Journal articles: 'Weight loss motivation'

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Tigay, Judith H., Markita Thompson, Donna Sutton, and Marsha Lesley. "Motivation for Weight Loss." Journal for Nurse Practitioners 12, no. 4 (April 2016): e169-e173. http://dx.doi.org/10.1016/j.nurpra.2015.10.017.

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Czeglédi, Edit. "A fogyás motivációi súlycsökkentő kezelésben részt vevők körében." Orvosi Hetilap 158, no. 49 (December 2017): 1960–67. http://dx.doi.org/10.1556/650.2017.30854.

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Abstract: Introduction: Unrealistic expectations about weight goal and about weight loss-related benefits can hinder the effort for a successful long-term weight control. Aim: To explore weight loss-related goals and their background among overweight/obese patients. Method: Study sample consisted of patients who participated in the inpatient weight loss treatment in the Lipidological Department of Szent Imre Hospital (n = 339, 19% men). Mean age: 50.2 years (SD = 13.47 years), mean BMI: 38.6 (SD = 7.58). Measures: self-reported anthropometric data, type and number of treated illnesses, Goals and Relative Weights Questionnaire, Motivations for Weight Loss Scale, Body Shape Questionnaire. Results: Participants would feel disappointed with a possible 10% weight loss in a half-year time span. The acceptable weight loss percentage was higher among women, younger participants and among those who had more excess weight. Motivation regarding the increase in social desirability by weight loss is in association with body dissatisfaction, health related motivation is in association with the number of treated illnesses. Conclusions: Our results are contributing to the understanding of motivational factors behind weight reduction efforts, considering these can improve treatment success rates. Orv Hetil. 2017; 158(49): 1960–1967.

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Kelly, John D. "Weight Loss Motivation for OA Patients." Physician and Sportsmedicine 33, no. 6 (June 2005): 11. http://dx.doi.org/10.3810/psm.2005.06.111.

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Major, Brenda, Joanne A. Rathbone, Alison Blodorn, and Jeffrey M. Hunger. "The Countervailing Effects of Weight Stigma on Weight-Loss Motivation and Perceived Capacity for Weight Control." Personality and Social Psychology Bulletin 46, no. 9 (February 11, 2020): 1331–43. http://dx.doi.org/10.1177/0146167220903184.

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We hypothesized that exposure to weight stigma simultaneously increases motivation to lose or avoid gaining weight to avoid future stigma and decreases perceived capacity to do so, by heightening concerns about experiencing stigma and negative affect. Study 1 showed that more frequently experiencing weight-based discrimination was associated with greater concerns about being a victim of weight stigma, which predicted increased motivation to lose weight but decreased perceived capacity for weight control. Study 2 showed that participants randomly assigned to view a weight-stigmatizing (vs. control) message showed increased concerns about being a target of weight stigma, which indirectly increased motivation to lose weight and decreased state self-control. These, in turn, predicted increased willingness to engage in unhealthy weight-loss behaviors and decreased perceived capacity for weight control, respectively. Study 3 showed that increased motivation to avoid stigma and increased negative affect mediate these effects of exposure to weight stigma.

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Altieri, Maria, Kathryn Cottell, Darragh Herlihy, Catherine Tuppo, Antonio Villamor, Dana Telem, and Aurora Pryor. "Motivation and time commitment do not impact early weight loss after weight loss surgery." Surgery for Obesity and Related Diseases 11, no. 6 (November 2015): S210—S211. http://dx.doi.org/10.1016/j.soard.2015.08.344.

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Chirban, Ariana, Anushi Shah, Mike Fruscione, Ashley Aaron, Nahel Elias, Heidi Yeh, and Leigh Anne Dageforde. "Pre-Liver Transplant Patient Perception of Current Weight and Weight Loss Motivation." Journal of the American College of Surgeons 233, no. 5 (November 2021): e200. http://dx.doi.org/10.1016/j.jamcollsurg.2021.08.541.

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Strong, Kathryn G., and Gail F. Huon. "Controlled motivation and the persistence of weight-loss dieting." European Eating Disorders Review 7, no. 2 (May 1999): 136–46. http://dx.doi.org/10.1002/(sici)1099-0968(199905)7:2<136::aid-erv263>3.0.co;2-7.

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Krupa-Kotara, Karolina, Mateusz Grajek, Aleksandra Kulesza, Antoniya Yanakieva, and Krzysztof Sas-Nowosielski. "Motivations in weight reduction and undesirable eating behaviors among women with excessive body weight (Poland)." Journal of Education, Health and Sport 13, no. 1 (November 30, 2022): 161–72. http://dx.doi.org/10.12775/jehs.2023.13.01.025.

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The aim of this study was to evaluate the relationship between attitudes toward weight loss, taking into account: the motivating factors that determine the desire to attempt weight loss; the level of well-being and degree of motivation before and during the weight loss attempt; changes in attitudes after an unsuccessful weight loss attempt; the state of well-being after the completed weight loss attempt and the degree of severity of disordered eating according to the TFEQ-13 questionnaire. The study was conducted among 600 female users of forums for people with excessive weight. The research method used in this study was the author's questionnaire and the standardized Three-Factor Eating Questionnaire. A general survey questionnaire serving as a working tool was sent by Computer-Assisted Web Interview to community groups. The predominant group of respondents cannot even count the weight reduction attempts they have made during their lives (31%). Three attempts were made by 29% of respondents, and two attempts by 17%. Attempts to lose weight most often involved increasing current physical activity (overall responses), reducing the caloric content of meals (26%), and improving current eating habits (22%). Most people reduced their body weight from 6 kg to 10 kg (29%) or from 3 to 5 kg (27%). It was found that low a risk of aggravation was diagnosed in 45.5% of people, moderate in 44.5, and low in 10%. For lack of control over eating – a low risk was observed in 15.5% of people, moderate in 68.5% of people, and high in 16%. Evaluating eating under the influence of emotions, the highest risk of the studied phenomenon was observed in 50.5% of people, moderate risk in 36.5% of people, and low risk in 13% of people. The level of motivation significantly decreased when trying to reduce weight. No significant deterioration in well-being was observed before and during the weight loss attempt.

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Crane, Melissa M., Deborah F. Tate, Eric A. Finkelstein, and Laura A. Linnan. "Motivation for Participating in a Weight Loss Program and Financial Incentives: An Analysis from a Randomized Trial." Journal of Obesity 2012 (2012): 1–9. http://dx.doi.org/10.1155/2012/290589.

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This analysis investigated if changes in autonomous or controlled motivation for participation in a weight loss program differed between individuals offered a financial incentive for weight loss compared to individuals not offered an incentive. Additionally, the same relationships were tested among those who lost weight and either received or did not receive an incentive. This analysis used data from a year-long randomized worksite weight loss program that randomly assigned employees in each worksite to either a low-intensity weight loss program or the same program plus small financial incentives for weight loss ($5.00 per percentage of initial weight lost). There were no differences in changes between groups on motivation during the study, however, increases in autonomous motivation were consistently associated with greater weight losses. This suggests that the small incentives used in this program did not lead to increases in controlled motivation nor did they undermine autonomous motivation. Future studies are needed to evaluate the magnitude and timing of incentives to more fully understand the relationship between incentives and motivation.

