Relations of self-regulation and self-efficacy for exercise and eating and BMI change A field investigation 英文参考文献.docVIP

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Relations of self-regulation and self-efficacy for exercise and eating and BMI change A field investigation 英文参考文献.doc

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Relations of self-regulation and self-efficacy for exercise and eating and BMI change A field investigation 英文参考文献

AnnesiandGorjalaBioPsychoSocialMedicine2010,4:10 /content/4/1/10 SHORT REPORT OpenAccess Relationsofself-regulationandself-efficacyfor exerciseandeatingandBMIchange: Afieldinvestigation JamesJAnnesi1*,SrinivasaGorjala2 Abstract Objectives:Thisstudyaimedtoassessrelationsofself-regulatoryskillusewithself-efficacyforexerciseand appropriateeating,andtheresultingchangeinweightassociatedwithparticipationinanutritionandexercise treatmentsupportedbycognitive-behavioralmethods. Methods:Adultswithsevereobesity(N=95;meanBMI=40.5±3.9kg/m2)participatedina6-monthexercise andnutritiontreatmentemphasizingself-regulatoryskills.Changesinself-regulatoryskillsusage,self-efficacy,overall mood,andBMIweremeasured.Relationsofchangesinself-regulatoryskilluseandself-efficacy,forbothphysical activityandappropriateeating,wereassessed,aswasthepossibilityofmoodchangebeingamediatorofthese relationships.IndirecteffectsofthevariablesassociatedwiththepresenttreatmentonBMIchangewerethen estimated. Results:Forbothexerciseandappropriateeating,changesinself-regulationwereassociatedwithself-efficacy change.Moodchangepartiallymediatedtherelationshipbetweenchangesinself-regulationforappropriate eatingandself-efficacyforappropriateeating.Self-efficacychangesforphysicalactivityandcontrolledeating, together,explainedasignificantportionofthevarianceinBMIchange(R2=0.26,p0.001).Thetotalindirect effectofthetreatmentonBMIchangewas0.20. Conclusion:Findingssuggestthattraininginself-regulationforexerciseandeatingmaybenefitself-efficacyand weight-lossoutcomes.Thus,thesevariablesshouldbeconsideredinboththetheoryandbehavioraltreatmentof obesity. Background loss treatments of choice for those with class 3obesity Results of standard weight-loss treatments have been (bodymassindex[BMI]≥40.0kg/m2)andclass2obe- disappointing[1].Althoughregularexerciseandappro- sity(BMI35.0-39.9kg/m2)withoneormorecomorbid- priate eating will manage weight, individuals are not ities [4]. Although behavioral weight loss treatments typica