Determinants of adherence to lifestyle intervention in adults with obesity: a systematic review

Burgess, Emily; Hassmén, Peter; Pumpa, Kate

doi:10.1111/cob.12183

Cited by 293 publications

(300 citation statements)

References 38 publications

(115 reference statements)

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“…Despite this evidence, only 20% of US adults meet current physical activity guidelines and 25% report no leisure-time physical activity (Centres for Disease Control and Prevention, 2014). One of the most common barriers to engaging in regular exercise is a lack of time (Burgess, Hassmen, & Pumpa, 2017; Trost, Owen, Bauman, Sallis, & Brown, 2002), with current research focusing on time-efficient strategies to promote exercise adherence and cardiometabolic health. Recently, high intensity interval training (HIIT) has gained popularity as a novel, time-efficient exercise strategy that has been shown to improve cardiometabolic disease risk factors in a variety of populations.…”

Section: Introductionmentioning

confidence: 99%

High‐intensity interval and moderate‐intensity continuous training elicit similar enjoyment and adherence levels in overweight and obese adults

Vella

Taylor

Drummer

2017

European Journal of Sport Science

139

126

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BACKGROUND: High-intensity interval training (HIIT) has been shown to improve cardiometabolic health during supervised lab-based studies but adherence, enjoyment and health benefits of HIIT performed independently are yet to be understood. We compared adherence, enjoyment and cardiometabolic outcomes after 8-weeks of HIIT or moderate-intensity continuous training (MICT), matched for energy expenditure, in overweight and obese young adults. METHODS: 17 adults were randomized to HIIT or MICT. After completing 12 sessions of supervised training over 3 weeks, participants were asked to independently perform HIIT or MICT for 30 minutes, 4 times/week for 5 weeks. Cardiometabolic outcomes included cardiorespiratory fitness (VO2peak), lipids, and inflammatory markers. Exercise enjoyment was measured by the validated Physical Activity Enjoyment Scale. RESULTS: Exercise adherence (93.4±3.1% vs 93.1±3.7%, respectively) and mean enjoyment across the intervention (100.1±4.3 vs 100.3±4.4, respectively) were high, with no differences between HIIT and MICT (p>0.05). Similarly, enjoyment levels did not change over time in either group (p>0.05). After training, HIIT exhibited a greater decrease in low-density lipoprotein cholesterol than MICT (−0.66 mmol·L−1 vs. −0.03 mmol·L−1, respectively) and a greater increase in VO2peak than MICT (p<0.05, +2.6 ml·kg.min−1 vs. +0.4 ml·kg.min−1, respectively). Interleukin-6 and C-reactive protein increased in HIIT (+0.5 pg·mL−1 and +31.4 nmol·L−1, respectively) and decreased in MICT (−0.6 pg·mL−1 and −6.7 nmol·L−1, respectively, p<0.05). CONCLUSIONS: Our novel findings suggest that HIIT is enjoyable and has high unsupervised adherence rates in overweight and obese adults. However, HIIT may be associated with an increase in inflammation with short-term exercise in this population.

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Section: Introductionmentioning

confidence: 99%

High‐intensity interval and moderate‐intensity continuous training elicit similar enjoyment and adherence levels in overweight and obese adults

Vella

Taylor

Drummer

2017

European Journal of Sport Science

139

126

View full text Add to dashboard Cite

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“…Another study has also found that even among highly educated individuals, the percentage of those performing regular exercise is not sufficient with respect to health benefits . This may demonstrate how challenging it is to change health habits and that PA is a complex behavior influenced by several different factors (such as social support, individual psychological factors, motives, and barriers) …”

Section: Discussionmentioning

confidence: 99%

Are fitness club members likely to meet the current physical activity recommendations?

et al. 2019

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The aims of the present study were (a) to assess PA level and prevalence meeting PA recommendations at onset and after 12 months of fitness club membership, and (b) to identify socioeconomic status (SES), and compare this in participants with high (≥two weekly sessions) exercise frequency and low (≤one exercise session/week) exercise frequency. PA level was measured by ActiGraph GT1M in 125 new fitness club members at onset and 12 months. A total of 250 participants answered a questionnaire covering SES and exercise frequency. To examine changes in PA level and the prevalence meeting PA recommendations, paired t tests or McNemar's test was used. No changes were found in total PA level (counts per minute (cpm)) (359.3 ± 109.5 vs 375.8 ± 123.1 cpm, P = .226) or MVPA (19.4 ± 14.8 vs 21.3 ± 17.9 minutes/d, P = .358) at 12 months. PA recommendation (≥150 minutes/wk of moderate to vigorous PA) was met by 37.7% and 45.9% at onset and after 12 months. Exercise frequency was not associated with SES. We found no increase in PA level the first year of fitness club membership. SES was not associated with regular use of the fitness club.

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“…A technical “one size fits all” approach has been found to limit the effectiveness of motivational interviewing particularly with participants who are most resistant to change . An individual's motivation to adhere to a behaviour may be influenced by attitudes, environmental constraints, emotional responses, anticipated outcomes of behaviour, perceived control over outcomes, societal norms, knowledge and skills, and socioeconomic constraints . Specifically diabetic foot ulceration is known to be associated with socio‐economic deprivation, poor cognitive capability, poor wellbeing, and depression .…”

Section: Discussionmentioning

confidence: 99%

Motivational interviewing to improve adherence behaviours for the prevention of diabetic foot ulceration

Binning

Woodburn

Bus

et al. 2018

Diabetes Metabolism Res

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Summary Diabetic foot ulceration is a major complication associated with high morbidity. Little evidence exists on which interventions are effective at preventing ulceration. Participants who are adherent to self‐care behaviours have significantly better outcomes. Motivational interviewing is an intervention that has been used successfully for conditions where adherence is important, such as reduction of obesity and HbA1c levels. A systematic review was conducted to determine whether motivational interviewing is effective at improving adherence for the prevention of Diabetic Foot Ulceration. Electronic searches were run without date or language restrictions in MEDLINE (viaEBSCOhost), CINAHL (viaEBSCOhost), ProQuest (Health and Medical Collection, Nursing and Allied Health Database, PsycINFO, Psychology, PsychArticles), AMED, EMBASE, Cochrane Central Register of Controlled Trials, ScienceDirect, and Web of Science Core Collections. Papers were included if participants had or were at risk of diabetic foot ulceration. Studies required motivational interviewing or a motivational approach as the sole intervention or as a component. Randomised controlled trials and quasi‐experimental studies were included if ulceration and/or at least one behavioural outcome was measured before and after the intervention. Five studies met the inclusion criteria. Heterogeneity prevented the pooling of data. One study used motivational interviewing as the sole intervention. This study found a short‐term positive effect on footwear adherence. The remaining four studies had a motivational component within their interventions. Two of these studies showed the intervention to be effective but both were at a high risk of bias. This review demonstrates an evidence gap. More research is needed.

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Determinants of adherence to lifestyle intervention in adults with obesity: a systematic review

Cited by 293 publications

References 38 publications

High‐intensity interval and moderate‐intensity continuous training elicit similar enjoyment and adherence levels in overweight and obese adults

High‐intensity interval and moderate‐intensity continuous training elicit similar enjoyment and adherence levels in overweight and obese adults

Are fitness club members likely to meet the current physical activity recommendations?

Motivational interviewing to improve adherence behaviours for the prevention of diabetic foot ulceration

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