Examining behavioral processes through which lifestyle interventions promote weight loss: results from PREMIER.
Journal Article (Journal Article)
OBJECTIVE: To examine the behavioral processes through which lifestyle interventions impacted weight loss. METHODS: The analyses were limited to overweight and obese Black and White adults randomized to a PREMIER lifestyle intervention (N = 501). Structural equation modeling was conducted to test the direct and indirect relationships of session attendance, days of self-monitoring diet and exercise, change in diet composition and exercise, and 6-month weight change. RESULTS: Greater session attendance was associated with increased self-monitoring, which was in turn significantly related to reduction in percent energy from total fat consumed. Change in percent energy from fat and self-monitoring was associated with 6-month percent change in weight. Both a decrease in fat intake and increase in self-monitoring are potential mediators of the relationship between attendance and weight change. CONCLUSIONS: The findings provide a reasonable model that suggests regular session attendance and use of behavioral strategies like self-monitoring are associated with improved behavioral outcomes that are associated with weight loss.
Full Text
Duke Authors
Cited Authors
- Fitzpatrick, SL; Bandeen-Roche, K; Stevens, VJ; Coughlin, JW; Rubin, RR; Brantley, PJ; Funk, KL; Svetkey, LP; Jerome, GJ; Dalcin, A; Charleston, J; Appel, LJ
Published Date
- April 2014
Published In
Volume / Issue
- 22 / 4
Start / End Page
- 1002 - 1007
PubMed ID
- 24124061
Pubmed Central ID
- PMC3968223
Electronic International Standard Serial Number (EISSN)
- 1930-739X
Digital Object Identifier (DOI)
- 10.1002/oby.20636
Language
- eng
Conference Location
- United States