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Madeira, Teresa, Isabel do Carmo, Henrique Bicha Castelo, and Osvaldo Santos. "Self-Regulation of Weight After Sleeve Gastrectomy." Behavior Modification 42, no. 2 (August 26, 2017): 231–48. http://dx.doi.org/10.1177/0145445517724540.

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Bariatric surgery is recognized as the most effective method for achieving relevant weight loss in subjects with severe obesity. However, there is insufficient knowledge about weight self-regulation and quality of motivation in these patients. The main goal of this study was to characterize the association between the percentage of excess weight loss (%EWL) and the motivation to manage weight, at least 1 year after sleeve gastrectomy (SG). This is an observational longitudinal retrospective study. All patients corresponding to predefined inclusion criteria who underwent SG from January 2008 to July 2010 at a main general hospital were invited. A version of the Treatment Self-Regulation Questionnaire (TSRQ) was used to assess patients’ quality of motivation: TSRQ concerning continuing the weight self-management program. Clinical data were collected from patients’ records. Overall, 81 patients participated (16 men and 65 women, 25-64 years old). The average body mass index was significantly reduced from 45.3 ± 7.0 kg/m2 preoperatively to 32.7 ± 6.9 kg/m2 postoperatively. Autonomous self-regulation was higher than externally controlled self-regulation, regarding motives to keep managing weight after SG. Postoperatively, %EWL correlated negatively with external self-regulation. SG was found to be associated with the quality of motivation for losing weight. External motivations were associated with worse results. These findings support the importance of multiprofessional teams in the assessment and treatment of patients, aiming for the promotion of weight self-regulation after bariatric surgery.

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Amalia, M. S., F. F. Dieny, A. Candra, Nuryanto, and A. F. A. Tsani. "Nutrition education via “instagram” and motivational interviewing for weight loss motivation and physical activity in obese female students." Food Research 5, S3 (July 28, 2021): 14–23. http://dx.doi.org/10.26656/fr.2017.5(s3).004.

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Nutrition education and motivational interviewing are methods to increase motivation, as essential factors in increasing physical activity. The purpose of this study was to determine the effect of nutrition education via Instagram and motivational interviewing, on weight loss motivation and physical activity of obese female students. This study was quasi-experimental with a pre-post-controlled group design that involved thirty-seven obese female students aged 18-23 years at Universitas Diponegoro, selected by proportional stratified sampling. Subjects were divided into three groups, P1 was given nutrition education via Instagram for 30 days (ED) and motivational interviewing four times (MI), P2 was given ED only, and the control (K) was given a leaflet. Weight loss motivation was measured using a healthy diet motivation questionnaire, and physical activity (PA) was measured using IPAQ-SF. Data were analyzed using one way ANOVA, Kruskal Wallis, paired t-test, Wilcoxon, and Mann Whitney. There was an increase in the mean of weight loss motivation that highest in group P1 (109.86 into 126.43), followed by group P2 (114.85 into 121.69) and group K (105.30 into 112.90). The highest increase in the mean of total physical activity was in the P1 group (1341 to 2572), the P2 group (1761 to 2378), and the K group decreased (3404 to 1987) in METs units. There was a significant difference in the mean change in total physical activity and moderate physical activity between P1 and P2 groups when compared to the K group.

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SILVA, MARLENE N., DAVID MARKLAND, ELIANA V. CARRAÇA, PAULO N. VIEIRA, SÍLVIA R. COUTINHO, CLÁUDIA S. MINDERICO, MARGARIDA G. MATOS, LUÍS B. SARDINHA, and PEDRO J. TEIXEIRA. "Exercise Autonomous Motivation Predicts 3-yr Weight Loss in Women." Medicine & Science in Sports & Exercise 43, no. 4 (April 2011): 728–37. http://dx.doi.org/10.1249/mss.0b013e3181f3818f.

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Edell, Barbara H., Scott Edington, Barbara Herd, Richard M. O'Brien, and Gary Witkin. "Self-efficacy and self-motivation as predictors of weight loss." Addictive Behaviors 12, no. 1 (1987): 63–66. http://dx.doi.org/10.1016/0306-4603(87)90009-8.

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Moore, Sylvia A., Robert A. Marlow, and Arthur N. Merrell. "Comparing effects of two types of weight-control counseling on motivation and weight loss." Journal of the American Dietetic Association 88, no. 1 (January 1988): 60–61. http://dx.doi.org/10.1016/s0002-8223(21)01914-3.

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Silva, David Franciole Oliveira, Angélica Luiza de Sales Souza, Jéssica Bastos Pimentel, Thatyane Oliveira Souza, Eduarda Pontes dos Santos Araújo, Karine Cavalcanti Maurício Sena-Evangelista, Ricardo Fernando Arrais, and Severina Carla Vieira Cunha Lima. "Development and content validity of an instrument for assessing the motivation for weight loss in adolescents with overweight and obesity." PLOS ONE 15, no. 11 (November 25, 2020): e0242680. http://dx.doi.org/10.1371/journal.pone.0242680.

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Objective To develop and validate the content of an instrument for assessing the motivation for weight loss in adolescents with overweight and obesity. Methods The development and validation of the instrument were conducted in five stages, for which two systematic reviews were conducted. The first one, for the identification of questionnaires assessing the motivation for weight loss, included six studies and contributed to the selection of the domains for the instrument. The second one, conducted to identify the motivations for weight loss in adolescents with overweight and/or obesity, included six studies and contributed to the selection of 17 motivations included in the initial version of the instrument. The motivations most commonly identified were: having better health, improving my appearance, improving my self-esteem and avoiding bullying. The content validity was confirmed by a committee of 12 experts from the areas of nutrition, endocrinology, psychology, and physical education. Based on these evaluations, the content validity index was calculated. Only the items with a content validity index >0.80 for practical relevance were held in the instrument. Results Five of the 17 motivations included in the initial version of the instrument were excluded because they had content validity index <0.80 for practical relevance. Of the 12 items held in the instrument, five were revised by experts in order to standardize wording and make the language more appropriate for adolescents. Experts categorized the items into the health, personal satisfaction, appearance and social domains. Conclusions This is the first instrument assessing the motivation for weight loss in adolescents with overweight and obesity in Brazil. The content validity evaluation by the panel of experts provided more practical relevance, as well as contributed to a better presentation of the items. Further psychometric testing is needed to determine reliability and construct validity of the instrument.

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Czeglédi, Edit. "Az együttműködés növelésének eszközei a testsúlykontrollban." Orvosi Hetilap 160, no. 43 (October 2019): 1687–97. http://dx.doi.org/10.1556/650.2019.31546.

