scholarly journals Examination of Weight-Loss Motivators and Family Factors in Relation to Weight Management Strategies and Dietary Behaviors among Adolescents with Obesity

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1729
Author(s):  
Bridget K. Biggs ◽  
Dawn K. Wilson ◽  
Mary Quattlebaum ◽  
Seema Kumar ◽  
Alicia Meek ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Online Survey ◽  
Management Practices ◽  
Dietary Habits ◽  
Medical Center ◽  
Management Strategies ◽  
Self Determination Theory ◽  
Dietary Behaviors ◽  
Survey Results

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.

Understanding rider:horse bodyweight ratio trends, weight management practices and rider weight perceptions within leisure and amateur riders in the UK

2021 ◽  
pp. 1-16
Author(s):  
C.L. Challinor ◽  
H. Randle ◽  
J.M. Williams
Keyword(s):  
Weight Management ◽  
Online Survey ◽  
Management Practices ◽  
Management Strategies ◽  
Legal Responsibility ◽  
Estimation Methods ◽  
Social Licence To Operate ◽  
The Uk ◽  
Post Hoc ◽  
The Impact

Horse riders in the UK have a legal responsibility for the welfare of the horses in their care, outlined by the Animal Welfare Act (2006). Understanding weight management factors that influence rider: horse bodyweight (RHBW) ratio is key to safeguarding horse welfare as human obesity rates increase. Recent high-profile incidents have seen riders being asked to dismount for being too heavy, demonstrating an awareness of the possible impact of excessive rider weight, threatening the equestrian industry’s social licence to operate. This study investigated RHBW trends within the UK leisure and amateur rider population to understand rider perception of ‘ideal’ RHBW and factors influencing rider and horse weight management. An online survey (SurveyMonkey®) was distributed via UK equine-related Facebook™ groups and collected information on horse and rider demographics, rider weight management strategies and respondents’ views on the importance of rider weight on horse welfare. Kruskal-Wallis analyses with Mann Whitney U post-hoc tests identified whether differences in respondent views differed between RHBW groups. A total of 971 riders completed the survey; respondents were aged between 18-65+ years old and 88% (n=953) were experienced riders. RHBWs were calculated for 764 (79%) of respondents as 21.2% (n=206) did not know either their own and/or their horses’ weight. Weight tapes (44.5%; n=432) and weigh bridges (29.5%; n=286) were common horse weight estimation methods. RHBWs ranged from 4.9% to 21.88%, mean: 12.5%±2.7%. Riders with lower RHBW thought about their own weight less and measured their horses’ weight less often than those with higher ratios (P<0.005, P<0.0004, respectively). The majority of riders who participated were weight conscious and recognised potential detrimental impacts associated with increased rider weight. Development of RHBW guidelines supported by equestrian governing bodies would highlight the need for riders to consider the impact of weight and support them in choosing suitable horses.

scholarly journals Attitudes and Approaches to Use of Meal Replacement Products among Healthcare Professionals in Management of Excess Weight

2020 ◽  
Vol 10 (9) ◽  
pp. 136
Author(s):  
Gabrielle Maston ◽  
Janet Franklin ◽  
Alice A. Gibson ◽  
Elisa Manson ◽  
Samantha Hocking ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Overweight And Obesity ◽  
Prescribing Patterns ◽  
Formal Training ◽  
Meal Replacement ◽  
Potential Barriers ◽  
Safety Concerns

Meal replacement product-based diets are an effective weight loss intervention used in the management of obesity. Historically, these diets have been underutilised by HealthCare Professionals (HCPs). An online survey of mixed methods design was distributed to HCPs to capture current perceptions and prescribing patterns of meal replacement products (MRPs) in the management of overweight and obesity. A total of 303 HCPs working in weight management across Australia began the survey and 197 (65%) completed it. While over 70% of HCPs have prescribed MRP currently or in the past, MRPs are only prescribed to a median 7% of patients seeking weight management treatment. Qualitative analysis identified potential barriers to MRP prescription, which include experience with patient non-compliance, perceived poor long-term weight loss durability and safety concerns regarding the product and its use as a total meal replacement program. Safety concerns are centred on the perceived risk of weight cycling and its potential negative psychological impact. MRP prescription is 66% more likely to occur if HCPs had formal training in the use of MRPs relative to those who did not, with a relative risk (RR) of 1.7 (95% CI 1.4, 2.0). This study highlights the potential barriers to the prescription of MRPs, which are centred around safety concerns. This also indicates that formal training may enhance the likelihood of prescribing MRPs, suggesting that once HCPs have a comprehensive understanding of the products and the evidence behind their use, their prescription is likely to be increased.

scholarly journals Development of a Tailored Behavioral Weight Loss Program for Veterans With PTSD (MOVE!+UP): A Mixed-Methods Uncontrolled Iterative Pilot Study

2020 ◽  
Vol 34 (6) ◽  
pp. 587-598
Author(s):  
Katherine D. Hoerster ◽  
Lamont Tanksley ◽  
Tracy Simpson ◽  
Brian E. Saelens ◽  
Jürgen Unützer ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Medical Center ◽  
Qualitative Interviews ◽  
Veterans Affairs ◽  
Management Program ◽  
Clinical Psychologist ◽  
Behavioral Weight Loss ◽  
Post Traumatic Stress ◽  
Patient Centered

