Does Weight Loss Maintenance Become Easier Over Time?
|
|
- Hector Clark
- 6 years ago
- Views:
Transcription
1 Does Weight Loss Maintenance Become Easier Over Time? Mary L. Klem,* Rena R. Wing,* Wei Lang,* Maureen T. McGuire, and James O. Hill Abstract KLEM, MARY L., RENA R. WING, WEI LANG, MAUREEN T. MCGUIRE, AND JAMES O. HILL. Does weight loss maintenance become easier over time? Obes Res. 2000;8: Objective: Studies of health-related behaviors, including weight loss, have shown that risk of relapse decreases over time, although reasons for this relationship are unclear. The purpose of this cross-sectional study was to determine if subjects who have maintained weight losses for varying periods of time report different strategies for weight loss maintenance or differences in the effort and pleasure associated with weight maintenance behaviors. Research Methods and Procedures: Subjects were 758 women and 173 men who had maintained losses of at least 30 lb (mean 60 lb) for 2 years or longer (mean years). Self-administered questionnaires assessed subjects use of weight maintenance strategies in the past year and their perceptions of the effort, attention, and pleasure associated with weight maintenance. Results: Subjects who had maintained weight losses longer used fewer weight maintenance strategies and reported that less effort was required to diet and maintain weight and that less attention was required to maintain weight. The pleasure derived from exercise, low-fat eating, and maintaining weight was unrelated to duration of weight loss maintenance. Discussion: As duration increases, a shift in the balance between the effort and pleasure of weight maintenance may occur. This shift may increase the likelihood of continued maintenance. Key words: weight loss maintenance, weight maintenance strategies, relapse, costs Submitted for publication December 13, Accepted for publication in final form March 8, The *University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; the University of Minnesota School of Public Health, Minneapolis, Minnesota; and the University of Colorado Health Sciences Center, Denver, Colorado. Address correspondence to Mary Lou Klem, Ph.D., Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O Hara St., Pittsburgh, PA klemml@msx.upmc.edu Copyright 2000 NAASO Introduction Relatively little is known about factors that may influence the process of successful weight maintenance. Treatment characteristics such as continued therapist contact have been shown to increase the likelihood of weight maintenance (1), and successful weight maintenance has also been correlated with continued consumption of low-fat diets, regular physical activity, and selfmonitoring (2 4). Recently, McGuire and colleagues (5), following participants in a longitudinal study of successful loss weight maintainers (National Weight Control Registry), found that duration of weight maintenance positively predicted the likelihood of continued maintenance of weight. Studies of relapse rates for heroin addiction, smoking, and alcoholism have also shown that risk of relapse decreases over time (6 10). Brownell et al. (11) have speculated that, over time, individuals become protected against relapse through the acquisition of certain critical behaviors or skills. If this is so, individuals in the early stages of weight maintenance might use a wide variety of weight control strategies, whereas individuals further along in the maintenance process might use a smaller set of core habits or adopt a different set of skills that are essential to weight maintenance. Thus, individuals with varying durations of weight maintenance may report differences in the number or type of strategies used to maintain weight. In exploring the relationship between duration of maintenance and continued weight maintenance, it may also be useful to examine the amount of effort or attention required to engage in weight control strategies. Regular exercise and consumption of a low-fat diet, behaviors that are related to weight maintenance, can be conceptualized as habits (tendencies to repeat specific behavioral responses). Behaviors are likely to become habits if they are repeatedly practiced over time within highly similar settings (12). As a behavior is repeatedly practiced, the cognitive processes that initiate and control the behavior (e.g., intentions) become more automatic. As a result, the behavior itself becomes automatic, requiring little conscious effort or attention (12). Although not commonly addressed in theories of habit 438 OBESITY RESEARCH Vol. 8 No. 6 Sept. 2000
2 formation, it also seems possible that the pleasure derived from such behaviors may increase as they become more habitual and hence easier to engage in. Thus, the purpose of this cross-sectional study was to examine, among individuals successful at long-term maintenance of weight loss, the relationship between duration of weight maintenance, strategies used to maintain weight, and the effort, attention, and pleasure associated with weight maintenance behaviors. Research Methods and Procedures Subjects All participants in the National Weight Control Registry (NWCR) who had completed 1-year follow-up assessments (758 women, 173 men) were included in these analyses. Details of the registry have been published elsewhere (13), so only a brief overview of the study methodology is provided here. The NWCR is an observational study of individuals successful at long-term maintenance of weight loss. Individuals are eligible for participation in the registry if they have lost at least 30 lb and have maintained a loss of at least 30 lb for 1 year or longer. Participants are recruited for the registry through public service announcements and coverage of the registry by local and national media. Potential subjects who call a toll-free telephone number are sent informed consent forms to sign and return. Those individuals who return signed consent forms are then mailed questionnaire packets to complete and return. As part of the baseline assessment, subjects report their current age, height, weight, lifetime maximum weight, and the dates at which the weights were reached. Weight information is then used to calculate total weight loss and duration of maintenance of the required 30-lb weight loss. Subjects receive no compensation for their participation. Measures at 1-Year Follow-up The questions of primary interest for this paper (i.e., those assessing the effort and pleasures associated with weight maintenance) were asked at 1-year follow-up (not at entry into the registry). Therefore, all other data used in analyses were also obtained from the 1-year follow-up survey. Demographic and Weight Variables. Subjects reported their current weight (weight at 1-year follow-up) in pounds. Current total weight loss was calculated by subtracting weight at 1-year follow-up from maximum lifetime weight (as reported at baseline), whereas current duration of maintenance of the required 30-lb weight loss was determined by adding 1 year to baseline weight loss duration. Weight change over the past year (since baseline) was calculated by subtracting weight at baseline from weight at 1-year follow-up. Current age was calculated by adding 1 year to a subject s baseline age. A prior study has shown that self-reported weight information from participants in the NWCR has adequate reliability and validity (5). Weight Control Strategies in the Past Year. Using a standard checklist, subjects indicated which of 10 weight control strategies they had used in the past year. Items included keeping healthy foods in the house, decreasing meals out in restaurants, weighing self on regular basis, buying healthrelated books or magazines, and keeping records of food intake or