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Abstract: Long-term successful weight control poses a huge challenge to people who are overweight and treat them in the obesogenic environment. After reaching a clinically significant (5–10%) weight loss, the goal is to maintain the weight loss achieved. However, this requires virtually constant resistance to temptations and requires sustained effort in terms of dietary restriction and physical activity, which requires a strong motivational base. From the point of view of behavior, motivation is the probability that the patient starts, pursues, or persistently follows a strategy that triggers change, that is, in the case of obesity, is committed to health-related behaviors that support weight management and abandons health risk behaviors that hinders weight control efforts. The present study describes the transtheoretical model of behavioral change and provides examples of practical ways to increase motivation and adherence at all stages of behavioral change. All this can contribute to the work of primary care and outpatient care professionals in supporting weight loss patients with excess weight. Orv Hetil. 2019; 160(43): 1687–1697.

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CLARKE, LAURA HURD. "Older women's perceptions of ideal body weights: the tensions between health and appearance motivations for weight loss." Ageing and Society 22, no. 6 (November 2002): 751–73. http://dx.doi.org/10.1017/s0144686x02008905.

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This paper explores older women's evaluations of their weight as well as the perceived merits and detriments of weight gain and weight loss in later life. Using data from semi-structured interviews with 22 community-dwelling women aged 61 to 92 years, I examine the meanings that the women attribute to dieting, desired body weights and obesity. The women frequently offer unsolicited accounts for why they have gained or lost weight over time, and disclose their perceptions of and reasons for needing to alter their current body weights. I probe the tensions between weight loss for health concerns versus appearance goals. The women express dissatisfaction with their weight gain in terms of their physical appearance. However, they also tend to describe the need to lose weight in terms of health risks and benefits rather than in terms of approximating the beauty ideal or achieving a desired body size and shape. Health tends to be described as a valid justification for being concerned with one's weight, while an appearance orientation is deemed to be indicative of vanity. Many of the women suggest that while the health benefits of weight loss are often the stated reason for losing weight, the perceived appearance dividends are the key motivation behind altering one's body weight in later life.

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Warren, Jacob, Bryant Smalley, and Nikki Barefoot. "Higher Motivation for Weight Loss in African American than Caucasian Rural Patients with Hypertension and/or Diabetes." Ethnicity & Disease 26, no. 1 (January 21, 2016): 77. http://dx.doi.org/10.18865/ed.26.1.77.

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Objectives: To examine the relationship between race/ethnicity and motivation for weight loss and motivation for exercise among patients with chronic disease.Design: Cross-sectionalSetting: The current study took place within a network of federally qualified health centers (FQHCs) in the rural southern United StatesPatients or Participants: 463 active FQHC patients with diabetes and/or hypertension identifying as African American, White Hispanic, or non-Hispanic White participated in the current study.Main Outcome Measures: Primary outcomes were assessed using standardized measures of motivation for a) weight loss; and b) hypertension per the Transtheoretical ModelResults: Multivariate logistic regression revealed that, when controlling for age, sex, education status, employment status, poverty, comorbidity, and weight status, there were no significant differences in motivation for exercise among the different racial/ethnic groups (P=.361). However, when controlling for the same factors, there was a significant difference in motivation for weight loss, with African American participants more than twice as likely as non-Hispanic White participants to be motivated to lose weight (ORAD)=2.430, P=.002).Conclusions: Our study suggests that, among rural patients with obesity-related chronic disease, there is a significant variation in motivation to lose weight between racial/ethnic groups. This underscores the importance of culturally tailoring interventions and in considering motivation for change when promoting weight loss behaviors. Additional implications for intervention development and delivery are discussed. Ethn Dis. 2016;26(1):77-84; doi: 10.18865/ed.26.1.77

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Santosa, Sylvia, Isabelle Demonty, Peter J. H. Jones, and Alice H. Lichtenstein. "Moderate Weight Loss: A Self-directed Protocol for Women." Canadian Journal of Dietetic Practice and Research 69, no. 1 (March 2008): 23–27. http://dx.doi.org/10.3148/69.1.2008.23.

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This innovative, self-directed diet and physical activity program was designed to achieve moderate weight loss in women. Thirty-five overweight or obese hyperlipidemic women completed a 20-week weight loss study. The weight loss intervention consisted of a 20% decrease in energy intake through diet and a 10% increase in energy expenditure through physical activity. The diet consisted of 50-60% carbohydrates, 20% protein, and 20-30% fat. A personal trainer prescribed physical activity regimens. A progress-tracking system and monthly group sessions were used to maintain participant motivation throughout the weight loss period. Participants lost an average of 11.7 ± 2.5 kg (p<0.001). The pattern of weight loss was linear (p<0.001) throughout the study period. Average weight loss per week was 0.59 ± 0.55 kg. This 20-week program, combining a structured self-selected diet and independent preplanned physical activity with motivational strategies, resulted in weight loss comparable to that observed in more controlled interventions. The lower cost, ease of use, and outcome success make this approach potentially useful in a clinical setting.

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Trujillo-Garrido, Nuria, and María J. Santi-Cano. "Motivation and Limiting Factors for Adherence to Weight Loss Interventions among Patients with Obesity in Primary Care." Nutrients 14, no. 14 (July 17, 2022): 2928. http://dx.doi.org/10.3390/nu14142928.

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The cornerstones of obesity management are diet, physical activity and behavioral change. However, there is considerable scientific evidence that lifestyle interventions to treat obesity are rarely implemented in primary care. The aim of this study is to analyze motivation to lose weight among patients with obesity, the resources implemented by primary care centers to promote behavioral change and the limiting factors reported by the patients themselves when attempting to lose weight. A total of 209 patients diagnosed with obesity were interviewed. The variables were obtained from both electronic clinical records (sex, age, BMI, diagnosis of metabolic syndrome and records of activities prescribed to promote behavioral change) and a self-administered personal questionnaire. A total of 67.5% of the respondents reported not having sufficient motivation to adhere to a weight loss program. Records of behavioral change activities were identified in only 3% of the clinical records reviewed. The barriers to adherence to diet and exercise plans most frequently mentioned by patients were not having a prescribed diet (27.8%), joint pain (17.7%), getting tired or bored of dieting (14.8%) and laziness (11.5%). Both the high percentage of patients reporting insufficient motivation to lose weight and the barriers to weight loss identified suggest that patients feel the need to improve their motivation, which should be promoted through primary care.

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Meyer, Andrea H., Simone Weissen-Schelling, Simone Munsch, and Jürgen Margraf. "Initial Development and Reliability of a Motivation for Weight Loss Scale." Obesity Facts 3, no. 3 (2010): 7. http://dx.doi.org/10.1159/000315048.

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Summers, Louisa A., Leanna B. Bowles, and Jonathan Gore. "Relationship Between Personality and Exercise Motivation in a Weight Loss Contest." Medicine & Science in Sports & Exercise 46 (May 2014): 469. http://dx.doi.org/10.1249/01.mss.0000494867.12080.98.

