Cognitive-behavioral strategies to increase the adherence to exercise in the management of obesity.
Cognitive-behavioral strategies to increase the adherence to exercise in the management of obesity.
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DOI：
10.1155/2011/348293
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发表时间：
2011
影响因子：
3.3
通讯作者：
Marchesini G
中科院分区：
文献类型：
--
作者：
Dalle Grave R;Calugi S;Centis E;El Ghoch M;Marchesini G
体力活动在肥胖症的发展和管理中起着重要作用。高水平的体力活动在保持健康体重的能量平衡方面具有优势，但在肥胖者中，实现减肥和保持减肥所需的运动量可能很难实现。在个别情况下，体力活动的障碍可能很难克服，而群体支持可能会产生影响。认知过程在体重管理成败中的关键作用表明，在传统的肥胖行为治疗中应该包括新的认知程序和策略，以帮助患者建立长期体重控制的心态。我们回顾了体力活动在肥胖管理中的作用，以及提高锻炼依从性的主要认知-行为策略。同样在这一领域，我们需要从传统的指令性方法转向多学科干预。
Physical activity plays a major role in the development and management of obesity. High levels of physical activity provide an advantage in maintaining energy balance at a healthy weight, but the amount of exercise needed to produce weight loss and weight loss maintenance may be difficult to achieve in obese subjects. Barriers to physical activity may hardly be overcome in individual cases, and group support may make the difference. The key role of cognitive processes in the failure/success of weight management suggests that new cognitive procedures and strategies should be included in the traditional behavioral treatment of obesity, in order to help patients build a mindset of long-term weight control. We reviewed the role of physical activity in the management of obesity, and the principal cognitive-behavioral strategies to increase adherence to exercise. Also in this area, we need to move from the traditional prescriptive approach towards a multidisciplinary intervention.