Predictors of Long-Term Adherence to Multiple Health Behavior Recommendations for Weight Management

Health Education & Behavior : the Official Publication of the Society for Public Health Education
Stephanie L FitzpatrickV J Stevens

Abstract

We have demonstrated previously that patterns of behavioral adherence in the first 6 months of behavioral lifestyle interventions were associated with significant weight loss at 18 months. In this article, we extend this work to examine patterns of behavioral adherence over 18 months and to explore baseline demographic and psychosocial predictors. Latent class analysis was applied separately to the Weight Loss Maintenance and PREMIER trials data to examine patterns of adherence to the following recommendations: (1) consuming ≥9 servings of fruits and vegetables per day, (2) ≤25% of energy from total fat, (3) ≤7% energy from saturated fat, and (4) ≥180 minutes of moderate-to-vigorous physical activity per week. Multinomial logistic regression was used to test demographic and psychosocial predictors of latent class membership. Four distinct subgroups with common patterns of behavioral adherence were identified in each trial including, Behavioral Maintainers, who maintained adherence to all behavioral recommendations for 1 year, Nonresponders, who did not adhere to the recommendations at any time point, and latent classes that reflected patterns of adherence to one or two behaviors or behavioral relapse. A significantly higher pro...Continue Reading

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Citations

Oct 17, 2019·Journal of Behavioral Medicine·Stephanie L FitzpatrickVictor J Stevens
Jun 10, 2020·Critical Reviews in Food Science and Nutrition·Francisco Gomez-DelgadoPablo Perez-Martinez
Feb 14, 2021·International Journal of Environmental Research and Public Health·Ellen S MitchellAndreas Michaelides

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Software Mentioned

WLM
Mplus
PREMIER
RMLCA

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