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Warren, Jacob C., K. Bryant Smalley, and K. Nikki Barefoot. "Discrepancy in Motivation for Weight Loss and Exercise in Rural Patients." American Journal of Health Behavior 41, no. 6 (November 1, 2017): 803–9. http://dx.doi.org/10.5993/ajhb.41.6.14.

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Johannessen, Kim Berg, and Dorthe Berntsen. "Motivation for weight loss affects recall from autobiographical memory in dieters." Memory 17, no. 1 (January 2009): 69–83. http://dx.doi.org/10.1080/09658210802555616.

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Figura, Andrea, Anne Ahnis, Andreas Stengel, Tobias Hofmann, Ulf Elbelt, Jürgen Ordemann, and Matthias Rose. "Determinants of Weight Loss following Laparoscopic Sleeve Gastrectomy: The Role of Psychological Burden, Coping Style, and Motivation to Undergo Surgery." Journal of Obesity 2015 (2015): 1–10. http://dx.doi.org/10.1155/2015/626010.

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Background. The amount of excess weight loss (%EWL) among obese patients after bariatric surgery varies greatly. However, reliable predictors have not been established yet. The present study evaluated the preoperative psychological burden, coping style, and motivation to lose weight as factors determining postoperative treatment success.Methods. The sample included 64 morbidly obese patients with a preoperative BMI of51±8 kg/m2who had undergone laparoscopic sleeve gastrectomy (LSG). Well-established questionnaires were applied before surgery to assess the psychological burden in terms of “perceived stress” (PSQ-20), “depression” (PHQ-9), “anxiety” (GAD-7), and “mental impairment” (ISR) as well as coping style (Brief COPE) and motivation to lose weight. %EWL as an indicator for treatment success was assessed on average 20 months after surgery.Results. Based on the %EWL distribution, patients were classified into three %EWL groups: low (14–39%), moderate (40–59%), and high (60–115%). LSG patients with high %EWL reported significantly more “active coping” behavior prior to surgery than patients with moderate and low %EWL. Patients’ preoperative psychological burden and motivation to lose weight were not associated with %EWL.Conclusion. An “active coping” style might be of predictive value for better weight loss outcomes in patients following LSG intervention.

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Biggs, Bridget K., Dawn K. Wilson, Mary Quattlebaum, Seema Kumar, Alicia Meek, and Teresa B. Jensen. "Examination of Weight-Loss Motivators and Family Factors in Relation to Weight Management Strategies and Dietary Behaviors among Adolescents with Obesity." Nutrients 13, no. 5 (May 20, 2021): 1729. http://dx.doi.org/10.3390/nu13051729.

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The study aim was to test hypotheses informed by self-determination theory (SDT) regarding associations of adolescent motivators for weight loss and family feeding practices on understanding adolescent weight management and dietary behaviors. Adolescents (n = 71) with obesity were recruited from a large medical center in the Midwest USA and completed questionnaire assessments via an online survey. Results supported hypotheses that endorsement of health motivators for weight loss, conceptualized as autonomous (intrinsic) motivation, and positive family support would be associated with healthier weight management practices and dietary behaviors. Nuanced findings related to social- and self-esteem-related motivators for weight loss indicated a need for further understanding of these weight-loss motivators in the context of SDT. The current study findings highlight the importance of addressing motivational factors and family influences in research and practice related to promoting healthy dietary habits and weight management strategies among adolescents with obesity.

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Russell, Holly Ann, Mechelle Sanders, Lynn Moll, Melanie Murphy, Angela M. Lanigan, and Jennifer K. Carroll. "Using a group medical visit model to promote healthy behaviour change with an underserved population." Family Practice 37, no. 4 (March 29, 2020): 507–12. http://dx.doi.org/10.1093/fampra/cmaa028.

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Abstract Background Models of care are needed to address physical activity, nutrition promotion and weight loss in primary care settings, especially with underserved populations who are disproportionately affected by chronic illness. Group medical visits (GMVs) are one approach that can help overcome some of the barriers to behaviour change in underserved populations, including the amount of time required to care for these patients due to socio-economic stressors and psychosocial complexities (1). GMVs have been shown to improve care in coronary artery disease and diabetes, but more evidence is needed in underserved settings. Objective This project sought to evaluate a GMV incorporating a physical activity component in an underserved patient population, measuring biometric and motivation outcome measures. Methods This project used a pre–post intervention study design through patient surveys at baseline and 12 weeks. We included validated motivational measures along with self-reported demographic information. A GMV intervention promoting physical activity and nutrition to promote weight loss was delivered by an interdisciplinary primary care team and community partners in a Federally Qualified Health Center in Rochester, NY. The intervention consisted of six, 2-hour sessions that occurred every other week at the clinic site. Results Participants lost a significant amount of weight and maintained the weight loss at 6 months. In addition, there was a significant improvement in motivation measures. Conclusion This study provides preliminary evidence that our GMV model can improve weight loss and autonomous motivation in an underserved population. This project has potential for scalability and sustainability.

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Bravender, Terrill, Pauline Lyna, Cynthia J. Coffman, Michael E. Bodner, Truls Østbye, Stewart C. Alexander, Pao-Hwa Lin, and Kathryn I. Pollak. "Physician Weight-Related Counseling Is Unrelated to Extreme Weight Loss Behaviors Among Overweight and Obese Adolescents." Clinical Pediatrics 57, no. 8 (October 30, 2017): 954–57. http://dx.doi.org/10.1177/0009922817737081.

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Some physicians may be hesitant to counsel overweight and obese adolescents about weight because of concerns that such counseling may result in extreme weight loss behaviors and the subsequent development of eating disorders. We compared self-reported extreme weight loss behaviors in 535 overweight/obese adolescents prior to receiving weight-related counseling during primary care visits, and again after 3 months. We found no change in fasting (7.7% vs 6.3%, P = .45), and decreases in diet pill use (4.1% vs 1.7%, P = .003) and laxative use/vomiting (2.6% vs 1.0%, P = .02). Three months following their medical appointment, patients were also less likely to report trying to lose weight in general (80.0% vs 75.6%, P = .04). Physicians should be reassured that providing weight-related counseling to their obese adolescents is unlikely to induce extreme weight loss behaviors. Frequent counseling may be required in order to help patients maintain motivation to attain a healthy weight.

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Klingaman, Elizabeth A., Kristen M. Viverito, Deborah R. Medoff, Rebecca M. Hoffmann, and Richard W. Goldberg. "Strategies, barriers, and motivation for weight loss among veterans living with schizophrenia." Psychiatric Rehabilitation Journal 37, no. 4 (2014): 270–76. http://dx.doi.org/10.1037/prj0000084.

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Dixon, John B., Cheryl P. Laurie, Margaret L. Anderson, Melissa J. Hayden, Maureen E. Dixon, and Paul E. O'Brien. "Motivation, Readiness to Change, and Weight Loss Following Adjustable Gastric Band Surgery." Obesity 17, no. 4 (April 2009): 698–705. http://dx.doi.org/10.1038/oby.2008.609.

