyle strategies following interventions, differences in use by sex, and how use of strategies relates to longer-term weight trajectories. Methods: This analysis includes participants in the Slow the Adverse Vascular Effects of excess weight (SAVE) study with 24 month follow-up data. SAVE included 349 men and women aged 20-45 years with body mass index 25-39.9kg/m 2 . The SAVE weight loss intervention lasted for 18 months, with sessions decreasing in frequency over time. At 24 months, participants completed a survey about lifestyle strategies used in the past six months, including self-monitoring, group support, behavioral skills, and professional support. Chi-square and Fischer exact tests were used to compare frequency of strategies by sex. T tests were used to compare percent change in weight between baseline and 24-month by use of strategies vs. no use. Results: 214 participants completed 24 month visit (61% of baseline cohort). 74% were female and 86% were white, which did not differ from the baseline cohort. Overall, 65% used self-monitoring, 67% used group support, 94% used behavioral skills, and 27% used professional support within past 6 months. Recording physical activity (52%) and calories (43%) were the most common self-monitoring strategies. Self-weighing (83%), cue management (71%), and portion management (74%) were commonly used behavioral skills. Women were more likely than men to use group support (72% vs. 54%; p = .01). Women were also more likely to use the behavioral skills of rewarding success (32% vs. 9%; p = .001), portion management (78% vs. 64%; p = .046), and cue management (77% vs. 52%; p = .000). Women more frequently reported receiving professional support of diet counseling (48% vs. 15%; p = 0.04) or physical activity counseling (59% vs. 23%; p =0.02) from their PCP than men. Participants who used behavioral strategies had a significantly greater percent change in body weight at 24 months than those who did not (-3.9% vs. -0.7%; p =0.02). No significant differences were found in percent change in body weight at 24 months between participants who used self-monitoring, group support and professional support and those who did not. Conclusions: Participants who completed a weight loss intervention report using a variety of lifestyle strategies after cessation of intervention. Women reported more frequent use of lifestyle strategies than men. Behavioral strategies may be particularly important in longer-term weight loss. Attention should be paid to developing strategies to ensure longer-term weight loss after interventions.

scholarly journals Self-monitoring of spontaneous physical activity and sedentary behavior to prevent weight regain in older adults

Obesity ◽  
2014 ◽  
Vol 22 (6) ◽  
pp. 1406-1412 ◽  
Author(s):  
Barbara J. Nicklas ◽  
Jill E. Gaukstern ◽  
Kristen M. Beavers ◽  
Jill C. Newman ◽  
Xiaoyan Leng ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Behavior ◽  
Weight Regain ◽  
Self Monitoring ◽  
Spontaneous Physical Activity

Validation of an Historical Physical Activity Recall Tool in Postpartum Women

2010 ◽  
Vol 7 (5) ◽  
pp. 658-661 ◽  
Author(s):  
Patricia W. Bauer ◽  
James M. Pivarnik ◽  
Deborah L. Feltz ◽  
Nigel Paneth ◽  
Christopher J. Womack
Keyword(s):  
Physical Activity ◽  
Energy Expenditure ◽  
Leisure Time ◽  
Healthy Pregnancy ◽  
Time Period ◽  
Pregnancy And Postpartum ◽  
Modifiable Activity Questionnaire ◽  
Physical Activity Recall ◽  
Activity Diary ◽  
Activity Questionnaire

Background:Physical activity (PA) is an important component of a healthy pregnancy and postpartum period. Since prospective PA monitoring throughout gestation is difficult, a valid PA recall tool would be of significant benefit to researchers. The purpose of this study was to evaluate the ability of women to recall their physical activity performed during pregnancy and postpartum, 6 years later.Methods:Thirty women participated in an historical PA recall study. Pregnancy PA was monitored carefully via assisted physical activity diary (PAD) 6 years before the current investigation. A Modifiable Activity Questionnaire (MAQ) was used to assess current and past pregnancy PA. The MAQ was administered for each time period in the order of most distant past to most current. Leisure time energy expenditure values (kcal/kg/day) calculated from the PAD and the MAQ were compared.Results:MAQ energy expenditure values showed good positive relationships with PAD measures at 20 weeks gestation (r = .57; P < .01), 32 weeks gestation (r = .85; P < .01), and 12 weeks postpartum (r = .86; P < .01). Correlations found were similar to those from previous PA recall and MAQ validation studies using nonpregnant populations.Conclusions:The MAQ is an appropriate tool to assess pregnancy and postpartum PA in women 6 years postpartum.