Purpose: Veterans with post-traumatic stress disorder (PTSD) lose less weight in the Veterans Affairs (VA) weight management program (MOVE!), so we developed MOVE!+UP. Design: Single-arm pre–post pilot to iteratively develop MOVE!+UP (2015-2018). Setting: Veterans Affairs Medical Center. Participants: Overweight Veterans with PTSD (5 cohorts of n = 5-11 [N = 44]; n = 39 received ≥1 MOVE+UP session, with cohorts 1-4 [n = 31] = “Development” and cohort 5 [n = 8] = “Final” MOVE!+UP). Intervention: MOVE!+UP weight management for Veterans with PTSD modified after each cohort. Final MOVE!+UP was coled by a licensed clinical psychologist and Veteran peer counselor in 16 two-hour in-person group sessions and 2 individual dietician visits. Sessions included general weight loss support (eg, behavioral monitoring with facilitator feedback, weekly weighing), cognitive-behavioral skills to address PTSD-specific barriers, and a 30-minute walk to a nearby park. Measures: To inform post-cohort modifications, we assessed weight, PTSD, and treatment targets (eg, physical activity, diet), and conducted qualitative interviews. Analysis: Baseline to 16-week paired t tests and template analysis. Results: Development cohorts suggested improvements (eg, additional sessions and weight loss information, professional involvement) and did not lose weight (mean [ M] = 1.8 lbs (standard deviation [SD] = 8.2); P = .29. Conversely, the final cohort reported high satisfaction and showed meaningful weight ( M = −14 pounds [SD = 3.7] and 71% lost ≥5% baseline weight) and PTSD ( M = −17.9 [SD = 12.2]) improvements, P < .05. Conclusions: The comprehensive, 16-week, in-person, cofacilitated Final MOVE!+UP was acceptable and may improve the health of people with PTSD. Iterative development likely produced a patient-centered intervention, needing further testing.

scholarly journals ACTION-IO as a platform to understand differences in perceptions, attitudes, and behaviors of people with obesity and physicians across countries – the Israeli experience

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Dror Dicker ◽  
Batya Kornboim ◽  
Rakefet Bachrach ◽  
Naim Shehadeh ◽  
Shani Potesman-Yona ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Online Survey ◽  
International Study ◽  
Direct Patient Care ◽  
Link Type ◽  
Full Responsibility ◽  
Medical Need ◽  
Treatment Of Obesity ◽  
Israeli Experience

Abstract Background Obesity is a highly prevalent, complex, and chronic relapsing disease with a considerable unmet medical need. We aimed to identify perceptions, attitudes, behaviors, and barriers to effective obesity treatment among people with obesity (PwO) and physicians in Israel. Methods The ACTION-IO study was an online survey conducted in 11 countries, including Israel. Findings from the Israeli cohort are reported here. Israeli respondents were PwO (body mass index of ≥30 kg/m2 based on self-reported height and weight) and physicians primarily in direct patient care. Results In total, 750 PwO and 169 physicians completed the survey in Israel. Although most PwO (70%) and physicians (95%) perceived obesity as a chronic disease, the majority of PwO assumed full responsibility for their own weight loss (88%) compared with only 19% of physicians who placed the responsibility for weight loss on their patients with obesity. Many PwO (62%) and physicians (73%) agreed that a complete change in lifestyle would be required for PwO to lose weight and felt that treatment of obesity should be a team effort between different healthcare professionals (HCPs; 80 and 90%, respectively). Dietitians were considered by 82% of physicians to be the most effective professionals in helping PwO achieve their weight loss goals. Many PwO (69%) liked that their HCP initiated weight management discussions and 68% of those who had not previously discussed their weight would like their HCP to initiate the conversation. However, among PwO who had discussed their weight with an HCP, 59% considered the discussions to be a little helpful or not at all helpful. The beliefs that patients have little interest in or motivation for losing weight were identified by physicians as the main reasons (71 and 70%, respectively) for not initiating weight management discussions. Conclusions In line with the ACTION-IO international study, our Israeli dataset reveals a need to improve awareness, primarily among physicians, on the physiologic basis and clinical management of obesity, including how to approach weight and weight management discussions during patient consultations. Trial registration Registered at ClinicalTrials.gov, NCT03584191. Data first posted on ClinicalTrials.gov: 12 July 2018 - ‘Retrospectively registered’.

