PMID- 29177057 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220310 IS - 2052-9538 (Print) IS - 2052-9538 (Electronic) IS - 2052-9538 (Linking) VI - 4 DP - 2017 TI - Motivation and perceived competence for healthy eating and exercise among overweight/obese adolescents in comparison to normal weight adolescents. PG - 36 LID - 10.1186/s40608-017-0172-2 [doi] LID - 36 AB - BACKGROUND: The current literature on determinants of behavior change in weight management lacks sufficient studies on type of motivation among children/adolescents, on perceived competence, and in relation to healthy eating. This study aimed to investigate type of motivation and levels of perceived competence for healthy diet and exercise, as well as general self efficacy among adolescents. We hypothesized that overweight/obese adolescents would demonstrate lower autonomous motivation and perceived competence regarding diet and exercise, and lower self-efficacy in general, and that the scores would be influenced by socioeconomic factors. METHODS: Normal weight (n = 40, body mass index < 85% for age and gender) and overweight or obese adolescents (n = 60, body mass index >/= 85% for age and gender) aged 13-18 years were recruited from pediatric ambulatory clinics. Information was collected about demographics, socioeconomic factors, and lifestyle behaviors. The study subjects completed a survey including the Treatment Self-Regulation Questionnaire (TSRQ) and the Perceived Competence Scale (PCS) for healthy eating and exercise, and the General Self-Efficacy Scale (GSES). Composite scores for the three scales were compared between the two groups using the using the two-sample t-test (for normal data) or the Mann-Whitney U test (for non-parametric data). Relationships between the composite scores and patient characteristics were determined using Pearson or Spearman's correlations. RESULTS: The average age of the total cohort was 15.9 +/- 1.9 years. 54% were female, and 82% identified as Latino/Hispanic. In comparison to normal weight subjects, overweight/obese adolescents exhibited higher scores for controlled motivation (mean +/- standard deviation 28.3 +/- 9.3 vs 18.1 +/- 8.1) and higher perceived competence [median and 25-75% interquartile range 22.5 (19.0-26.0) vs 20.0 (15.5-25.0)] in relation to eating a healthy diet. These differences persisted after adjustment for age, sex, paternal education, and family income. CONCLUSIONS: Overweight/obese adolescents did not lack autonomous motivation but demonstrated higher controlled motivation and perceived competence for healthy eating in comparison to normal weight adolescents, independent of socioeconomic factors. In the clinical practice of weight management, providers should carefully assess adolescents for type of motivation and perceived competence, while accounting for potential barriers to behavior change. FAU - Mokhtari, Suzanne AU - Mokhtari S AD - Department of Pediatrics, Division of Hospital Medicine, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, 1124 W. Carson Street, Torrance, CA USA. ISNI: 0000 0000 9632 6718. GRID: grid.19006.3e FAU - Grace, Benjamin AU - Grace B AD - Department of Pediatrics, Division of Pediatric Endocrinology, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, 1124 W. Carson Street, Torrance, CA USA. ISNI: 0000 0000 9632 6718. GRID: grid.19006.3e FAU - Pak, Youngju AU - Pak Y AD - Department of Medicine, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, 1124 W. Carson Street, Torrance, CA USA. ISNI: 0000 0000 9632 6718. GRID: grid.19006.3e FAU - Reina, Astrid AU - Reina A AD - Department of Psychiatry, Division of Psychology, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, 1124 W. Carson Street, Torrance, CA USA. ISNI: 0000 0000 9632 6718. GRID: grid.19006.3e FAU - Durand, Quinn AU - Durand Q AD - Department of Psychiatry, Division of Psychology, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, 1124 W. Carson Street, Torrance, CA USA. ISNI: 0000 0000 9632 6718. GRID: grid.19006.3e FAU - Yee, Jennifer K AU - Yee JK AD - Department of Pediatrics, Division of Pediatric Endocrinology, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, 1124 W. Carson Street, Torrance, CA USA. ISNI: 0000 0000 9632 6718. GRID: grid.19006.3e LA - eng GR - UL1 TR001881/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20171117 PL - England TA - BMC Obes JT - BMC obesity JID - 101639183 PMC - PMC5693573 OTO - NOTNLM OT - Adolescent OT - Motivation OT - Obesity OT - Perceived competence OT - Self-efficacy COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: The study was approved by the Human Subjects Committee at the Los Angeles Biomedical Research Institute (LABioMed) at Harbor-University of California, Los Angeles (Harbor-UCLA). The research was performed in compliance with the institutional policies in accordance with the Declaration of Helsinki. The parents of study subjects age 13-17 years provided informed consent, and the child provided assent, while subjects who were 18 years old provided informed consent. CONSENT FOR PUBLICATION: Not applicable COMPETING INTERESTS: The authors declare that they have no competing interests. PUBLISHER'S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2017/11/28 06:00 MHDA- 2017/11/28 06:01 PMCR- 2017/11/17 CRDT- 2017/11/28 06:00 PHST- 2017/04/07 00:00 [received] PHST- 2017/11/10 00:00 [accepted] PHST- 2017/11/28 06:00 [entrez] PHST- 2017/11/28 06:00 [pubmed] PHST- 2017/11/28 06:01 [medline] PHST- 2017/11/17 00:00 [pmc-release] AID - 172 [pii] AID - 10.1186/s40608-017-0172-2 [doi] PST - epublish SO - BMC Obes. 2017 Nov 17;4:36. doi: 10.1186/s40608-017-0172-2. eCollection 2017.