Abstract
This study examined physical discomfort intolerance (DI) as a baseline predictor of weight loss and physical activity outcomes, and assessed whether changes in DI during the initial phase of weight loss prospectively predicted long-term treatment outcomes among adults enrolled in a group-based lifestyle modification program for obesity. DI was measured at baseline and 6 months, and weight and accelerometer-measured physical activity were assessed at baseline, 6 months, and 12 months. Baseline DI was not related to weight loss or physical activity at either timepoint. Change in DI during the first 6 months of treatment was not related to concurrent (i.e., 6-month) weight loss and physical activity, but was significantly predictive of weight loss and physical activity at 12 months. Assessing early changes in DI may help to identify individuals at risk for suboptimal outcomes. Future research should evaluate behavioral weight loss interventions designed to target DI.
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This research was funded by Grant R01DK100345 (to Butryn).
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Mary K. Martinelli, Kathryn M. Godfrey, Monica Martinez, Meghan L. Butryn declares that they have no conflict of interest. Dr. Forman is a member of the Tivity Health Scientific Advisory Board.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (include name of committee + reference number) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all individual participants included in the study.
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Martinelli, M.K., Godfrey, K.M., Martinez, M. et al. Physical discomfort intolerance as a predictor of weight loss and physical activity in a lifestyle modification program. J Behav Med 43, 1041–1046 (2020). https://doi.org/10.1007/s10865-020-00150-5
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DOI: https://doi.org/10.1007/s10865-020-00150-5