exercise. Responses to the checklist were used to calculate, for each subject, the total number of weight loss strategies used in the past year (0 to 10). Variables were also created, which indicated how many (range 0 to 2) foodrelated strategies (kept few high-fat foods in the house, kept many low-fat foods in the house), and how many (range 0 to 2) friend-related strategies (spent less time with overweight friends, spent more time with normal-weight friends) a subject had used in the past year. Frequency of self-weighing was assessed by having subjects choose a response that best described how often they weighed themselves (several times a day, once per day, several times per week, once per week, less than once per week, less than once per month). Self-reported dietary intake was assessed using the Block Food Frequency Questionnaire (14), a measure that has been shown to correlate with 4-day food records (15). The instrument provides estimates of current total daily energy intake and percentage of daily energy obtained from fat, carbohydrate, and protein. The Paffenbarger Activity Questionnaire (16) was used to assess current activity levels of subjects. This questionnaire, which correlates with levels of cardiovascular fitness (17), provides estimates of total energy expenditure over the past week, as well as estimates of the amount of energy expended through stair-climbing, walking, and light, moderate, and heavy intensity activities. The Effort and Pleasures Associated with Weight Maintenance. Likert-type scales (1 very little/not at all; 8 a lot/extremely) were used by subjects to indicate: 1) how much effort they devote to diet regimen, to exercise regimens, and to weight maintenance; 2) how much attention is required to follow a diet and/or exercise regimen, and to maintain weight; and 3) how much pleasure they derive from exercise, eating low-fat meals, and weight maintenance. In addition, subjects also used Likert-like scales to rate the amount of pleasure derived from several nonweight-related activities. Pleasure ratings for the activities of reading a book, sitting in the sun, listening to music, and watching TV were averaged together to yield an overall rating of the pleasure derived from sedentary activities; similarly, ratings of the pleasure derived from the activities of eating a high-fat meal and going to restaurants were summed and averaged to yield an overall rating of the pleasure derived from higher-fat eating. Finally, the effort ratings for exercise, dieting, and weight OBESITY RESEARCH Vol. 8 No. 6 Sept
3 maintenance were subtracted from the pleasure ratings for these three respective variables. The resulting scores reflected the pleasure associated with exercise, dieting, and weight maintenance relative to the effort required for these activities, with positive scores indicating greater pleasure relative to the effort required. Statistics All analyses were completed using The SAS System for Windows version 6.12 (SAS Institute Inc., Cary, NC). Utilizing duration of maintenance as a continuous variable, linear and logistic regression analyses were used to explore the impact of duration on use of weight maintenance behaviors and the effort and pleasures associated with weight maintenance. Preliminary analyses indicated that duration of maintenance was non-normally distributed, therefore, Spearman rank-order correlation coefficients were used to analyze relationships between duration and other weight and demographic characteristics (total weight loss, current weight, weight change over the past year, current age). For ease of interpretation, results of analyses are presented in tables by tertiles of duration (,, 6 or more years). Due to the exploratory nature of this study, p values were not adjusted for multiple comparisons. Results Preliminary Analyses The total sample of subjects reported currently maintaining an average weight loss of lb and had maintained a 30-lb weight loss for an average of years (range of 2 to 67 years). Spearman rank-order correlations indicated significant relationships between duration of weight maintenance and current age (r s 0.12, p ), current weight (r s 0.24, p ), total weight loss (r s 0.21, p ), and weight change in the past year (r s 0.22, p ). Specifically, subjects with longer duration of weight maintenance were older, weighed less, and had greater total weight loss and smaller weight regain in the past year (Table 1). As a consequence, these variables were controlled for in all subsequent analyses. Weight Control Strategies in the Past Year Linear regression analysis indicated that there was a significant relationship between duration of maintenance and the total number of weight loss strategies used in the past year, with increasing duration associated with use of fewer strategies (p ; Table 2). Subjects with longer duration reported using fewer food-related strategies (p 0.04), but there was no relationship between duration of maintenance and the number of friend-related strategies used. Logistic regression was used to examine the relationship between duration of weight maintenance and use of each of 10 weight control strategies in the past year (Table 2). Subjects with longer duration were less likely to report that they had kept a picture of themselves in a prominent place (p ) or kept records of food intake or exercise (p ). Duration was not related to frequency of self-weighing. For all subjects, the total number of strategies used was significantly correlated with the amount of effort required to follow a diet (r s 0.08, p 0.008) and to maintain weight (r s 0.14, p ), as well as with the amount of attention required for weight maintenance (r s 0.08, p 0.02). Duration of maintenance did not predict average total daily energy intake or percentages of daily energy derived from fats, carbohydrates, and protein. As can be seen in Table 3, all subjects, regardless of duration of weight loss maintenance, reported mean daily intakes of approximately 1400 kcal and obtained 25% to 26% of daily energy from fat. Linear regression analysis indicated that duration was not significantly associated with the total amount of energy expended through physical activity. Participants who had maintained weight losses for longer periods Table 1. Characteristics of NWCR members at 1-year follow-up by tertiles of duration of weight maintenance 6 years (n 319) Current age (years) * Current weight (lbs) * Total weight loss (lbs) * Weight change in past year (lbs) * * Spearman rank-order correlations were significant; all p values were OBESITY RESEARCH Vol. 8 No. 6 Sept. 2000