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Kuk, Jennifer L., Rebecca A. G. Christensen, Elham Kamran Samani, and Sean Wharton. "Predictors of Weight Loss and Weight Gain in Weight Management Patients during the COVID-19 Pandemic." Journal of Obesity 2021 (December 17, 2021): 1–8. http://dx.doi.org/10.1155/2021/4881430.

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Objective. To examine the associations between patient struggles, health, and weight management changes during the COVID-19 pandemic. Methods. 585 patients attending a publicly funded clinical weight management program responded to an electronic survey. Results. Over half of the patients reported worsened overall health, mental health, physical activity, or diet during the pandemic. Approximately 30% of patients lost ≥3% of their body weight and 21% gained ≥3% of their body weight between March and July of the pandemic. Reports of social isolation was associated with increased odds for weight loss in women (OR = 2.0, 1.2–3.3), while low motivation (OR = 1.9, 1.0–3.7), depression (OR = 2.5, 1.0–6.3), and struggles with carbohydrate intake (OR = 2.1, 1.0–4.3) were associated with weight gain. Cooking more at home/eating less take out was associated with increased likelihood of weight loss (OR = 2.1, 1.1–3.9) and lower odds for weight gain (OR = 0.2, 0.1 to 0.97). Working from home was not associated with weight loss or weight gain ( P > 0.6 ). Conclusion. The COVID-19 pandemic is associated with certain factors that may facilitate weight loss and other factors that promote weight gain. Thus, depending on the patient experience during the pandemic, prevention of weight gain may be more appropriate than weight loss.

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Matikainen‐Ankney, Bridget A., Mohamed A. Ali, Nanami L. Miyazaki, Sydney A. Fry, Julia A. Licholai, and Alexxai V. Kravitz. "Weight Loss After Obesity is Associated with Increased Food Motivation and Faster Weight Regain in Mice." Obesity 28, no. 5 (March 5, 2020): 851–56. http://dx.doi.org/10.1002/oby.22758.

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Tijssen, Arno, Marjolein Snaterse, Madelon Minneboo, Sangeeta Lachman, Wilma Scholte op Reimer, Ron J. Peters, and Harald Thune Jørstad. "Weight management and determinants of weight change in patients with coronary artery disease." Heart 107, no. 19 (July 29, 2021): 1552–59. http://dx.doi.org/10.1136/heartjnl-2021-319224.

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ObjectiveTo study the effects of a comprehensive secondary prevention programme on weight loss and to identify determinants of weight change in patients with coronary artery disease (CAD).MethodsWe performed a secondary analysis focusing on the subgroup of overweight CAD patients (BMI ≥27 kg/m2) in the Randomised Evaluation of Secondary Prevention by Outpatient Nurse SpEcialists-2 (RESPONSE-2) multicentre randomised trial. We evaluated weight change from baseline to 12-month follow-up; multivariable logistic regression with backward elimination was used to identify determinants of weight change.ResultsIntervention patients (n=280) lost significantly more weight than control patients (n=257) (−2.4±7.1 kg vs −0.2±4.6 kg; p<0.001). Individual weight change varied widely, with weight gain (≥1.0 kg) occurring in 36% of interventions versus 41% controls (p=0.21). In the intervention group, weight loss of ≥5% was associated with higher age (OR 2.94), lower educational level (OR 1.91), non-smoking status (OR 2.92), motivation to start with weight loss directly after the baseline visit (OR 2.31) and weight loss programme participation (OR 3.33), whereas weight gain (≥1 kg) was associated with smoking cessation ≤6 months before or during hospitalisation (OR 3.21), non-Caucasian ethnicity (OR 2.77), smoking at baseline (OR 2.70), lower age (<65 years) (OR 1.47) and weight loss programme participation (OR 0.59).ConclusionThe comprehensive secondary prevention programme was, on average, effective in achieving weight loss. However, wide variation was observed. As weight gain was observed in over one in three participants in both groups, prevention of weight gain may be as important as attempts to lose weight.Trial registration numberNTR3937.

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Webber, Kelly H., Deborah F. Tate, Dianne S. Ward, and J. Michael Bowling. "Motivation and Its Relationship to Adherence to Self-monitoring and Weight Loss in a 16-week Internet Behavioral Weight Loss Intervention." Journal of Nutrition Education and Behavior 42, no. 3 (May 2010): 161–67. http://dx.doi.org/10.1016/j.jneb.2009.03.001.

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Webber, Kelly H., Jeanne M. Gabriele, Deborah F. Tate, and Mark B. Dignan. "The effect of a motivational intervention on weight loss is moderated by level of baseline controlled motivation." International Journal of Behavioral Nutrition and Physical Activity 7, no. 1 (2010): 4. http://dx.doi.org/10.1186/1479-5868-7-4.

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Miller, Marshall, Michael Borack, Jamie Rincker, Shelley McDonald, Kathyrn Starr, and Connie Bales. "Weight Loss Motivation in Older Pre-Diabetics: Preliminary Evidence by Race in the Eggspdite Study." Innovation in Aging 4, Supplement_1 (December 1, 2020): 229. http://dx.doi.org/10.1093/geroni/igaa057.739.

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Abstract Obesity hastens functional decline and intensifies chronic health conditions among older adults. Late-life obesity is of particular concern for older African Americans, who are at increased risk for obesity and type 2 diabetes and for whom weight loss interventions can be less effective. However, obesity interventions have been under-studied in this population; little is known about potential differences in motivation for change by race. The ongoing Eggs PreDiabetes Intervention Trial (EGGSPDITe) is a randomized controlled trial of expedited weight loss in older (60+ years) Black and White adults with prediabetes. Participants completed both the Stages- and Processes of Change questionnaires in Weight Management (S-Weight and P-Weight) at baseline and end of 4-month intervention. Preliminary combined-group analysis indicates that, while White participants reported a higher average stage of change at baseline, there was no difference by race (ps < 0.05) in changes for body weight, fat mass, and hemoglobin A1c at endpoint. Reductions in weight consequences evaluation (WCE) and increases in weight management actions (WMA) subscales were observed in both races (ps < 0.05), with a trend toward decreased emotional re-evaluation (EmR; p = 0.06). Of the processes of change subscales, only WCE differed by race (p < 0.05), with White participants showing ≈13.5% higher utilization, relative to Black participants, at both time points. These preliminary findings suggest that weight loss interventions can be equally effective among black and white older adults, although motivations for weight loss may differ by race.

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Correra, Adriana, Cynthia Valdez, and Noreen M. Graf. "Weight Loss Surgery Among Obese Women: Employment Expectations and Outcomes." Journal of Applied Rehabilitation Counseling 43, no. 3 (September 1, 2012): 34–46. http://dx.doi.org/10.1891/0047-2220.43.3.34.