Weight Management and Weight Loss Strategies of Professional Jockeys

2002 ◽  
Vol 12 (1) ◽  
pp. 1-13 ◽  
Author(s):  
Jan M. Moore ◽  
Anna F. Timperio ◽  
David A. Crawford ◽  
Cate M. Burns ◽  
David Cameron-Smith
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Weight Management ◽  
Weight Control ◽  
Response Rate ◽  
Management Strategies ◽  
Management Plan ◽  
Rapid Weight Loss ◽  
Additional Weight ◽  
The Impact

Jockeys are required to maintain very low body weight and precise weight control during competition. This study examined the weight loss and weight management strategies of professional horseracing jockeys in the state of Victoria, Australia. An anonymous, self-completed questionnaire was administered (55% response rate, n=116). Almost half (43%) reported that maintaining riding weight was difficult or very difficult, with 75% routinely skipping meals. In preparation for racing, 60% reported that they typically required additional weight loss, with 81% restricting food intake in the 24 hours prior to racing. Additionally, sauna-induced sweating (29%) and diuretics (22%) were frequently employed to further aid in weight loss prior to racing. These rapid weight loss methods did not differ between the 51% of jockeys who followed a weight management plan compared to those who did not. The impact of these extreme weight loss practices on riding performance and health remains unknown.

scholarly journals Data integration for prediction of weight loss in randomized controlled dietary trials

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Rikke Linnemann Nielsen ◽  
Marianne Helenius ◽  
Sara L. Garcia ◽  
Henrik M. Roager ◽  
Derya Aytan-Aktug ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Dietary Intervention ◽  
Bacterial Species ◽  
Management Strategies ◽  
Urine Metabolites ◽  
Individual Level ◽  
Loss Prediction ◽  
Random Forest Models ◽  
The Individual

AbstractDiet is an important component in weight management strategies, but heterogeneous responses to the same diet make it difficult to foresee individual weight-loss outcomes. Omics-based technologies now allow for analysis of multiple factors for weight loss prediction at the individual level. Here, we classify weight loss responders (N = 106) and non-responders (N = 97) of overweight non-diabetic middle-aged Danes to two earlier reported dietary trials over 8 weeks. Random forest models integrated gut microbiome, host genetics, urine metabolome, measures of physiology and anthropometrics measured prior to any dietary intervention to identify individual predisposing features of weight loss in combination with diet. The most predictive models for weight loss included features of diet, gut bacterial species and urine metabolites (ROC-AUC: 0.84–0.88) compared to a diet-only model (ROC-AUC: 0.62). A model ensemble integrating multi-omics identified 64% of the non-responders with 80% confidence. Such models will be useful to assist in selecting appropriate weight management strategies, as individual predisposition to diet response varies.

Weight Management Strategies of Successful Weight Maintainers Subsequent to Clinically Relevant Weight Loss

2006 ◽  
Vol 38 (Supplement) ◽  
pp. S177
Author(s):  
Elizabeth E. Stewart ◽  
Katrina D. Dubose ◽  
Bryan K. Smith ◽  
Joseph E. Donnelly
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Management Strategies

scholarly journals Comparison of lifestyle patterns and body weight management practices between normal weight and obese female university students (Riyadh – Saudi Arabia)

2017 ◽  
Vol 1 (1) ◽  
pp. 11-19
Author(s):  
Amera Alqahtani ◽  
Munirah Aloraini ◽  
Areej Alsubaie ◽  
Arwa Alateq ◽  
Beshair Alsagabi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Weight Management ◽  
Management Practices ◽  
Dietary Habits ◽  
Healthy Lifestyle ◽  
Normal Weight ◽  
Female Students ◽  
Obese Group ◽  
The Difference ◽  
Lifestyle Patterns

Background: According to a national survey in 2014, the prevalence of overweight and obesity among Saudi women is reaching 33.5%. Instead of adopting healthy lifestyle, this population may adopt some weight management practices (WMP) which might be unhealthy and some could lead to serious health issues. Aim: To compare lifestyle patterns and WMP adopted by obese and normal weight Saudi females by assessing the difference in energy and macronutrients intake, dietary habits, level of physical activity and WMP. Methods: Through a cross-sectional study among female students at Princess Nourah Bint Abdulrahman University (PNU) (Riyadh – KSA.), 200 participants were conveniently selected, assigned in two groups: in obese and normal weight (each group have 100 students), based on their BMI, according to the WHO cut-off values. Data collected, through questionnaire and analysis, were analyzed using SPSS program. Chi-square and t-test were used to assess the difference between the two groups. Results: Unhealthy WMP were high among obese students. Total calorie intake was not different; however, fat intake was higher in obese group (p<0.01). Level of moderate active was higher in normal group than obese group (33% versus 19%, respectively). Food frequency consumption showed that fruit, date, and dressing were higher in obese group compared to normal weight group (p-value = 0.02, 0.01 and 0.03). Conclusions: Obese PNU female students adopt unhealthy WMP besides their inadequate nutritional intake and unhealthy dietary habits. Increasing awareness about the healthy lifestyle to manage weight is urgently needed. Keywords: Weight practice management, obesity, female university students, Saudi Arabia.

scholarly journals Predictors of Weight Loss and Weight Gain in Weight Management Patients during the COVID-19 Pandemic

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Jennifer L. Kuk ◽  
Rebecca A. G. Christensen ◽  
Elham Kamran Samani ◽  
Sean Wharton
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Weight Gain ◽  
Weight Management ◽  
Management Program ◽  
Publicly Funded ◽  
Electronic Survey ◽  
Survey Results ◽  
Predictors Of Weight Loss ◽  
Management Changes

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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