4 Table 2. Use of weight control strategies in the past year by tertiles of duration of weight maintenance 6 years (n 319) p value Number of strategies used in the past year (mean SD) * Number of food-related strategies (mean SD) Number of friend-related strategies (mean SD) NS Kept few high-fat foods in house (%) NS Kept many healthy foods in house (%) NS Decreased meals eaten in restaurants (%) NS Avoided overweight friends (%) NS Spent more time with normal-weight friends (%) NS Spent more time with friends who exercise (%) NS Kept picture of self in prominent place (%) Weighed on a regular basis (%) NS Kept records of food intake or exercise (%) Bought books/magazines related to nutrition or exercise (%) NS * Linear regression analysis controlled for current age, current weight, total weight loss, and weight change over the past year; unadjusted means are shown; r Logistic regression analyses controlled for current age, current weight, total weight loss, and weight change over the past year; unadjusted means are shown. NS, not statistically significant. reported expending greater percentages of total energy through medium intensity (p ) and light intensity activities (p ). The Effort and Pleasures of Weight Maintenance After adjusting for current age, current weight, total weight loss, and weight change over the past year, duration of weight maintenance was not associated with the degree of effort required to exercise, nor with the amount of attention required to follow a diet/exercise regimen (Table 4). However, subjects with longer durations reported that significantly less effort was required to diet and to maintain weight and that less attention was required to maintain weight (p values of 0.05). Although the effort associated with weight maintenance appears to decrease as duration of weight maintenance increases, the pleasures of weight maintenance appear unaffected by duration. A series of linear regression analyses indicated that duration was not significantly related to the amount of pleasure derived from a regular exercise regimen, eating a low-fat meal, or maintaining weight. Length of maintenance was also not associated with the pleasures of unhealthy behaviors: duration did not predict the pleasure derived from sedentary activities or higher-fat eating. Finally, the effort ratings for exercise, diet, and maintaining weight were subtracted from the pleasure ratings for exercise, low-fat eating, and maintaining weight, respectively. The resulting scores reflected the pleasures of these three activities relative to the effort required to engage in them, with positive scores indicating greater pleasure relative to the effort required. Duration was found to be associated with greater pleasure of weight maintenance, relative to the effort required to maintain weight (p 0.03). There was no effect of duration on the pleasure of exercise relative to the effort required, nor was there an effect of duration on the pleasure of low-fat eating, relative to the effort required to diet. Discussion Little is known about the natural history of attempts to change health-related behaviors. Studies of heroin addiction, smoking, and alcoholism have shown that risk of relapse decreases over time (6 10). However, the mechanisms for this relationship are unclear (11). In the present study, individuals with varying durations of weight maintenance reported differences in the effort and attention required for dieting and maintaining weight. That is, subjects who had maintained weight losses for longer periods of time reported that less effort was required to diet and to maintain weight and that less attention was also required for weight maintenance. This decrease in the burden of maintaining a OBESITY RESEARCH Vol. 8 No. 6 Sept
5 Table 3. Dietary intake and physical activity by tertiles of duration of weight maintenance 6 years (n 319) p value Average daily intake (kcal) NS* % of kcal from: Fat NS Carbohydrate NS Protein NS Average weekly expenditure (kcal) NS kcal expended through: Flights of stairs climbed NS Blocks walked NS Light intensity Medium intensity Heavy intensity NS * NS, not statistically significant. Linear regression analysis controlled for current age, current weight, total weight loss, and weight change over the past year, unadjusted means are shown; r 2 for light intensity and r 2 for medium intensity weight loss, coupled with no change in the associated pleasures, may facilitate continued maintenance of weight loss. The decreased effort associated with weight maintenance does not appear to be due to differences in dietary intake or physical activity levels: no effect of duration was observed for calorie intake or overall energy expenditure. However, the limitations of self-reported activity levels and dietary intake are well-known (18). It is possible that more accurate measures of actual energy intake and expenditure (e.g., doubly labeled water) might reveal a relationship between these factors and the effort or attention required for weight maintenance. Apparent decreases in the effort associated with weight maintenance may be due to decreases in the number of weight control strategies used by subjects. Subjects with longer durations of weight maintenance were less likely to report use of record keeping and placing a picture of oneself in a prominent place, and used fewer food-related strategies, than subjects of shorter duration. It may be that, over time, successful weight loss maintainers need to rely less on use of such strategies. In addition, the strategies successful weight losers do use may become habitual and thus require minimal attention or conscious effort (12). Further studies of the strategies used by weight maintainers would help to clarify this issue. It should be noted that, although the effort and attention required to maintain a weight loss were greatest in the early stages of weight maintenance, the amount of effort and attention required consistently appeared to be rated as less than the amount of pleasure derived from successful weight control. It is unclear if the scales used to rate these concepts are truly equivalent (e.g., that a rating of 2 on the effort scale is equal to a rating of 2 on the pleasure scale). Nonetheless, this finding suggests that even subjects with the shortest duration may believe that the satisfaction of weight maintenance outweighs the effort associated with it. To the best of our knowledge, this is the first study to examine the effort and pleasures associated with weight maintenance. Our findings are strengthened by the large sample size and our ability to study the habits of individuals already well into the weight maintenance process. However, a clear limitation is the cross-sectional nature of this study, which prevents us from ruling out alternative explanations of our findings. It is possible that, among individuals who lose weight, those who initially find maintenance to be taxing and unpleasurable may be less likely to continue to maintain their weight losses, and so may not be represented in the registry. There may also have been other differences at the onset of weight maintenance that have influenced subjects perceptions of the effort and pleasures associated with weight maintenance. For example, although subjects in the highest tertile of duration are older than subjects in the lower tertiles, this difference in mean age is not as great as the differences in duration of maintenance (see Table 1). 442 OBESITY RESEARCH Vol. 8 No. 6 Sept. 2000
6 Table 4. The effort and pleasures of weight maintenance by tertile of duration* p values 6 years (n 319) unadj. adj. Effort required for: Exercise Diet Maintaining weight Attention required for: Following diet/exercise regimen Maintaining weight Pleasure derived from: Exercise Low-fat meal Maintaining weight Sedentary activities Higher-fat eating * Scores ranged from 1 to 8, with higher scores indicating greater effort, attention or pleasure. p values are from univariate linear regression analyses and from linear regression analyses controlling for current age, current weight, total weight loss, and weight change over the past year; unadjusted means are shown. r r r Thus, subjects in the highest tertile were younger at the time of initial weight loss and onset of maintenance. Similarly, although these subjects have had more time in which to regain weight, they currently weigh less and are maintaining greater weight losses than subjects with shorter duration. This suggests that they may have achieved greater weight losses initially or regained less weight in the early stages of weight maintenance. A longitudinal study of weight loss maintainers would provide further insight about the role of such differences in subjects perceptions of the effort and pleasure associated with successful weight maintenance. In summary, duration of weight maintenance is inversely related to the costs and unrelated to the pleasures of weight maintenance. As duration of maintenance increases, a shift in the balance between effort and pleasure may occur. This shift may, in turn, increase the likelihood of continued weight maintenance. Acknowledgments This study was supported by the International Life Sciences Institute North America (ILSI N.A.) Project Committee on Diet and Obesity. The opinions expressed herein are those of the authors and do not necessarily represent the views of ILSI N.A. References 1. Perri MG, Nezu AM, Patti et al. Effect of length of treatment on weight loss. J Consult Clin Psych. 