Generalization of theory-based predictions for improved nutrition to adults with morbid obesity: Implications of initiating exercise

Academic Article

Abstract

  • Exercise is a robust predictor of long-term success with weight loss, and research based on social cognitive theory suggests that exercise program-induced changes in self-regulation, mood, and self-efficacy transfer to improved eating. These relationships were tested in adults with morbid obesity (overall Mage = 43 years; 86% female; Mbody mass index = 45kg/m2) participating in a 6-month treatment of cognitive-behaviorally supported exercise paired with either standard nutrition education (n=87) or cognitive-behavioral methods for controlled eating (n=89). Based on multiple mediation analyses, improvements in self-regulation and self-efficacy were significantly associated with increased fruit and vegetable intake and reduced body mass index (BMI). The cognitive-behavioral nutrition methods were associated with greater improvements in fruit and vegetable intake and BMI, however, within both models, complete mediation was found after simultaneous entry of changes in self-regulation, mood, and self-efficacy, and exercise volume as mediators. Only the indirect effect of change in self-regulation was a significant (or marginally significant) independent mediator. Generalization of previously identified relationships between exercise program-induced improvements in psychosocial variables and improvements in nutrition and BMI were supported for individuals with morbid obesity. Based on these relationships, implications for behavioral treatments were discussed. © 2014 Asociación Española de Psicología Conductual.
  • Authors

    Digital Object Identifier (doi)

    Author List

  • Annesi JJ; Tennant GA
  • Start Page

  • 1
  • End Page

  • 8
  • Volume

  • 14
  • Issue

  • 1