Physical Activity Barriers, Behaviors, and Beliefs of Overweight and Obese Working Women: A Preliminary Analysis

2010 ◽  
Vol 19 (1) ◽  
pp. 70-85 ◽  
Author(s):  
Rikki A. Cannioto
Keyword(s):  
Physical Activity ◽  
Contingency Management ◽  
Preliminary Investigation ◽  
Working Women ◽  
Subsequent Development ◽  
Full Time ◽  
Healthy Weight ◽  
Behavioral Strategies ◽  
Obese Women ◽  
Self Monitoring

Despite much research investigating physical activity (PA) barriers for American women, the PA barriers experienced by overweight and obese working women remain largely unexamined. This preliminary investigation assessed the PA barriers, behaviors, and beliefs of 40 overweight/obese women with full-time desk jobs for the subsequent development and implementation of a tailored “healthy weight” wellness program. Based on qualitative and quantitative data analysis, the majority of participants weren’t sufficiently active, citing motivation and time as their biggest perceived barriers. Statistically significant relationships were identified between BMI and barrier numbers, PA levels, PA enjoyment, and PA importance; as well as between PA levels and barrier numbers, PA enjoyment, and PA importance. An effective PA intervention should emphasize 300 minutes of PA a week, while incorporating evidence-based behavioral strategies (i.e., goal setting, self-monitoring, contingency management, social support, stimulus control, and cognitive restructuring) that have been proven to decrease barriers and increase PA adherence among overweight and obese individuals.

Physical Activity Attitudes, Beliefs, and Practices Among Women in a Woodland Cree Community

2013 ◽  
Vol 10 (8) ◽  
pp. 1119-1127 ◽  
Author(s):  
Brenda Bruner ◽  
Karen Chad
Keyword(s):  
Physical Activity ◽  
First Nations ◽  
Age Groups ◽  
Good Health ◽  
Overweight And Obesity ◽  
Attitudes And Beliefs ◽  
Beliefs And Practices ◽  
Aboriginal Women ◽  
Modifiable Activity Questionnaire ◽  
Activity Questionnaire

Background:Overweight and obesity among Aboriginal women is a growing concern, with increasing prevalence rates linked to a sedentary lifestyle. Physical inactivity is a modifiable risk factor for unhealthy body weight; however before addressing health enhancing behaviors, understanding lifestyle practices, attitudes and beliefs are important.Methods:A mixed methods approach assessed physical activity (PA) practices (n = 58), and attitudes and beliefs (n = 19) among First Nations women. The Modifiable Activity Questionnaire assessed PA, and a focused ethnography explored attitudes and beliefs.Results:Self-reported PA was highest in the youngest age group. Both total and leisure-time PA decreased when house-related activities were not accounted for. Younger participants reported sport-related activities, while older participants reported traditional activities (eg, berry picking, fishing). Participants’ believed PA promoted good health, yet personal (ie, lack of time), community-specific (ie, lack of opportunities/encouragement) and environmental (ie, inclement weather, safety) factors acted as barriers. Age-specific, women-only programs were highlighted as potential enablers.Conclusions:The findings highlight the need to assess cultural specific practices, attitudes and beliefs as PA programs that focus on reducing barriers identified in the community and are designed based on expressed interest and preferences may improve leisure-related PA levels among all age groups.

scholarly journals Most Common Types of Physical Activity Self-Selected by People with Multiple Sclerosis

2011 ◽  
Vol 13 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Madeline Weikert ◽  
Deirdre Dlugonski ◽  
Swathi Balantrapu ◽  
Robert W. Motl
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Postal Service ◽  
Frequent Form ◽  
Relapsing Remitting ◽  
The Us ◽  
Promotion Of Physical Activity ◽  
The Common ◽  
Modifiable Activity Questionnaire ◽  
Activity Questionnaire