1989;57: Jeffery RW, Bjornson-Benson WM, Rosenthal BS, et al. Behavioral treatment of obesity with monetary contracting: Two-year follow-up. Addict Behav. 1984;9: Kayman S, Bruvold W, Stern JS. Maintenance and relapse after weight loss in women: behavioral aspects. Am J Clin Nutr. 1990;52: Pronk NP, Wing RR. Physical activity and long-term maintenance of weight loss. Obes Res. 1994;2: McGuire MT, Wing RR, Klem ML, Hill JO. What predicts weight regain among a group of successful weight losers? J Consult Clin Psych. 1999;67: Hunt WA, Barnett LW, Branch LG. Relapse rates in addiction programs. J Clin Psych. 1971;27: Becona E, Vasquez FL. The course of relapse across 36 months for smokers from a smoking-cessation program. Psychol Rep. 1998;82: OBESITY RESEARCH Vol. 8 No. 6 Sept
7 8. Brandon TH, Tiffany ST, Obremski KM, et al. Postcessation cigarette use: the process of relapse. Addict Behav. 1990; 15: Yates WR, Martin M, LaBrecque D, et al. A model to examine the validity of the 6-month abstinence criterion for liver transplantation. Alcohol Clin Exp Res. 1998;22: Jin H, Rourke SB, Patterson TL, et al. Predictors of relapse in long-term abstinent alcoholics. J Stud Alcohol. 1998;59: Brownell KD, Marlatt GA, Lichtenstein E, et al. Understanding and preventing relapse. Am Psychol. 1986;41: Ouellette JA, Wood W. Habit and intention in everyday life: the multiple processes by which past behavior predicts future behavior. Psychol Bull. 1998;124: Klem ML, Wing RR, McGuire MT, et al. A descriptive study of individuals successful at long-term maintenance of substantial weight loss. Am J Clin Nutr. 1997;66: Block G, Hartman AM, Dresser CM, et al. A data-based approach to diet questionnaire design and testing. Am J Epidemiol. 1986;124: Block G, Woods M, Potosky A, et al. Validation of a self-administered diet history questionnaire using multiple diet records. J Clin Epidemiol. 1990;43: Paffenbarger RS, Wing AL, Hyde RT. Physical activity as an index of heart attack risk in college alumni. Am J Epidemiol. 1978;108: Siconolfi SF, Lasater TM, Snow RCK, et al. Self-reported physical activity compared with maximal oxygen uptake. Am J Epidemiol. 1985;122: Lichtman SW, Pisarska K, Berman ER, et al. Discrepancy between self-reported and actual caloric intake and exercise in obese subjects. N Engl J Med. 1992;327: OBESITY RESEARCH Vol. 8 No. 6 Sept. 2000
Television Viewing and Long-Term Weight Maintenance: Results from the National Weight Control Registry
Television Viewing and Long-Term Weight Maintenance: Results from the National Weight Control Registry Douglas A. Raynor,* Suzanne Phelan, James O. Hill, and Rena R. Wing *Department of Psychology, The
More informationAre the Eating and Exercise Habits of Successful Weight Losers Changing?
Are the Eating and Exercise Habits of Successful Weight Losers Changing? Suzanne Phelan,* Holly R. Wyatt, James O. Hill, and Rena R. Wing* Abstract Objective: The purpose of this study was to examine whether
More informationThree-Year Weight Change in Successful Weight Losers Who Lost Weight on a Low-Carbohydrate Diet
Three-Year Weight Change in Successful Weight Losers Who Lost Weight on a Low-Carbohydrate Diet Suzanne Phelan,* Holly Wyatt, Shirine Nassery, Julia DiBello, Joseph L. Fava, James O. Hill, and Rena R.
More informationEffects of a Personal Trainer and Financial Incentives on Exercise Adherence in Overweight Women in a Behavioral Weight Loss Program
Effects of a Personal Trainer and Financial Incentives on Exercise Adherence in Overweight Women in a Behavioral Weight Loss Program Rena R. Wing, Robert W Jefsery*, Nicolaas Pronk, Wendy L. Hellerstedt*
More informationA descriptive study of individuals successful at long-term maintenance of substantial weight
A descriptive study of individuals successful at long-term maintenance of substantial weight Mary L Kiem, Rena R Wing, Maureen T McGuire, Helen M Seagle, and James 0 Hill ABSTRACT The National Weight Control
More informationThe Effect of Physical Activity on Body Weight
Physical activity and cardiovascular risk nature publishing group The Effect of Physical Activity on Body Weight John M. Jakicic 1 There is evidence to support that low fitness and physical activity, excess
More informationChapter 13 Weight Loss: A Healthy Lifestyle Side Effect
Brought to you by The Wellness Councils of America Chapter 13 Weight Loss: A Healthy Lifestyle Side Effect I ve been on a constant diet for the last two decades. I ve lost a total of 789 pounds. By all
More informationThe Science Behind The Ten Top Tips
The Science Behind The Ten Top Tips Tip Scientific Justification Estimated Calorie Deficit 1. Keep to your meal routine Try to eat at roughly the same times each day, whether this is two or five times
More informationSession 14: Take Charge of Your Lifestyle
Session 14: Take Charge of Your Lifestyle In GLB, you have learned: 1. Many facts about healthy eating and being more physically active. 2. What makes it hard to change long-standing lifestyle behaviors.
More informationA Self-Regulation Program for Maintenance of Weight Loss
original article A Self-Regulation Program for Maintenance of Weight Loss Rena R. Wing, Ph.D., Deborah F. Tate, Ph.D., Amy A. Gorin, Ph.D., Hollie A. Raynor, Ph.D., and Joseph L. Fava, Ph.D. Abstract Background
More informationSelf-Weighing and Weight Control Behaviors Among Adolescents with a History of Overweight
Journal of Adolescent Health 44 (2009) 424 430 Original article Self-Weighing and Weight Control Behaviors Among Adolescents with a History of Overweight Mary E. Alm, Ph.D. a, Dianne Neumark-Sztainer,
More informationAncestral Weight Loss Registry Demographics and Preliminary Results Through February 2012
Ancestral Weight Loss Registry Demographics and Preliminary Results Through February 2012 Below is the first summary of a portion of the Ancestral Weight Loss Registry data. Data from 48 states and 12
More informationClarifying Objective
What is a diet? Essential Standard 8.NPA.3 - Analyze the relationship of nutrition, fitness, and healthy weight management to the prevention of diseases such as diabetes, obesity, cardiovascular diseases,
More informationReason #5: Not Initiating A Strength Training Program Reason #4: Unrealistic Expectations Reason #3: Not Getting Enough Cardiovascular Exercise
The Top 5 Reasons Why People Are Unsuccessful Losing Weight Dr. Thomas L. Halton Introduction With 2 out of 3 Americans overweight or obese, losing weight is on just about everyone s agenda. Billions of
More informationAssessing Physical Activity and Dietary Intake in Older Adults. Arunkumar Pennathur, PhD Rohini Magham
Assessing Physical Activity and Dietary Intake in Older Adults BY Arunkumar Pennathur, PhD Rohini Magham Introduction Years 1980-2000 (United Nations Demographic Indicators) 12% increase in people of ages
More informationOver the past 20 years obesity has emerged as the
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2005;3:992 996 The Association of Gastrointestinal Symptoms With Weight, Diet, and Exercise in Weight-Loss Program Participants RONA L. LEVY,* JENNIFER A. LINDE,
More informationGeneral and smoking cessation related weight concerns in veterans.