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This study utilized the Weight Loss Surgery and Work Expectations (WLSWE) questionnaire to examine the pre surgery expectations and post surgery outcomes for 80 women following WLS surgery. In comparing pre and post WLS expectations and results, improvement was found in increased confidence and relationships at work. Using paired samples t-tests, results demonstrated that women who had WLS reported improvement in ease of getting hired, work performance, work motivation, work discrimination by others, social activities with coworkers, ease of promotion, and completing physical work tasks.

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Elsborg, Peter, Johan Bundgaard Nielsen, Gertrud Ursula Pfister, Vivian Dümer, Anette Jacobsen, and Anne-Marie Elbe. "Volition and motivations influence on weight maintenance." Health Education 119, no. 2 (February 4, 2019): 115–32. http://dx.doi.org/10.1108/he-04-2018-0023.

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Purpose The purpose of this paper is to explore how the psychological constructs volition and motivation influence successful and unsuccessful weight maintainers’ experiences during the difficult period following an intensive lifestyle intervention. Design/methodology/approach Post lifestyle intervention semi-structured interviews with 11 successful and four unsuccessful weight maintainers were conducted. Findings The eight themes that emerged and the differences between successful and unsuccessful maintainers were theoretically explained applying the self-determination theory (motivation) and the personal systems interaction (volition). Practical implications The study validates and coheres with previous findings on the importance of self-regulation and autonomous motivation for weight loss maintenance. Additionally, the study’s findings expand the literature by explaining both empirically and theoretically how the quality of motivation concerning an activity influences the level of volitional intensity needed when wanting to either engage in goal oriented or refrain from goal opposing activities. Originality/value Developing effective obesity interventions has become essential, as obesity is a growing health threat in most countries in the world. However, there is a gap in the literature with regards to qualitative psychological studies with a clear theoretical framework informing intervention development.

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Maupome, Andrea Lopez, Ángeles Vacio Muro Ma de los, and Marván Garduño Ma Luisa. "Improving Food Choices When Eating with Peers: An IMB Model-Based Weight-Loss Intervention." Current Developments in Nutrition 4, Supplement_2 (May 29, 2020): 1327. http://dx.doi.org/10.1093/cdn/nzaa059_044.

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Abstract Objectives The aim of the study was to design and evaluate the effect of an Information-Motivation-Behavioral skills (IMB) model-based intervention to improve correct food choices during social events on body composition and eating behavior of Mexican university students under weight-loss treatment. Methods 32 students participated voluntarily on a 12-week weight-loss treatment and were randomly assigned to the intervention group or control group. The intervention group received individually a four 60-minute sessions program that provided basic nutrition information, motivational topics and skills practice about how to choose the correct type and amount of food when eating with their peers. Body composition measures, basic knowledge scores of nutrition and motivation, healthy practices and overeating levels were evaluated before and after treatment. Student's t-tests and Cohen's d test were used to assess differences and to calculate the intervention's effect on body composition. Changes in basic knowledge scores and in motivation, healthy practices and overeating levels were calculated using the Mann-Whitney U test and the Pearson contingency coefficient. Results Although average anthropometric measurements decreased from the beginning to follow-up on both groups, the intervention's effect size was “large” on Body Mass Index (BMI) and waist circumference (d = 1.15, P < 0.0001; d = 1.09, P < 0.0001), and “extremely large” on fat percentage (d = 6.79, P < 0.0001). At follow-up, the intervention group had a significantly lower BMI and fat percentage than the control group (P < 0.048; P < 0.050). The basic knowledge score and healthy practices levels were significantly higher in the intervention group than in the control group (P < 0.006; P < 0.032). In contrast, overeating levels were significantly lower in the intervention group than in the control group (P < 0.026), which corroborates improvements in eating behavior. Conclusions Findings support the use of an intervention based on the IMB model that addresses the correct food choice during social events to improve weight-loss treatment outcomes of Mexican university students. Funding Sources National Council for Science and Technology (CONACyT, by its acronym in spanish), Mexico. Facultad de Nutrición Campus Xalapa, Universidad Veracruzana, Mexico.

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Banerjee, Elaine Seaton, Sharon J. Herring, Katelyn E. Hurley, Katherine Puskarz, Kyle Yebernetsky, and Marianna LaNoue. "Overcoming Obesity: A Mixed Methods Study of the Impact of Primary Care Physician Counseling on Low-Income African American Women Who Successfully Lost Weight." American Journal of Health Promotion 32, no. 2 (March 16, 2017): 374–80. http://dx.doi.org/10.1177/0890117117690853.

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Purpose: Low-income, African American women are disproportionately impacted by obesity. Little is known about the interactions between low-income, African American women who successfully lost weight and their primary care physicians (PCPs). Design: Mixed methods, positive deviance study. Setting: Urban university-based family medicine practice. Participants: The positive deviance group comprised low-income, African American women who were obese, lost 10% body weight, and maintained this loss for 6 months. Measures: The PCP- and patient-reported weight-related variables collected through the electronic medical record (EMR), surveys, and interviews. Analysis: Logistic regression of quantitative variables. Qualitative analysis using modified grounded theory. Results: The EMR documentation by PCPs of dietary counseling and a weight-related medical problem were significant predictors of positive deviant group membership. Qualitative analyses of interviews revealed 5 major themes: framing obesity in the context of other health problems provided motivation; having a full discussion around weight management was important; an ongoing relationship with the physician was valuable; celebrating small successes was beneficial; and advice was helpful but self-motivation was necessary. Conclusion: The PCP counseling may be an important factor in promoting weight loss in low-income, African American women. Patients may benefit from their PCPs drawing connections between obesity and weight-related medical conditions and enhancing intrinsic motivation for weight loss.

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Mulyani, Ira, Fillah Fithra Dieny, Ayu Rahadiyanti, Deny Yudi Fitranti, A. Fahmy Arif Tsani, and Etisa Adi Murbawani. "Efek motivational interviewing dan kelas edukasi gizi berbasis instagram terhadap perubahan pengetahuan healthy weight loss dan kualitas diet mahasiswi obesitas." Jurnal Gizi Klinik Indonesia 17, no. 2 (October 30, 2020): 53. http://dx.doi.org/10.22146/ijcn.53042.

