Transtheoretical model for dietary and physical exercise modification in weight loss management for overweight and obese adults

Tuah, Nik Ani Afiqah; Amiel, Cressida; Qureshi, Samrina; Car, Josip; Kaur, Bhavneet; Majeed, Azeem

doi:10.1002/14651858.cd008066.pub2

Cited by 59 publications

(32 citation statements)

References 107 publications

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“…Furthermore, a recent study 72 of 227 consecutive patients undergoing adjustable gastric banding surgery found that readiness was not associated with percentage reduction in BMI at 2 years or compliance or likelihood of complications. Finally, a Cochrane review 73 limited to five RCTs (3,910 participants, median length of 9 months) specifically evaluating the effect of randomization to interventions which incorporated stages of change (not exclusively readiness) from the TTM to controls that did not use TTM assessment found that the use of stages of change resulted in minimal overall weight loss (∼2 kg or less) and reported no conclusive evidence of sustained weight loss.…”

Section: Introductionmentioning

confidence: 99%

Weighing the Evidence of Common Beliefs in Obesity Research

Casazza

Brown

Astrup

et al. 2014

Critical Reviews in Food Science and Nutrition

155

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Obesity is a topic on which many views are strongly held in the absence of scientific evidence to support those views, and some views are strongly held despite evidence to contradict those views. We refer to the former as “presumptions” and the latter as “myths”. Here we present nine myths and ten presumptions surrounding the effects of rapid weight loss; setting realistic goals in weight loss therapy; stage of change or readiness to lose weight; physical education classes; breast-feeding; daily self-weighing; genetic contribution to obesity; the “Freshman 15”; food deserts; regularly eating (versus skipping) breakfast; eating close to bedtime; eating more fruits and vegetables; weight cycling (i.e. yo-yo dieting); snacking; built environment; reducing screen time in childhood obesity; portion size; participation in family mealtime; and drinking water as a means of weight-loss. For each of these, we describe the belief and present evidence that the belief is widely held or stated, reasons to support the conjecture that the belief might be true, evidence to directly support or refute the belief, and findings from randomized controlled trials, if available. We conclude with a discussion of the implications of these determinations, conjecture on why so many myths and presumptions exist, and suggestions for limiting the spread of these and other unsubstantiated beliefs about obesity domain.

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Section: Introductionmentioning

confidence: 99%

Weighing the Evidence of Common Beliefs in Obesity Research

Casazza

Brown

Astrup

et al. 2014

Critical Reviews in Food Science and Nutrition

155

View full text Add to dashboard Cite

show abstract

“…Diet and exercise always play a role in obesity management, but lifestyle interventions alone do not achieve durable weight loss in the majority of patients 6. Bariatric surgery has emerged as the most effective and durable strategy for successful weight loss in obese individuals.…”

Section: Introduction: Obesity and The Heartmentioning

confidence: 99%

Bariatric surgery and cardiovascular outcomes: a systematic review

Vest

Heneghan

Agarwal

et al. 2012

Heart

293

161

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“…In a systematic review assessing the effectiveness of transtheoretical model-based dietary and physical activity interventions on weight loss in overweight and obese adults, minimal weight loss was observed, but there was no evidence of it being sustained; the authors conclude that the framework in combination with other strategies may result in improved outcomes [19]. …”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitating factors for disease self-management: a qualitative analysis of perceptions of patients receiving care for type 2 diabetes and/or hypertension in San José, Costa Rica and Tuxtla Gutiérrez, Mexico

et al. 2013

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BackgroundThe burden of cardiovascular disease is growing in the Mesoamerican region. Patients’ disease self-management is an important contributor to control of cardiovascular disease. Few studies have explored factors that facilitate and inhibit disease self-management in patients with type 2 diabetes and hypertension in urban settings in the region. This article presents patients’ perceptions of barriers and facilitating factors to disease self-management, and offers considerations for health care professionals in how to support them.MethodsIn 2011, 12 focus groups were conducted with a total of 70 adults with type 2 diabetes and/or hypertension who attended urban public health centers in San José, Costa Rica and Tuxtla Gutiérrez, Chiapas, Mexico. Focus group discussions were transcribed and coded using a content analysis approach to identify themes. Themes were organized using the trans-theoretical model, and other themes that transcend the individual level were also considered.ResultsPatients were at different stages in their readiness-to-change, and barriers and facilitating factors are presented for each stage. Barriers to disease self-management included: not accepting the disease, lack of information about symptoms, vertical communication between providers and patients, difficulty negotiating work and health care commitments, perception of healthy food as expensive or not filling, difficulty adhering to treatment and weight loss plans, additional health complications, and health care becoming monotonous. Factors facilitating disease self-management included: a family member’s positive experience, sense of urgency, accessible health care services and guidance from providers, inclusive communication, and family and community support.Financial difficulty, gender roles, differences by disease type, faith, and implications for families and their support were identified as cross-cutting themes that may add an additional layer of complexity to disease management at any stage. These factors also relate to the broader family and societal context in which patients live.ConclusionsPeople living with type 2 diabetes and hypertension present different barriers and facilitating factors for disease self-management, in part based on their readiness-to-change and also due to the broader context in which they live. Primary care providers can work with individuals to support self-management taking into consideration these different factors and the unique situation of each patient.

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Transtheoretical model for dietary and physical exercise modification in weight loss management for overweight and obese adults

Cited by 59 publications

References 107 publications

Weighing the Evidence of Common Beliefs in Obesity Research

Weighing the Evidence of Common Beliefs in Obesity Research

Bariatric surgery and cardiovascular outcomes: a systematic review

Barriers and facilitating factors for disease self-management: a qualitative analysis of perceptions of patients receiving care for type 2 diabetes and/or hypertension in San José, Costa Rica and Tuxtla Gutiérrez, Mexico

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