University of Texas at El Paso From the SelectedWorks of Theodore V. Cooper 2006 General and smoking cessation related weight concerns in veterans. Theodore V. Cooper, University of Texas at El Paso M.
More informationWorksheet Questions, Chapter 8, Body Composition and Weight Control
Worksheet Questions, Chapter 8, Body Composition and Weight Control Exercise 1. True-False. Indicate whether each of the following statements is true or false by clicking on (or if you are using a printed
More informationAN ESTIMATED 60% TO 65% OF
ORIGINAL CONTRIBUTION Effect of Exercise and on Weight Loss in Overweight, Sedentary Women A Randomized Trial John M. Jakicic, PhD Bess H. Marcus, PhD Kara I. Gallagher, PhD Melissa Napolitano, PhD Wei
More informationJudy Kruger, PhD, MS, Deborah A. Galuska, PhD, MPH, Mary K. Serdula, MD, MPH, Deborah A. Jones, PhD
Attempting to Lose Weight Specific Practices Among U.S. Adults Judy Kruger, PhD, MS, Deborah A. Galuska, PhD, MPH, Mary K. Serdula, MD, MPH, Deborah A. Jones, PhD Background: Methods: Results: Conclusions:
More informationRandomized controlled trial of physical activity counseling as an aid to smoking cessation: 12 month follow-up
Addictive Behaviors 32 (2007) 3060 3064 Short communication Randomized controlled trial of physical activity counseling as an aid to smoking cessation: 12 month follow-up Michael Ussher a,, Robert West
More informationHHS Public Access Author manuscript Int J Obes (Lond). Author manuscript; available in PMC 2009 July 01.
Weight loss maintenance in successful weight losers: surgical versus non-surgical methods Dale S. Bond, Suzanne Phelan, Tricia M. Leahey, James O. Hill, and Rena R. Wing Abstract Objective Since large
More informationSwiss Food Panel. -A longitudinal study about eating behaviour in Switzerland- ENGLISH. Short versions of selected publications. Zuerich,
Vertrag 10.008123 ENGLISH Swiss Food Panel -A longitudinal study about eating behaviour in Switzerland- Short versions of selected publications Zuerich, 16.10. 2013 Address for Correspondence ETH Zurich
More informationCan 100 Calories/Day Make a Meaningful Difference for Weight Control
Can 100 Calories/Day Make a Meaningful Difference for Weight Control James O. Hill, Ph.D. Executive Director, Anschutz Professor Anschutz Health and Wellness Center University of Colorado Denver, Colorado
More informationThe prevalence of overweight/obesity has reached epidemic
Eating Frequency Is Higher in Weight Loss Maintainers and Normal-Weight Individuals than in Overweight Individuals JESSICA L. BACHMAN, SUZANNE PHELAN, RENA R. WING, HOLLIE A. RAYNOR ABSTRACT Eating frequency
More informationTackling obesity: the concept of energy balance
Tackling obesity: the concept of energy balance Laura McGuinness, Commissioning Editor, speaks to Dr James O Hill*. Dr Hill is the Founding Executive Director of the Anschutz Health and Wellness Center
More informationWeight Loss and Resistance Training
Weight Loss and Resistance Training Weight loss is a factor of caloric balance, or more easily stated, energy-in, versus energyout. The seemingly simplistic equation suggests that if a person consumes
More informationBehaviours of successful weight loss maintainers
Behaviours of successful weight loss maintainers Item Type Thesis or dissertation Authors Gunessee, Eileen Publisher University of Chester Download date 26/07/2018 09:05:53 Link to Item http://hdl.handle.net/10034/123105
More informationPre-Lab #7: Nutrition
Pre-Lab #7: Nutrition Name (a) Record everything you eat/drink during a 24-hour period. List what you eat and the amount. Include all condiments and extras, such as the sugar and cream you put in your
More informationOverweight and Obesity Factors Contributing to Obesity
National Center for Chronic Disease Prevention and Health Promotion Home About Us Site Map Visitor Survey Contact Us Overweight and Obesity Factors Contributing to Obesity Biological, Behavioral, and Environmental
More informationChapter 1 Making Personal Wellness Choices
Chapter 1 Making Personal Wellness Choices 1.1 Multiple Choice 1) Wellness is defined as A) the absence of disease. B) the highest level of fitness. C) the optimal soundness of body and mind. D) the ability
More informationBENEFITS OF RECRUITING PARTICIPANTS WITH FRIENDS AND INCREASING SOCIAL SUPPORT FOR WEIGHT LOSS AND MAINTENANCE
BENEFITS OF RECRUITING PARTICIPANTS WITH FRIENDS AND INCREASING SOCIAL SUPPORT FOR WEIGHT LOSS AND MAINTENANCE Rena R. Wing University of Pittsburgh School of Medicine Robert W. Jeffery University of Minnesota
More informationLESSON 3.2 WORKBOOK. What is fast and slow metabolism?
LESSON 3.2 WORKBOOK What is fast and slow metabolism? In the last lesson we saw data showing that the extent of obesity in the United States has risen dramatically, and we evaluated how obesity is measure
More informationContinuous or Intermittent Calorie Deficits: Which is Better for Fat Loss?
Continuous or Intermittent Calorie Deficits: Which is Better for Fat Loss? Byrne et al., Int J Obes, September, 2017 [Epub ahead of print] James Krieger, M.S. Background As you lose weight, your body tries
More informationBehavioral and Psychosocial Influences on Weight Control: Application to Pregnancy
Behavioral and Psychosocial Influences on Weight Control: Application to Pregnancy Suzanne Phelan, Ph.D. Assistant Professor Department of Psychiatry & Human Behavior Brown Medical School Approximately
More informationSpecific treatment for obesity will be determined by your health care provider based on:
Regardless of the type or combination of obesity treatment, goal setting is an important part of any obesity treatment plan. While a person may want to lose a large amount of weight because of societal
More informationSetting: Ministry of Health primary care Health Centers in Bahrain. Subjects: 153 Ministry of Health Primary care physicians.
