PMID- 33630639
OWN - NLM
STAT- MEDLINE
DCOM- 20210305
LR  - 20220302
IS  - 1930-7810 (Electronic)
IS  - 0278-6133 (Print)
IS  - 0278-6133 (Linking)
VI  - 40
IP  - 3
DP  - 2021 Mar
TI  - Promotion of physical activity during weight loss maintenance: A randomized 
      controlled trial.
PG  - 178-187
LID - 10.1037/hea0001043 [doi]
AB  - OBJECTIVE: Behavioral weight loss (BWL) programs are not sufficiently effective 
      at promoting high levels of moderate-to-vigorous physical activity (MVPA), 
      despite the clear health benefits of exercise and the possibility that high 
      levels of MVPA may improve long-term weight loss. This three-arm randomized 
      controlled trial tested the hypotheses that 1) BWL interventions with an 
      intensive focus on exercise would result in higher amounts of MVPA and greater 
      long-term weight loss, compared to standard BWL, and 2) among interventions with 
      an intensive focus on exercise, outcomes would be superior when skills for 
      exercise promotion were taught from an acceptance-based theoretical framework 
      (which fosters willingness to accept discomfort in the service of valued 
      behaviors), versus a traditional behavioral approach. METHOD: Three hundred and 
      twenty adults with overweight/obesity received group-based BWL for induction of 
      weight loss (Months 1-6) and were randomized to receive one of three 
      interventions for weight loss maintenance (Months 7-18): continued standard 
      behavioral treatment (BT), behavioral treatment with an emphasis on exercise (BT 
      + PA), or acceptance-based treatment with an emphasis on exercise (ABT + PA). 
      RESULTS: MVPA and percent weight loss did not significantly differ by condition 
      at 12 or 18 months. Participants engaging in relatively higher levels of MVPA had 
      greater long-term weight losses compared to participants engaging in lower levels 
      of MVPA. CONCLUSIONS: Further clinical innovations are needed so that 
      participants in BWL programs can more readily adopt and maintain the recommended 
      amounts of MVPA. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
FAU - Butryn, Meghan L
AU  - Butryn ML
AUID- ORCID: 0000-0001-5573-5707
AD  - Center for Weight, Eating, and Lifestyle Sciences (WELL Center), Drexel 
      University.
FAU - Godfrey, Kathryn M
AU  - Godfrey KM
AD  - Center for WorkLife Wellbeing, ChristianaCare.
FAU - Call, Christine C
AU  - Call CC
AUID- ORCID: 0000-0003-3500-3001
AD  - Center for Weight, Eating, and Lifestyle Sciences (WELL Center), Drexel 
      University.
FAU - Forman, Evan M
AU  - Forman EM
AD  - Center for Weight, Eating, and Lifestyle Sciences (WELL Center), Drexel 
      University.
FAU - Zhang, Fengqing
AU  - Zhang F
AD  - Department of Psychology, Drexel University.
FAU - Volpe, Stella L
AU  - Volpe SL
AUID- ORCID: 0000-0002-8593-320X
AD  - Department of Nutrition Sciences, Drexel University.
LA  - eng
SI  - ClinicalTrials.gov/NCT02363010
GR  - R01 DK100345/DK/NIDDK NIH HHS/United States
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - United States
TA  - Health Psychol
JT  - Health psychology : official journal of the Division of Health Psychology, 
      American Psychological Association
JID - 8211523
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - *Behavior Therapy
MH  - Exercise/*physiology
MH  - Female
MH  - Health Promotion/*methods
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Obesity/therapy
MH  - Overweight/therapy
MH  - Patient Acceptance of Health Care
MH  - Weight Loss/*physiology
MH  - Weight Reduction Programs
MH  - Young Adult
PMC - PMC8341135
MID - NIHMS1727614
EDAT- 2021/02/26 06:00
MHDA- 2021/03/06 06:00
PMCR- 2022/03/01
CRDT- 2021/02/25 17:11
PHST- 2021/02/25 17:11 [entrez]
PHST- 2021/02/26 06:00 [pubmed]
PHST- 2021/03/06 06:00 [medline]
PHST- 2022/03/01 00:00 [pmc-release]
AID - 2021-19828-003 [pii]
AID - 10.1037/hea0001043 [doi]
PST - ppublish
SO  - Health Psychol. 2021 Mar;40(3):178-187. doi: 10.1037/hea0001043.