Coaction of Obesity Treatment-Associated Changes in Physical Activity and Emotional Eating: Mediation by Body Satisfaction.

James J Annesi
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Abstract

Background: Research on coaction suggests improvements in physical activity and emotional eating will occur in a reciprocal manner.

Aims: To determine if changes in body satisfaction mediate relations between physical activity and emotional eating changes and if age affects degree of change in those variables.

Method: Groups of early adult (n = 43) and middle-age (n = 52) women participants of a community-based obesity treatment were assessed on behavioral and psychological variables over 3 and 6 months.

Results: Improvements in physical activity, anxiety-related emotional eating, body satisfaction, anxiety, and exercise self-efficacy were significant overall. Early adults demonstrated greater reductions in emotional eating. Physical activity increase over 3 months significantly predicted 6-month reduction in emotional eating but not vice versa. Body satisfaction change significantly mediated the physical activity-emotional eating relationships. Changes in anxiety and exercise self-efficacy moderated activity → emotional eating and body satisfaction → physical activity relationships, respectively.

Conclusion: Findings can inform both theory and behavioral obesity interventions.

肥胖治疗相关的身体活动变化与情绪饮食的相互作用:身体满意度的中介作用。
背景:关于相互作用的研究表明,身体活动和情绪饮食的改善将以相互的方式发生。目的:确定身体满意度的变化是否介导身体活动与情绪饮食变化之间的关系,以及年龄是否影响这些变量的变化程度。方法:对参与社区肥胖治疗的早期成年(n = 43)和中年(n = 52)女性进行3个月和6个月的行为和心理变量评估。结果:身体活动、焦虑相关的情绪性饮食、身体满意度、焦虑和运动自我效能感的改善总体上是显著的。早期成人表现出更大程度的情绪性进食减少。3个月内体育锻炼的增加显著预示着6个月内情绪化饮食的减少,反之则不然。身体满意度变化对身体活动-情绪饮食关系有显著的中介作用。焦虑和运动自我效能感的变化分别调节活动→情绪性饮食和身体满意度→体育活动关系。结论:研究结果可以为肥胖的理论和行为干预提供信息。
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