Bahrain Medical Bulletin, Vol.25, No. 2, June 2003 Leisure -Time Physical Activity Habits Among Physicians Samia Bahram, MD, Arab Board* Basim Abbas, MD, Arab Board* Jalal Kamal, MD, Arab Board* Ebtisam
More informationStrategies for Changing Eating and Exercise Behavior
650 PRESENT KNOWLEDGE IN NUTRITION/8th Edition Chapter 57 Rena R. Wing, Amy Gorin, and Deborah Tate Strategies for Changing Eating and Exercise Behavior The leading causes of disease and death in the United
More informationPopulation Perspectives on Obesity: Etiology and Intervention
Population Perspectives on Obesity: Etiology and Intervention Robert W. Jeffery, Ph.D. University of Minnesota School of Public Health Division of Epidemiology Acknowledgement of Mentors and Colleagues!
More informationExercise and Weight Management
Exercise and Weight Management Marissa Berry, RN, CHC Stay Well Health Center, SONM Weight Loss and Weight Management Factors Contributing to Overweight and Obesity Genetic and Physiologic Factors Environmental
More informationNUTRITION SUPERVISION
NUTRITION SUPERVISION MIDDLE CHILDHOOD 5 10 YEARS MIDDLE CHILDHOOD Overview Middle childhood (ages 5 to 10) is characterized by slow, steady physical growth. However, cognitive, emotional, and social development
More informationNCFE Level 1 Certificate in Health and Fitness (601/4662/X) Unit 02 Understanding a healthy lifestyle. 17 October 2017.
NCFE Level 1 Certificate in Health and Fitness (601/4662/X) Unit 02 Understanding a healthy lifestyle 17 October 2017 Mark Scheme 1.1 Identify what is meant by a healthy diet. Range: Healthy diet: eating
More informationPAPER The relationship between restraint and weight and weight-related behaviors among individuals in a community weight gain prevention trial
(2001) 25, 574±580 ß 2001 Nature Publishing Group All rights reserved 0307±0565/01 $15.00 www.nature.com/ijo PAPER The relationship between restraint and weight and weight-related behaviors among individuals
More informationEvaluating the role of life events and sustaining conditions. in weight loss maintenance. Eleni Epiphaniou and Jane Ogden
Epiphaniou, E and Ogden, J. (2010). Evaluating the role of triggers and sustaining conditions in weight loss maintenance, Journal of Obesity, 8594143 Open Access Evaluating the role of life events and
More informationBody Weight and Body Composition
Body Weight and Body Composition Chapter 7 Obesity Trends What Is a Healthy Body Weight? There is no ideal body weight for each person, but there are ranges for a healthy body weight A healthy body weight
More informationEffects of Acute and Chronic Sleep Deprivation on Eating Behavior
University of Kentucky UKnowledge Lewis Honors College Capstone Collection Lewis Honors College 2014 Effects of Acute and Chronic Sleep Deprivation on Eating Behavior Stephanie Frank University of Kentucky,
More informationPounds Off Digitally (POD) Study: Using podcasting to promote weight loss
Pounds Off Digitally (POD) Study: Using podcasting to promote weight loss Brie Turner-McGrievy, MS, RD Doctoral Candidate, Nutrition Gillings School of Global Public Health University of North Carolina
More informationDespite substantial declines over the past decade,
19 The journey to quitting smoking Margot Shields Abstract Objectives This article outlines smoking trends over the past 10 years among the population aged 18 or older. Factors associated with smoking
More informationMyths, Presumptions and Facts about Obesity
1 Myths, Presumptions and Facts about Obesity Cátia Martins Associate Professor Obesity Research Group IKOM, Faculty of Medicine NTNU 2 Myth believe held true despite the existence of substantial refuting
More informationSmoking cessation and weight gain
Smoking cessation and weight gain David McFadden, MD, MPH Mayo Clinic Nicotine Dependence Center 2012 MFMER slide-1 Disclosures I presented lectures for Pfizer-sponsored tobacco treatment seminars in Brazil,
More informationTobacco Use & Multiple Risk Factors:
Overview Tobacco Use & Multiple Risk Factors: Opportunities & for Concurrent Behavior Change Relation between mental health, physical health, and health behaviors Relation between tobacco and other health
More informationIntroduction. ML Klem*, JE Viteri and RR Wing. Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
(2000) 24, 219±225 ß 2000 Macmillan Publisher Ltd All rights reserved 0307±0565/00 $15.00 www.nature.com/ijo Primary prevention of weight gain for women aged 25 ± 34: the acceptability of treatment formats
More informationKnow Your Number Aggregate Report Comparison Analysis Between Baseline & Follow-up
Know Your Number Aggregate Report Comparison Analysis Between Baseline & Follow-up... Study Population: 340... Total Population: 500... Time Window of Baseline: 09/01/13 to 12/20/13... Time Window of Follow-up:
More informationCase Firstbeat Lifestyle Assessment
Case 2017 Firstbeat Lifestyle Assessment PRE-QUESTIONNAIRE REPORT Profile Case 2017 Measurement start date 09.01.2017 QUESTIONNAIRE RESULTS I think I am physically active enough to get health benefits.
More informationEligibility The NCSF online quizzes are open to any currently certified fitness professional, 18 years or older.
