Eating pathology and psychological outcomes in young adults in self-regulation interventions using daily self-weighing
| Autor: | Katelyn R. Garcia, Amy A Gorin, Wei Lang, Pamela Coward, Rena R. Wing, Karen E. Hatley, Cora E. Lewis, Erica Ferguson Robichaud, Judy Bahnson, Jessica Gokee LaRose, Deborah F. Tate, Mark A. Espeland, Elissa Jelalian |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Psychological intervention Overweight Weight Gain Article 03 medical and health sciences Eating Young Adult Weight loss medicine Humans Young adult Applied Psychology 030505 public health business.industry Body Weight medicine.disease Obesity Psychiatry and Mental health Eating disorders Physical therapy Quality of Life Female medicine.symptom 0305 other medical science business Body mass index Weight gain |
| Popis: | Objective Self-regulation interventions encouraging daily weighing prevent weight gain in young adults; however, concerns have been raised that such interventions may have undesirable effects on eating pathology, depression, and health-related quality of life (HRQL). The present study examined whether self-regulation interventions and self-weighing frequency were associated with these indices in normal weight individuals and those with overweight or obesity. Methods Young adults (n = 599), 18-35 years with a body mass index (BMI) 21.0-30.9 kg/m² were randomized to control, self-regulation with small changes (SC) or self-regulation with large changes (LC). Interventions taught frequent self-weighing to guide behavioral changes. SC prescribed daily small decreases in intake and increases in physical activity. LC prescribed a 5- to 10-lb weight loss to buffer against anticipated gains. Psychological indices were assessed at baseline and periodically over 2 years of follow-up. Results There was no evidence that the interventions increased depressive symptoms or compensatory behaviors or decreased HRQL relative to control. LC increased flexible and rigid control and SC decreased disinhibition. Results did not differ by weight status with the exception of rigid control; here, differences between LC and the other conditions were smaller among those with BMI ≥ 25. Greater self-weighing frequency over time was associated with increases in flexible and rigid control, dietary restraint, and improvements in HRQL. Conclusions The self-regulation interventions and increases in self-weighing had no untoward effects. Encouraging weight gain prevention in young adults through frequent weighing and self-regulation appears to be safe for normal weight young adults and those with overweight. (PsycINFO Database Record (c) 2019 APA, all rights reserved). |
| Databáze: | OpenAIRE |
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