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Effect of motivational interviewing and nutrition education class based on instagram for change healthy weight loss knowledge and diet quality in obese female studentsBackground: Obesity is a health problem that has a serious impact on women. Instagram is one of the media for nutrition education that can present healthy messages effectively and motivational interviewing can improves intrinsic motivation to changes in behavior. Objective: To analyze the effects of motivational interviewing and nutrition education class on changes in healthy weight loss knowledge and diet quality. Methods: This study used a quasi-experimental design with the pre-post test control group. The sample consists of 40 female students obesity were divided into three groups, control group (K); intervention group 1 with motivational interviewing and nutrition education class (P1); intervention group 2 only nutrition education class (P2). The nutrition education class based on instagram was given for thirty days and motivational interviewing was given 4 times with a duration of 15-45 minutes. Changes in healthy weight loss knowledge were assessed by pre-test and post-test questionnaire, while diet quality was assessed by Diet Quality Index-International (DQI-I). Results: There was a significant difference between healthy weight loss knowledge in the three groups. There were significant differences on sub-components of the adequacy of staple food (p=0.026), fiber (p=0.026), protein (p=0.006), total fat intake (p=0.009), saturated fat intake (p=0.024), sodium intake (p=0.016), energy intake (p=0.000), and carbohydrate intake (p=0.002) in the three groups. Conclusions: Motivational interviewing and nutrition education class based on instagram could increase the healthy weight loss knowledge and reduce staple food intake, total fat intake, saturated fat intake, sodium intake, energy intake, and carbohydrate intake in obese women.

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Frie, Kerstin, Jamie Hartmann-Boyce, Susan Jebb, Jason Oke, and Paul Aveyard. "Patterns in Weight and Physical Activity Tracking Data Preceding a Stop in Weight Monitoring: Observational Analysis." Journal of Medical Internet Research 22, no. 3 (March 17, 2020): e15790. http://dx.doi.org/10.2196/15790.

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Background Self-regulation for weight loss requires regular self-monitoring of weight, but the frequency of weight tracking commonly declines over time. Objective This study aimed to investigate whether it is a decline in weight loss or a drop in motivation to lose weight (using physical activity tracking as a proxy) that may be prompting a stop in weight monitoring. Methods We analyzed weight and physical activity data from 1605 Withings Health Mate app users, who had set a weight loss goal and stopped tracking their weight for at least six weeks after a minimum of 16 weeks of continuous tracking. Mixed effects models compared weight change, average daily steps, and physical activity tracking frequency between a 4-week period of continuous tracking and a 4-week period preceding the stop in weight tracking. Additional mixed effects models investigated subsequent changes in physical activity data during 4 weeks of the 6-week long stop in weight tracking. Results People lost weight during continuous tracking (mean −0.47 kg, SD 1.73) but gained weight preceding the stop in weight tracking (mean 0.25 kg, SD 1.62; difference 0.71 kg; 95% CI 0.60 to 0.81). Average daily steps (beta=−220 daily steps per time period; 95% CI −320 to −120) and physical activity tracking frequency (beta=−3.4 days per time period; 95% CI −3.8 to −3.1) significantly declined from the continuous tracking to the pre-stop period. From pre-stop to post-stop, physical activity tracking frequency further decreased (beta=−6.6 days per time period; 95% CI −7.12 to −6.16), whereas daily step count on the day’s activity was measured increased (beta=110 daily steps per time period; 95% CI 50 to 170). Conclusions In the weeks before people stop tracking their weight, their physical activity and physical activity monitoring frequency decline. At the same time, weight increases, suggesting that declining motivation for weight control and difficulties with making use of negative weight feedback might explain why people stop tracking their weight. The increase in daily steps but decrease in physical activity tracking frequency post-stop might result from selective measurement of more active days.

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Falchi, Anna Giulia, Chiara Muggia, Ilaria Grecchi, Ilaria Michelini, Annalisa De Silvestri, and Carmine Tinelli. "Validation of decisional balance inventory test in Italian: assessment of motivation in weight loss." Italian Journal of Medicine 9, no. 3 (September 22, 2015): 268. http://dx.doi.org/10.4081/itjm.2015.520.

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The decisional balance inventory (DBI) test is a valuable tool to assess motivation to change; we consider its application in enhancing motivation of losing weight. Our aim is the translation, cultural adaption and validation in Italian of this test originally designed and drafted in English. The questionnaire has been translated according to an English → Italian → Italian → English algorithm with reconciliation of the differences. Pilot study and retests were performed on 47 cases [body mass index (BMI) ≥30 kg/m2] and 15 controls (BMI value between 18.5 and 25 kg/m2). The internal consistency of the Italian version of DBI test, was satisfied (Cronbach α 0.87 on patients); test-retest shows a good concordance in pilot [Lin’s concordance correlation coefficient (CCC) 0.79; 95% confidence interval (CI) 0.68-0.90] and in patient sample (Lin’s CCC 0.83; 95% CI: 0.67 0.99).Our study demonstrated the trans-cultural adaptation and validation of DBI test in Italian.

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Elsborg, Peter, and Anne-Marie Elbe. "Exercise-specific volition and motivation for weight loss maintenance following an intensive lifestyle intervention." Health Psychology 37, no. 8 (August 2018): 759–66. http://dx.doi.org/10.1037/hea0000636.

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Stelmach-Mardas, Marta, Marcin Mardas, Jarosław Walkowiak, and Heiner Boeing. "Long-term weight status in regainers after weight loss by lifestyle intervention: status and challenges." Proceedings of the Nutrition Society 73, no. 4 (September 5, 2014): 509–18. http://dx.doi.org/10.1017/s0029665114000718.

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After having participated in a weight loss trial, most participants do not stabilise the obtained weight loss but return to their initial weight. The aim of this review is to describe the main determinants of continued low weight status after weight loss, and the effectiveness of physical activity (PA), energy restriction and macronutrient composition of the diet for low long-term weight regain. Studies with intervention periods of at least 3 months duration of weight reduction measures and a follow-up at least 2 years after the intervention period were considered as eligible for the review. Owing to limited data, the studies describing the role of PA in weight management were eligible with a follow-up of 1 year only. It appears that a diet with self-regulation of dietary intake seems to be given a prominent role in the strategy of successful long-term weight loss among the obese. This measure could be combined with behaviour therapy and PA and tailored to the individual situation. However, considering available evidence it is difficult to conclude regarding unambiguous measures and to recommend a specific dietary intervention. Nevertheless, interventions should be effective in promoting intrinsic motivation and self-efficacy. The harmonisation and standardisation of data collection in the follow-up period of long-term weight loss studies is a major challenge.

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Howarth, David, Dominic Inman, Elizabeth Lingard, Andrew McCaskie, and Craig Gerrand. "Barriers to weight loss in obese patients with knee osteoarthritis." Annals of The Royal College of Surgeons of England 92, no. 4 (May 2010): 338–40. http://dx.doi.org/10.1308/003588410x12628812458653.

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INTRODUCTION Obesity contributes to the development of knee osteoarthritis and complicates its surgical treatment. The aim of this study was to explore barriers to effective weight management in obese patients with knee osteoarthritis. PATIENTS AND METHODS A cross-sectional questionnaire study was performed in an elective out-patient setting and on an orthopaedic ward on patients with a body mass index (BMI) of 30 kg/m2 or over and knee osteoarthritis. RESULTS Of 47 patients approached, 45 agreed to participate. Forty of 45 patients (89%) had tried to lose weight at some point, 35 of 40 (87.5%) by adjusting their diet. Forty of 45 (89%) patients considered lack of motivation to be the greatest barrier to weight loss and only 13 of 45 (28%) pain in the knee. Patients with a BMI of less than 40 kg/m2 expressed a preference for dietary advice to help with weight loss, compared with those with a BMI of over 40 kg/m2 who expressed a preference for an NHS or other support group. CONCLUSIONS Obesity is a significant problem for many patients with knee osteoarthritis. Attendance at an orthopaedic clinic is an opportunity to address obesity, by providing information about diet and possibly support groups for morbidly obese patients. Patients may be motivated to lose weight to improve their symptoms.