Eligibility The NCSF online quizzes are open to any currently certified fitness professional, 18 years or older. Deadlines Course completion deadlines correspond with the NCSF Certified Professionals certification
More informationStress and weight gain in parents of cancer patients
(2005) 29, 244 250 & 2005 Nature Publishing Group All rights reserved 0307-0565/05 $30.00 PAPER gain in parents of cancer patients AW Smith 1 *,w, A Baum 1 and RR Wing 2 www.nature.com/ijo 1 University
More informationNutritional Aspects of Obesity Management. Christy Olson MS, RD, LD, CDE
Nutritional Aspects of Obesity Management Christy Olson MS, RD, LD, CDE Relevant Disclosure and Resolution Under Accreditation Council for Continuing Medical Education guidelines disclosure must be made
More informationBenefits of Recruiting Participants With Friends and Increasing Social Support for Weight Loss and Maintenance
Journal of Coulting and Clinical Psychology 1999, Vol. 67, No. I, 132-138 Copyright 1999 by the American Psychological Association, Inc. 0022-006X/99/S3.00 Benefits of Recruiting Participants With Friends
More informationGoal setting frequency and the use of behavioral strategies related to diet and physical activity
HEALTH EDUCATION RESEARCH Vol.22 no.4 2007 Pages 532 538 Advance Access publication 10 October 2006 Goal setting frequency and the use of behavioral strategies related to diet and physical activity Abstract
More informationHEALTH TRANS OMEGA-3 OILS BALANCE GOOD FAT PROTEIN OBESITY USAGE HABITS
HEALTH TRANS OMEGA-3 OILS BALANCE GOOD FAT PROTEIN OBESITY USAGE HABITS think 15TH ANNUAL consumer attitudes about nutrition Insights into Nutrition, Health & Soyfoods eat Consumer Attitudes about Nutrition
More informationBMI. Summary: Chapter 7: Body Weight and Body Composition. Obesity Trends
Chapter 7: Body Weight and Body Composition Obesity Trends What Is a Healthy Body Weight? There is no ideal body weight for each person, but there are ranges for a healthy body weight A healthy body weight
More informationATTENTION-DEFICIT/HYPERACTIVITY DISORDER, PHYSICAL HEALTH, AND LIFESTYLE IN OLDER ADULTS
CHAPTER 5 ATTENTION-DEFICIT/HYPERACTIVITY DISORDER, PHYSICAL HEALTH, AND LIFESTYLE IN OLDER ADULTS J. AM. GERIATR. SOC. 2013;61(6):882 887 DOI: 10.1111/JGS.12261 61 ATTENTION-DEFICIT/HYPERACTIVITY DISORDER,
More informationSession 15 Leader Guide: Mindful Eating, Mindful Movement
Session 15 Leader Guide: Mindful Eating, Mindful Movement Objectives In this session, the participants will: Analyze and describe current eating and activity behaviors. Define mindful eating and mindful
More informationAppendix 1. Evidence summary
Appendix 1. Evidence summary NG7 01. Recommendation 1 Encourage people to make changes in line with existing advice ES 1.17, 1.31, 1.32, 1.33, 1.37, 1.40, 1.50, 2.7, 2.8, 2.10; IDE New evidence related
More informationTHE PERENNIAL STRUGGLE TO LOSE WEIGHT AND MAINTAIN: WHY IS IT SO DIFFICULT?
THE PERENNIAL STRUGGLE TO LOSE WEIGHT AND MAINTAIN: WHY IS IT SO DIFFICULT? Robert Ferraro, MD Medical Director Southwest Endocrinology Associates, PA Diabetes and Weight Management Center OBESITY The
More informationWeekly Questions for Dieters
Weekly Questions for Dieters In this document, you will find a schedule of questions that you, the coach, should ask your dieter during their time on the Ideal Protein Weight Loss Method. First and foremost,
More informationDietary behaviors and body image recognition of college students according to the self-rated health condition
Nutrition Research and Practice (2008), 2(2), 107-113 c2007 The Korean Nutrition Society and the Korean Society of Community Nutrition Dietary behaviors and body image recognition of college students according
More informationPhysical Activity and Nutrition in Minnesota
DATA BRIEF Physical Activity and Nutrition in Minnesota Physical activity and fruit and vegetable consumption are key behaviors that influence a person s weight. Two important components of obesity prevention
More informationBUILDING A PERSONALISED DIET PLAN FOR YOUR CLIENT
BUILDING A PERSONALISED DIET PLAN FOR YOUR CLIENT The first 3 steps for creating a sound nutritional plan Introduction 2 Here is what you will learn in this unit: The role of diet on fitness, athletic
More informationIncreased Physical Activity Associated with Less Weight Regain Six Years After The Biggest Loser Competition
Increased Physical Activity Associated with Less Weight Regain Six Years After The Biggest Loser Competition Jennifer C. Kerns 1, Juen Guo 2, Erin Fothergill 2, Lilian Howard 2, Nicolas D. Knuth 3, Robert
More informationabout Eat Stop Eat is that there is the equivalent of two days a week where you don t have to worry about what you eat.
Brad Pilon 1 2 3 ! For many people, the best thing about Eat Stop Eat is that there is the equivalent of two days a week where you don t have to worry about what you eat.! However, this still means there
More informationInsulin Sensitivity as a Predictor of Weight Regain
Insulin Sensitivity as a Predictor of Weight Regain Rena R. Wing Abstract WING RENA R. Insulin sensitivity as a predictor of weight regain. Obes Res. 1997;5:2429. A recent study found that increases in
More informationPerceived Recurrence Risk and Health Behavior Change Among Breast Cancer Survivors
University of Massachusetts Amherst ScholarWorks@UMass Amherst Masters Theses 1911 - February 2014 2013 Perceived Recurrence Risk and Health Behavior Change Among Breast Cancer Survivors E Konieczny University
More informationFAMILY SUPPORT IS ASSOCIATED WITH SUCCESS IN ACHIEVING WEIGHT LOSS IN A GROUP LIFESTYLE INTERVENTION FOR DIABETES PREVENTION IN ARAB AMERICANS
FAMILY SUPPORT IS ASSOCIATED WITH SUCCESS IN ACHIEVING WEIGHT LOSS IN A GROUP LIFESTYLE INTERVENTION FOR DIABETES PREVENTION IN ARAB AMERICANS Objective: We have recently shown the feasibility of a community-based,
More informationHHS Public Access Author manuscript Obesity (Silver Spring). Author manuscript; available in PMC 2016 May 01.
