A Qualitative Examination of Emotional Experiences During Physical Activity Post-metabolic/Bariatric Surgery.
A Qualitative Examination of Emotional Experiences During Physical Activity Post-metabolic/Bariatric Surgery.
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DOI：
10.1007/s11695-021-05807-x
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发表时间：
2022-03
期刊：
影响因子：
2.9
通讯作者：
Psaros C
中科院分区：
文献类型：
--
作者：
Feig EH;Harnedy LE;Golden J;Thorndike AN;Huffman JC;Psaros C
身体活动对于代谢/减肥手术（MBS）后的体重减轻维持和心脏代谢疾病预防至关重要，但很少有患者达到推荐水平。虽然在一般人群中难以满足身体活动建议是常见的，但那些经历过MBS的人可能对阻碍成功的活动有独特的心理障碍，包括与长期肥胖史相关的身体活动的负面关联，体重耻辱和身体限制。这项定性研究旨在更好地了解MBS后患者在身体活动方面的积极和消极情绪体验，以了解MBS后以情绪为中心的干预措施的发展，以增加身体活动。在过去的2年中，有MBS的成年人完成了半结构式访谈和心理/行为问卷。在转录之后，使用归纳和演绎方法开发码本。使用内容分析来分析编码数据。参与者为23名成年人（78%为女性）。在体育活动中有助于积极情绪的环境包括愉快的运动类型，社交互动，运动中的正念和掌握。导致负面影响的环境在MBS人群中更为独特，包括对运动的全有或全无的思考，使用分心，抑郁，负面的身体形象，只为减肥而运动，以及COVID-19大流行。对于大多数参与者来说，情感因素与他们决定进行身体活动和保持习惯的能力有关。一个干预措施，鼓励因素，导致积极的影响和解决因素，导致消极的影响可能是有效的，在增加身体活动后，MBS。在线版本包含补充材料，可通过10.1007/s11695-021-05807-x获取。
Physical activity is critical for weight loss maintenance and cardiometabolic disease prevention after metabolic/bariatric surgery (MBS), but few patients meet recommended levels. While difficulties meeting physical activity recommendations are common in the general population, those who have undergone MBS may have unique psychological barriers to activity that impede success, including negative associations with physical activity that are related to a long history with obesity, weight stigma, and physical limitations. This qualitative study aimed to better understand the positive and negative emotional experiences of post-MBS patients with regard to physical activity to inform the development of an emotion-focused intervention to increase physical activity after MBS. Adults who had MBS in the past 2 years completed semi-structured interviews and psychological/behavioral questionnaires. After transcription, a codebook was developed using inductive and deductive methods. Coded data were analyzed using content analysis. Participants were 23 adults (78% female). Contexts that contributed to positive emotions during physical activity included an enjoyable type of exercise, social interaction, mindfulness during exercise, and mastery. Contexts that contributed to negative affect were more unique to the MBS population, including all-or-nothing thinking about exercise, using distraction, depression, negative body image, exercising only for weight loss, and the COVID-19 pandemic. For most participants, emotional factors were relevant in the decision to be physically active and in their ability to maintain their habits. An intervention that encourages factors that lead to positive affect and addresses factors that lead to negative affect could be effective in increasing physical activity following MBS. The online version contains supplementary material available at 10.1007/s11695-021-05807-x.
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DOI：
10.1038/oby.2010.88
发表时间：
2010-12
期刊：
Obesity (Silver Spring, Md.)
影响因子：
--
作者：
Bond DS;Jakicic JM;Unick JL;Vithiananthan S;Pohl D;Roye GD;Ryder BA;Sax HC;Wing RR
通讯作者：
Wing RR
影响因子：
6.9
作者：
Catenacci, Victoria A.;Grunwald, Gary K.;Wyatt, Holly R.
通讯作者：
Wyatt, Holly R.
影响因子：
4.2
作者：
Czajkowski, Susan M.;Powell, Lynda H.;Charlson, Mary E.
通讯作者：
Charlson, Mary E.
影响因子：
16.9
作者：
Courcoulas, Anita P.;King, Wendy C.;Yanovski, Susan Z.
通讯作者：
Yanovski, Susan Z.
影响因子：
120.7
作者：
Piercy, Katrina L.;Troiano, Richard P.;Ballard, Rachel M.;Carlson, Susan A.;Fulton, Janet E.;Galuska, Deborah A.;George, Stephanie M.;Olson, Richard D.
通讯作者：
Olson, Richard D.