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Successful behavior change in obesity interventions in adults: a systematic review of self-regulation mediators

Overview of attention for article published in BMC Medicine, April 2015
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  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (97th percentile)

Mentioned by

news
34 news outlets
blogs
2 blogs
twitter
89 X users
facebook
4 Facebook pages
googleplus
1 Google+ user

Citations

dimensions_citation
464 Dimensions

Readers on

mendeley
966 Mendeley
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Title
Successful behavior change in obesity interventions in adults: a systematic review of self-regulation mediators
Published in
BMC Medicine, April 2015
DOI 10.1186/s12916-015-0323-6
Pubmed ID
Authors

Pedro J Teixeira, Eliana V Carraça, Marta M Marques, Harry Rutter, Jean-Michel Oppert, Ilse De Bourdeaudhuij, Jeroen Lakerveld, Johannes Brug

Abstract

Relapse is high in lifestyle obesity interventions involving behavior and weight change. Identifying mediators of successful outcomes in these interventions is critical to improve effectiveness and to guide approaches to obesity treatment, including resource allocation. This article reviews the most consistent self-regulation mediators of medium- and long-term weight control, physical activity, and dietary intake in clinical and community behavior change interventions targeting overweight/obese adults. A comprehensive search of peer-reviewed articles, published since 2000, was conducted on electronic databases (for example, MEDLINE) and journal reference lists. Experimental studies were eligible if they reported intervention effects on hypothesized mediators (self-regulatory and psychological mechanisms) and the association between these and the outcomes of interest (weight change, physical activity, and dietary intake). Quality and content of selected studies were analyzed and findings summarized. Studies with formal mediation analyses were reported separately. Thirty-five studies were included testing 42 putative mediators. Ten studies used formal mediation analyses. Twenty-eight studies were randomized controlled trials, mainly aiming at weight loss or maintenance (n = 21). Targeted participants were obese (n = 26) or overweight individuals, aged between 25 to 44 years (n = 23), and 13 studies targeted women only. In terms of study quality, 13 trials were rated as "strong", 15 as "moderate", and 7 studies as "weak". In addition, methodological quality of formal mediation analyses was "medium". Identified mediators for medium-/long-term weight control were higher levels of autonomous motivation, self-efficacy/barriers, self-regulation skills (such as self-monitoring), flexible eating restraint, and positive body image. For physical activity, significant putative mediators were high autonomous motivation, self-efficacy, and use of self-regulation skills. For dietary intake, the evidence was much less clear, and no consistent mediators were identified. This is the first systematic review of mediational psychological mechanisms of successful outcomes in obesity-related lifestyle change interventions. Despite limited evidence, higher autonomous motivation, self-efficacy, and self-regulation skills emerged as the best predictors of beneficial weight and physical activity outcomes; for weight control, positive body image and flexible eating restraint may additionally improve outcomes. These variables represent possible targets for future lifestyle interventions in overweight/obese populations.

X Demographics

X Demographics

The data shown below were collected from the profiles of 89 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 966 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 3 <1%
Spain 3 <1%
Italy 1 <1%
Brazil 1 <1%
Czechia 1 <1%
Netherlands 1 <1%
Canada 1 <1%
France 1 <1%
Mexico 1 <1%
Other 1 <1%
Unknown 952 99%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 154 16%
Student > Master 145 15%
Researcher 111 11%
Student > Bachelor 104 11%
Student > Doctoral Student 68 7%
Other 155 16%
Unknown 229 24%
Readers by discipline Count As %
Psychology 182 19%
Medicine and Dentistry 139 14%
Nursing and Health Professions 107 11%
Social Sciences 65 7%
Agricultural and Biological Sciences 42 4%
Other 154 16%
Unknown 277 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 334. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 January 2023.
All research outputs
#96,728
of 25,047,899 outputs
Outputs from BMC Medicine
#96
of 3,921 outputs
Outputs of similar age
#882
of 242,920 outputs
Outputs of similar age from BMC Medicine
#3
of 82 outputs
Altmetric has tracked 25,047,899 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,921 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 45.6. This one has done particularly well, scoring higher than 97% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 242,920 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 82 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 97% of its contemporaries.