Frequent self-weighing as part of a constellation of healthy weight control practices in young adults Rena R. Wing, PhD 1, Deborah Tate, PhD 2,3, Jessica Gokee LaRose, PhD 4, Amy A. Gorin, PhD 5, Karen
More informationEFFECT OF SMOKING ON BODY MASS INDEX: A COMMUNITY-BASED STUDY
ORIGINAL ARTICLE. EFFECT OF SMOKING ON BODY MASS INDEX: A COMMUNITY-BASED STUDY Pragti Chhabra 1, Sunil K Chhabra 2 1 Professor, Department of Community Medicine, University College of Medical Sciences,
More informationWhat's New in Obesity Treatment
NUTRI-BITES Webinar Series What's New in Obesity Treatment March 22, 2018 Presenter: James O. Hill, Ph.D. Professor Depts of Pediatrics & Medicine University of Colorado School of Medicine Moderator: James
More informationWeight Management. Lesson. By Carone Fitness
Lesson Weight Management By Carone Fitness Weight management does not mean dieting. Weight management refers to the balance of calories consumed and energy expended in order to maintain or improve one
More informationPmEB: A Mobile Phone Application for Monitoring Caloric Balance
PmEB: A Mobile Phone Application for Monitoring Caloric Balance Gunny Lee Fred Raab Computer Science & Engineering PACE Group La Jolla, CA 92093 USA La Jolla, CA 92093 USA gunny.lee@gmail.com fraab@paceproject.org
More informationTanya R. Berry, PhD Research Associate, Alberta Centre for Active Living
Understanding Reported Rates of Physical Activity: Comparing the Results of the Alberta Survey on Physical Activity and Canadian Community Health Survey Tanya R. Berry, PhD Research Associate, Alberta
More informationIntroduction. Approximately one-third of American adults are overweight. 1 Although behavioral weight loss programs
International Journal of Obesity (1998) 22, 1103±1109 ß 1998 Stockton Press All rights reserved 0307±0565/98 $12.00 http://www.stockton-press.co.uk/ijo retention through a correspondence intervention EA
More informationINTEGRATED NUTRITIONAL PERIODISATION PART 1 UNDERSTANDING WEIGHT LOSS LIFT THE BAR EDUCATION WORKBOOK
INTEGRATED NUTRITIONAL PERIODISATION PART 1 UNDERSTANDING WEIGHT LOSS WORKBOOK 1 03 UNDERSTANDING WEIGHT LOSS (INP1) Understanding Weight Loss: Gregg Slater Integrated Nutritional Periodisation Part 1
More informationNutrition and Exercise Physiology 1340 Introduction to Exercise and Fitness Health Benefits of Physical Activity
Nutrition and Exercise Physiology 1340 Introduction to Exercise and Fitness Health Benefits of Physical Activity There are problems with the environment! Some activity is better than none! HEALTH RISK
More informationDO WEIGHT STATUS AND SELF- PERCEPTION OF WEIGHT IN THE U.S. ADULT POPULATION DIFFER BETWEEN BREAKFAST CONSUMERS AND BREAKFAST SKIPPERS?
DO WEIGHT STATUS AND SELF- PERCEPTION OF WEIGHT IN THE U.S. ADULT POPULATION DIFFER BETWEEN BREAKFAST CONSUMERS AND BREAKFAST SKIPPERS? Results from NHANES 2009-2010 Freida Pan! NHANES Research Project!
More informationOBESITY: The Growing Epidemic and its Medical Impact
OBESITY: The Growing Epidemic and its Medical Impact Ray Plodkowski, MD Co-Chief, Chief, of Division of Medical Nutrition, University of Nevada School of Medicine. Chief, Endocrinology & Metabolism, Sachiko
More informationHERO Industry Research Review
HERO Industry Research Review Influence of Technology plus Lifestyle Intervention on Long-term Weight Loss Study Title: Effect of Wearable Technology Combined with a Lifestyle Intervention on Longterm
More informationPhysical Activity Patterns Using Accelerometry in the National Weight Control Registry
Physical Activity Patterns Using Accelerometry in the National Weight Control Registry Victoria A. Catenacci, Gary K. Grunwald, Jan P. Ingebrigtsen, John M. Jakicic, Michael D. McDermott, Suzanne Phelan,
More informationCHRONIC DISEASE PREVALENCE AMONG ADULTS IN OHIO
OHIO MEDICAID ASSESSMENT SURVEY 2012 Taking the pulse of health in Ohio CHRONIC DISEASE PREVALENCE AMONG ADULTS IN OHIO Amy Ferketich, PhD Ling Wang, MPH The Ohio State University College of Public Health
More informationState of Wellness: The Goods, the Bads & What s Next for Creighton
Creighton University Organizational Health Report State of Wellness: The Goods, the Bads & What s Next for Creighton Presented by: Dawn Obermiller, MA Date: May 8, 2014 Presentation Overview 2012-13 Wellness
More informationWhat You Will Learn to Do. Linked Core Abilities
Courtesy of Army JROTC U4C1L3 Components of Whole Health Key Words: Balance Behavior Calories Decision Fitness Metabolism Self-discipline What You Will Learn to Do Develop a plan for life-long health Linked
More informationDiabetes Care 31: , 2008
Clinical Care/Education/Nutrition/Psychosocial Research O R I G I N A L A R T I C L E Weight Loss Strategies Associated With BMI in Overweight Adults With Type 2 Diabetes at Entry Into the Look AHEAD (Action
More informationthe path to fitness is right at your own feet
the path to fitness is right at your own feet Figure Your Body Fat: Step On It America is a program based on the latest information about what works in weight loss. It also uses the newest body fat monitors
More informationHealth and Wellness. Course Health Science. Unit VIII Strategies for the Prevention of Diseases
Health and Wellness Course Health Science Unit VIII Strategies for the Prevention of Diseases Essential Question How does society or family impact diet and nutritional needs? TEKS 130.204(c) 1E, 1F, 1G,
More informationDiet and Weight Control. The Fattening of America: World Wide Epidemic 11/26/2011. Eating More of Just About Everything: 30 Year Comparison
Diet and Weight Control The Fattening of America: World Wide Epidemic Prevalence of overweight and obesity among adults in the U.S. 1984 1994 compared with 1999 2002 130 million Americans 65% of the population
More informationSession 21 Leader Guide: Heart Health
Session 21 Leader Guide: Heart Health Objectives In this session, the participants will: Identify the leading cause of death in American adults. Define heart disease. Learn the risk factors for heart disease.
More informationAre There Sex Differences in Behavioral Predictors of Successful Weight Loss Maintenance? Mary Elizabeth Baugh
Are There Sex Differences in Behavioral Predictors of Successful Weight Loss Maintenance? Mary Elizabeth Baugh Thesis submitted to the faculty of the Virginia Polytechnic Institute and State University
More informationSedentary behaviour and adult health. Ashley Cooper
Sedentary behaviour and adult health Ashley Cooper Physical activity and health in the 1950 s Jerry Morris compared heart attack incidence & severity in drivers vs conductors Morris et al (1953) "Coronary
More informationGrade 6: Healthy Body Lesson 5: Have a Heart Healthy Body
Grade 6: Healthy Body Lesson 5: Have a Heart Healthy Body Objectives: 1. Students will understand the significance of calories when discussing fat. 2. Students will define non-aerobic and aerobic activities
More informationChapter 02 Choose A Healthy Diet
Chapter 02 Choose A Healthy Diet Multiple Choice Questions 1. The science of food and how the body uses it in health and disease is called: A. the dietary guidelines. B. the food guide pyramid. C. nutrition.
More information11/17/2009. HPER 3970 Dr. Ayers (courtesy of Dr. Cheatham)
Weight Management Chapter 11 HPER 3970 Dr. Ayers (courtesy of Dr. Cheatham) Weight Loss Introduction Many athletes, although not overweight, seek to lose body weight (especially body fat) Increase Power
More information