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Effect of a non-dieting lifestyle randomised control trial on psychological well-being and weight management in morbidly obese pre-menopausal women

Borkoles, Erika; Carroll, Sean; Clough, Peter; Polman, Remco C.J.

Authors

Erika Borkoles

Peter Clough

Remco C.J. Polman



Abstract

© 2015 The Authors. Published by Elsevier Ireland Ltd. This is an open access article under the CCBY-NC-ND license. Objective This study examined the effects of a non-dieting lifestyle intervention approach for morbidly obese women designed in the framework of the self-determination theory (SDT) and Health at Every Size on weight maintenance and psychological functioning. Participants and design Predominantly white (97%), morbidly obese (BMI ≥ 35 kg m -2 with at least one co-morbid condition or a BMI ≥ 40 kg m -2 ) pre-menopausal women (N = 62), aged between 24 and 55 years were initially randomly assigned to 12 weeks of lifestyle intervention (IIG) or delayed start control group (DSCG). The program consisted of 3 months intensive lifestyle intervention followed by 9 month maintenance phase. The DSCG group commenced the program after 3 months. Results and conclusions Initially, the IIG showed a significant decrease in body weight (baseline to end of the RCT phase) compared with a significant increase in the DSCG group. However, no significant changes in weight status were evident in either group at 12 months compared with baseline. The 3-month intensive intervention resulted in significantly improved psychological functioning in both groups, which were maintained at 12 months. The study provides additional support for a non-dieting, theory-based, lifestyle approach to weight management and psychological well-being among morbidly obese females.

Citation

Borkoles, E., Carroll, S., Clough, P., & Polman, R. C. (2016). Effect of a non-dieting lifestyle randomised control trial on psychological well-being and weight management in morbidly obese pre-menopausal women. Maturitas, 83, 51-58. https://doi.org/10.1016/j.maturitas.2015.09.010

Journal Article Type Article
Acceptance Date Sep 28, 2015
Online Publication Date Oct 24, 2015
Publication Date Jan 1, 2016
Deposit Date Feb 9, 2017
Publicly Available Date Feb 9, 2017
Journal Maturitas
Print ISSN 0378-5122
Electronic ISSN 1873-4111
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 83
Pages 51-58
DOI https://doi.org/10.1016/j.maturitas.2015.09.010
Keywords Morbidly obese women; Obesity; Self-determination theory; RCT
Public URL https://hull-repository.worktribe.com/output/447995
Publisher URL http://www.sciencedirect.com/science/article/pii/S0378512215300591
Copyright Statement © 2015 The Authors. Published by Elsevier Ireland Ltd. This is an open access article under the CCBY-NC-ND license.
Additional Information Copy of article first published in: Maturitas, 2016, v.83.

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