The promotion of physical activity for people with multiple sclerosis (MS) would benefit from information about the common types of physical activity self-selected by this population. This study examined the most frequent types of physical activity self-reported by a large sample of people with MS. The data were collected as part of the baseline assessment of a longitudinal investigation of physical activity in relapsing-remitting MS (RRMS). The participants (N = 272) were sent a battery of questionnaires through the US Postal Service that included the Modifiable Activity Questionnaire for assessing types of physical activity performed during the previous year. Walking was ranked number 1 for both the first and second most common types of physical activity self-selected by people with MS, and it was ranked number 4 as the third most common type of self-selected physical activity. Collectively, 79% of the sample reported walking as a frequent form of self-selected physical activity in the previous year. Other notable types of physical activities self-selected by people with MS were gardening (44%), weight training (34%), bicycling (30%), and calisthenics (20%). This information may assist clinicians and practitioners in the development of physical activity programs and recommendations for people with MS.

scholarly journals Determinants and Strategies for Physical Activity Maintenance in Chronic Health Conditions: A Qualitative Study

2015 ◽  
Vol 12 (5) ◽  
pp. 733-740 ◽  
Author(s):  
Sarah E. Scott ◽  
Jeff D. Breckon ◽  
Robert J. Copeland ◽  
Andrew Hutchison
Keyword(s):  
Physical Activity ◽  
Qualitative Study ◽  
Outcome Expectations ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Behavioral Strategies ◽  
Framework Analysis ◽  
Self Monitoring ◽  
Chronic Health ◽  
Physical Activity Maintenance

Background:Physical activity is promoted to help adults manage chronic health conditions, but evidence suggests that individuals relapse after intervention cessation. The objective of this study was to explore the determinants and strategies for successful and unsuccessful physical activity maintenance.Methods:A qualitative study using semistructured interviews was conducted with 32 participants. Purposive sampling was used to recruit 20 successful and 12 unsuccessful maintainers. Adults with chronic health conditions were recruited having completed a physical activity referral scheme 6 months before study commencement. The IPAQ and SPAQ were used to categorize participants according to physical activity status. Data were analyzed using framework analysis.Results:Eleven main themes emerged: 1) outcome expectations, 2) experiences, 3) core values, 4) trial and error, 5) social and practical support, 6) attitudes toward physical activity, 7) environmental barriers, 8) psychological barriers, 9) physical barriers, 10) cognitive-behavioral strategies for physical activity self-management (eg, self-monitoring), and 11) condition management (eg, pacing).Conclusions:The findings identified determinants and strategies for successful maintenance and highlighted the processes involved in physical activity disengagement. Such findings can guide the development of physical activity maintenance interventions and increase activity engagement over the long-term in adults with chronic health conditions.

Physical Activity Questionnaire for Elderly Japanese

2007 ◽  
Author(s):  
Akitomo Yasunaga ◽  
Hyuntae Park ◽  
Eiji Watanabe ◽  
Fumiharu Togo ◽  
Sungjin Park ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Activity Questionnaire ◽  
Elderly Japanese ◽  
Activity Questionnaire

Lifetime Total Physical Activity Questionnaire

1998 ◽  
Author(s):  
Christine M. Friedereich ◽  
Kerry S. Courneya ◽  
Heather E. Bryant
Keyword(s):  
Physical Activity ◽  
Total Physical Activity ◽  
Physical Activity Questionnaire ◽  
Activity Questionnaire

Psychosocial Factors in Physical Activity Questionnaire--Short Version

2017 ◽  
Author(s):  
Karoliina Kaasalainen ◽  
Kirsti Kasila ◽  
Jyrki Komulainen ◽  
Miia Malvela ◽  
Marita Poskiparta
Keyword(s):  
Physical Activity ◽  
Psychosocial Factors ◽  
Short Version ◽  
Physical Activity Questionnaire ◽  
Activity Questionnaire
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