The Impact of Mental Toughness on Weight Loss Progress at a National Slimming Club

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The Impact of Mental Toughness on Weight Loss Progress at a National Slimming Club Elizabeth Stamp, Lee Crust, and Christian Swann PhD Sport & Exercise Science MTough Research Group www.mtough.org.uk COLLEGE OF SOCIAL SCIENCE

Background 66.6% of adult males are obese or overweight (Lifestyles statistics team, Health and Social Care Information Centre, 2014) 57.2% of adult females are obese or overweight (Lifestyles statistics team, Health and Social Care Information Centre, 2014) By 2050, only 10% of individuals will be a healthy weight (Department of Health, 2009) Non communicable diseases In 2012, 38 million deaths worldwide (World Health Organisation, 2015) Lifestyle modification is the most powerful tool to address obesity-related health issues, but such approaches are usually accompanied by high drop-out rates (Kong et al., 2010)

Setting clear goals (Dubbert & Wilson, 1984) Set manageable & achievable goals Increased problem solving skills (Murawski et al., 2009) Control of emotions and anxiety Commitment Control Challenge Confidence Like problem solving & will not fear away from challenge 4 C s model (Clough et al., 2002) Decreased depressive symptoms (Bose et al., 2009) Confidence in skills, knowledge and abilities Greater confidence in ability to lose weight (Kong et al., 2010)

Method Recruit via slimming club members page MTQ48 EITI N = 420 0 months MTQ48 EITI N =??? 6 months Weekly weight and attendance recorded 3 months MTQ48 EITI N = 167

Changes over 3 months Significantly lower mental toughness than population norm No significant differences between completers and non completers Variable Initial 3 months Weight 94.42 86.05* Mental toughness 3.28 3.36* Healthy eating 3.53 3.84* Emotional eating 3.85 3.34* * Significant difference between initial and three month data collection (P < 0.01) Mental toughness significantly increased Eating style significantly changed

Correlational analysis of variables with initial mental toughness Variable r value p value 1 month weight loss.150*.002* 3 months weight loss -.003.947 Attendance over 1 month.153*.002* Attendance over 3 months.007.887 * Significant difference between one month and three month data collection (P < 0.01) Services provided by slimming club may have created a ceiling effect

Conclusion Slimming club members Mental toughness Healthy eating identity Emotional eating identity Slimming club members

References Bose, M., Olivan, B., & Laferrere. (2009). Stress and obesity: the role of the hypothalamic-pituitary-adrenal axis in metabolic disease. Current Opinion in Endocrinology, Diabetes and Obesity, 16 (5), 340 346. Clough, P., Earle, K., & Sewell, D. (2002). Mental toughness: the concept and its measurement. In I. Cockerill, Solutions in sport psychology, (pp. 32-43). London: Thomson. Department of Health. (2009). Change4Life Marketing Strategy [PDF]. Retrieved from http://www.nhs.uk/change4life/supporter-resources/downloads/change4life_marketing%20strategy_april09.pdf Clough, p. j. & Strycharczky, D. (2012). Developing Mental Toughness. London: Kogan Page Limtied. Dubbert, P. M., & Wilson, G. T. (1984). Goal setting and spouse involvement in the treatment of obesity. Behavioural Therapy and Research, 22, 227 242. Kong, W., Langlois, M., Kamga-Ngande, C., Gagnon, C., Brown, C., & Baillargeon,J. (2010). Predictors of success to weight-loss intervention program in individuals at high risk for type 2 diabetes. Diabetes Research and Clinical Practice, 90 (2), 147-153. Lifestyles statistics team, Health and Social Care Information Centre (2014). Statistics on Obesity, Physical Activity and Diet: England 2014 [PDF]. Retrieved from http://www.hscic.gov.uk/catalogue/pub13648/obes-physacti-diet-eng-2014-rep.pdf Murawski, M. E., Milsom, V. A., Ross, K. M., Rickel, K. A., DeBraganza, N., Gibbons, L. M., & Perri, M. G. (2010). Problem solving, treatment adherence and weight-loss outcome among women participating in lifestyle treatment for obesity. Eating Behaviours, 10 (3), 146 151. World Health Organisation. (2015, January). Obesity and overweight. Retrieved from http://www.who.int/mediacentre/factsheets/fs311/en/ World Health Organisation. (2015, January). Global Health Observatory (GHO) data: Non communicable disease (NCD s). Retrieved from http://www.who.int/gho/ncd/en/