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Li, Sherly X., Zheng Ye, Kevin Whelan, and Helen Truby. "The effect of communicating the genetic risk of cardiometabolic disorders on motivation and actual engagement in preventative lifestyle modification and clinical outcome: a systematic review and meta-analysis of randomised controlled trials." British Journal of Nutrition 116, no. 5 (July 13, 2016): 924–34. http://dx.doi.org/10.1017/s0007114516002488.

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AbstractGenetic risk prediction of chronic conditions including obesity, diabetes and CVD currently has limited predictive power but its potential to engage healthy behaviour change has been of immense research interest. We aimed to understand whether the latter is indeed true by conducting a systematic review and meta-analysis investigating whether genetic risk communication affects motivation and actual behaviour change towards preventative lifestyle modification. We included all randomised controlled trials (RCT) since 2003 investigating the impact of genetic risk communication on health behaviour to prevent cardiometabolic disease, without restrictions on age, duration of intervention or language. We conducted random-effects meta-analyses for perceived motivation for behaviour change and clinical changes (weight loss) and a narrative analysis for other outcomes. Within the thirteen studies reviewed, five were vignette studies (hypothetical RCT) and seven were clinical RCT. There was no consistent effect of genetic risk on actual motivation for weight loss, perceived motivation for dietary change (control v. genetic risk group standardised mean difference (smd) −0·15; 95 % CI −1·03, 0·73, P=0·74) or actual change in dietary behaviour. Similar results were observed for actual weight loss (control v. high genetic risk SMD 0·29 kg; 95 % CI −0·74, 1·31, P=0·58). This review found no clear or consistent evidence that genetic risk communication alone either raises motivation or translates into actual change in dietary intake or physical activity to reduce the risk of cardiometabolic disorders in adults. Of thirteen studies, eight were at high or unclear risk of bias. Additional larger-scale, high-quality clinical RCT are warranted.

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Hofmann, Bernd, Jörg Zimmermann, Thorsten Schreiner, Stefan Webendörfer, and Matthias Claus. "Evaluation eines online-basierten Motivations- und Dokumentationsprogramms zur Gewichtsreduktion." ASU Arbeitsmedizin Sozialmedizin Umweltmedizin 2022, no. 09 (August 30, 2022): 583–90. http://dx.doi.org/10.17147/asu-1-216981.

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Evaluation of an online-based motivation and documentation programme for weight loss. Results of a randomised controlled study Objectives: The objective of the study was to examine whether the use of an online-based motivation and documentation programme leads to weight loss within one year in overweight employees, compared to a control group. Methods: This is a randomised controlled trial conducted from 2018 to 2019 in Ludwigshafen. Members of the intervention and control groups received a measuring tape and a pedometer at the start of the study. Subjects in the intervention group also received access to a website with a motivational programme. At study inclusion, after 6 and 12 months, all study participants received a questionnaire regarding subjective assessment of fitness status, dietary behaviour, and evaluation of the website and pedometer. All study participants also received a monthly newsletter with information on health topics. Results: A total of 279 subjects participated in the study, with information on the primary study endpoint available for 165 (59 %) after 12 months. After 12 months, weight was reduced by 0.73 kg and 1.16 kg in the intervention and control group respectively (mean difference: 0.43 kg; 95% CI: –1.06 kg to 1.92 kg; p = 0.571). Abdominal circumference was reduced by 1.27 cm and 1.74 cm in the intervention and control group respectively (mean difference: 0.47 cm; 95 % CI: –0.96 cm to 1.91 cm; p = 0.521). Regarding subjective assessment of physical activity and dietary behaviour, there were also no statistically significant differences between the groups. Of those who participated in the final survey and, in relation to the website, logged in at least once, the website and pedometer were predominantly rated positively. Conclusions: The study did not show a weight-reducing effect of intervention through the online app. Further studies on digital applications (apps) with adapted or additional functions are needed to evaluate whether they can be a component on the path to desired permanent weight loss in the future. Keywords: randomised controlled trial (RCT) – app – weight loss – fitness

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Lesser, Lenard I., Caroline A. Thompson, and Harold S. Luft. "Association Between Monetary Deposits and Weight Loss in Online Commitment Contracts." American Journal of Health Promotion 32, no. 1 (August 8, 2016): 198–204. http://dx.doi.org/10.1177/0890117116661157.

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Purpose: To examine the characteristics of voluntary online commitment contracts that may be associated with greater weight loss. Design: Retrospective analysis of weight loss commitment contracts derived from a company that provides web-based support for personal commitment contracts. Using regression, we analyzed whether percentage weight loss differed between participants who incentivized their contract using monetary deposits and those who did not. Setting: Online. Participants: Users (N = 3857) who voluntarily signed up online in 2013 for a weight loss contract. Intervention: Participants specified their own weight loss goal, time period, and self-reported weekly weight. Deposits were available in the following 3 categories: charity, anticharity (a nonprofit one does not like), or donations made to a friend. Measures: Percentage weight loss per week. Analysis: Multivariable linear regressions. Results: Controlling for several participant and contract characteristics, contracts with anticharity, charity, and friend deposits had greater reported weight loss than nonincentivized contracts. Weight change per week relative to those without deposits was −0.33%, −0.28%, and −0.25% for anti-charity, charity, and friend, respectively ( P < 0.001). Contracts without a weight verification method claimed more weight loss than those with verification. Conclusion: Voluntary use of commitment contracts may be an effective tool to assist weight loss. Those who choose to use monetary incentives report more weight loss. It is not clear whether this is due to the incentives or higher motivation.

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Gerber, Lynne. "My Body is a Testimony: Appearance, Health, and Sin in an Evangelical Weight-loss Program." Social Compass 56, no. 3 (September 2009): 405–18. http://dx.doi.org/10.1177/0037768609338760.

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Christian weight loss programs in the United States are significant sites of evangelical negotiation between cultural distinction and cultural participation. First Place, a Christian weight loss program sponsored in churches across the country, both appropriates dominant American concerns about health and fears of obesity, and reinscribes them in a cultural context that gives religious meaning to this seemingly worldly pursuit. The author, basing herself on qualitative research, examines three critical areas in which First Place distinguishes itself from its secular counterparts and renders weight loss a spiritually significant task: motivation for weight loss, the problem of physical appearance, and the question of sin. The author argues that First Place is an example of both evangelical submission to and cultivation of cultural capital and symbolic power.

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Journal articles on the topic 'Weight loss motivation'

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