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Perceived barriers to physical activity during and after a behavioural weight loss programme

BACKGROUND: Most adults with overweight/obesity participating in behavioural weight loss (BWL) programmes never achieve prescribed physical activity (PA) levels. This study examined changes in PA barriers, their relationships with accelerometer‐measured PA during and after a 12‐month BWL programme,...

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Autores principales: Call, Christine C., Roberts, Savannah R., Schumacher, Leah M., Remmert, Jocelyn E., Kerrigan, Stephanie G., Butryn, Meghan L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7042099/
https://www.ncbi.nlm.nih.gov/pubmed/32128238
http://dx.doi.org/10.1002/osp4.373
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author Call, Christine C.
Roberts, Savannah R.
Schumacher, Leah M.
Remmert, Jocelyn E.
Kerrigan, Stephanie G.
Butryn, Meghan L.
author_facet Call, Christine C.
Roberts, Savannah R.
Schumacher, Leah M.
Remmert, Jocelyn E.
Kerrigan, Stephanie G.
Butryn, Meghan L.
author_sort Call, Christine C.
collection PubMed
description BACKGROUND: Most adults with overweight/obesity participating in behavioural weight loss (BWL) programmes never achieve prescribed physical activity (PA) levels. This study examined changes in PA barriers, their relationships with accelerometer‐measured PA during and after a 12‐month BWL programme, and associations between PA barriers and participant characteristics. METHODS: Adults (N = 283) in a BWL programme completed the Barriers to Being Active Quiz, a 21‐item self‐report measure that assesses seven perceived PA barriers, and they wore an accelerometer for seven consecutive days at baseline and at 6 (midtreatment), 12 (end of treatment), 18 (6‐mo follow‐up), and 24 months (12‐mo follow‐up). Weight and height were measured, and demographic information was collected at baseline. RESULTS: Repeated‐measures analyses of variance (ANOVAs) revealed a significant quadratic effect of time on total PA barriers, P < .001, such that PA barriers decreased by midtreatment, remained below baseline levels by end of treatment, but increased to near‐baseline levels by follow‐up. Perceived PA barriers were negatively associated with baseline moderate‐to‐vigorous PA (MVPA), P < .001, and decreases in perceived PA barriers were related to greater MVPA at 6 (P = .004), 12 (P < .001), and 24 months (P = .007). Participants who were younger, P = .02, and white, P = .009, reported more baseline barriers. CONCLUSIONS: Perceived PA barriers meaningfully decreased during BWL treatment, which in turn was associated with greater MVPA. This pattern suggests that, on average, BWL effectively addresses perceived PA barriers, which contributes to increased PA. Future research should identify interventions to maintain decreases in barriers after end of treatment.
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spelling pubmed-70420992020-03-03 Perceived barriers to physical activity during and after a behavioural weight loss programme Call, Christine C. Roberts, Savannah R. Schumacher, Leah M. Remmert, Jocelyn E. Kerrigan, Stephanie G. Butryn, Meghan L. Obes Sci Pract Original Articles BACKGROUND: Most adults with overweight/obesity participating in behavioural weight loss (BWL) programmes never achieve prescribed physical activity (PA) levels. This study examined changes in PA barriers, their relationships with accelerometer‐measured PA during and after a 12‐month BWL programme, and associations between PA barriers and participant characteristics. METHODS: Adults (N = 283) in a BWL programme completed the Barriers to Being Active Quiz, a 21‐item self‐report measure that assesses seven perceived PA barriers, and they wore an accelerometer for seven consecutive days at baseline and at 6 (midtreatment), 12 (end of treatment), 18 (6‐mo follow‐up), and 24 months (12‐mo follow‐up). Weight and height were measured, and demographic information was collected at baseline. RESULTS: Repeated‐measures analyses of variance (ANOVAs) revealed a significant quadratic effect of time on total PA barriers, P < .001, such that PA barriers decreased by midtreatment, remained below baseline levels by end of treatment, but increased to near‐baseline levels by follow‐up. Perceived PA barriers were negatively associated with baseline moderate‐to‐vigorous PA (MVPA), P < .001, and decreases in perceived PA barriers were related to greater MVPA at 6 (P = .004), 12 (P < .001), and 24 months (P = .007). Participants who were younger, P = .02, and white, P = .009, reported more baseline barriers. CONCLUSIONS: Perceived PA barriers meaningfully decreased during BWL treatment, which in turn was associated with greater MVPA. This pattern suggests that, on average, BWL effectively addresses perceived PA barriers, which contributes to increased PA. Future research should identify interventions to maintain decreases in barriers after end of treatment. John Wiley and Sons Inc. 2019-12-19 /pmc/articles/PMC7042099/ /pubmed/32128238 http://dx.doi.org/10.1002/osp4.373 Text en © 2019 The Authors. Obesity Science & Practice published by World Obesity and The Obesity Society and John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Call, Christine C.
Roberts, Savannah R.
Schumacher, Leah M.
Remmert, Jocelyn E.
Kerrigan, Stephanie G.
Butryn, Meghan L.
Perceived barriers to physical activity during and after a behavioural weight loss programme
title Perceived barriers to physical activity during and after a behavioural weight loss programme
title_full Perceived barriers to physical activity during and after a behavioural weight loss programme
title_fullStr Perceived barriers to physical activity during and after a behavioural weight loss programme
title_full_unstemmed Perceived barriers to physical activity during and after a behavioural weight loss programme
title_short Perceived barriers to physical activity during and after a behavioural weight loss programme
title_sort perceived barriers to physical activity during and after a behavioural weight loss programme
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7042099/
https://www.ncbi.nlm.nih.gov/pubmed/32128238
http://dx.doi.org/10.1002/osp4.373
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