From weight management goals to action planning: identification of a logical sequence from goals to actions and underlying determinants.

From weight management goals to action planning: identification of a logical sequence from goals to actions and underlying determinants.
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从体重管理目标到行动计划:识别从目标到行动和潜在决定因素的逻辑顺序。

DOI:
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发表时间:
2012
期刊:
Journal of human nutrition and dietetics (Print)
影响因子:
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通讯作者:
A. Oenema
A. Oenema
中科院分区:
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文献类型:
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作者:
L. V. Genugten;P. Empelen;A. Oenema

文献摘要

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背景 在超重的成年人中预防体重增加(WGP)是预防肥胖的重要目标。然而,很少有人知道从WGP作为一个目标,成功的体重管理的过程。本研究旨在:(i)更深入地了解这一过程;(ii)确定WGP意图的认知预测因素;(iii)将WGP作为改变体重相关行为[饮食摄入量(DI)和身体活动(PA)]和具体行动计划的意图的潜在预测因素。 方法 在这项横断面研究中,超重成年人[n = 510;体重指数25-30 kg/m(-2);平均(SD)年龄48(9.5)岁; 30.8%男性]完成了一份在线问卷,评估WGP的目标意图、DI和PA的行为意图、DI和PA变化的计划以及社会认知相关性。有序回归分析用于分析数据。 结果 在89%的样本中,(部分)建议的顺序从目标意图(WGP),行为意图(DI/PA)和计划(DI/PA)观察。态度,社会规范和感知控制WGP,感知体重状况和风险感知,与WGP的意向。行为特定的感知控制和偏好与改变DI或PA和计划改变的意图比WGP的意图更强。 结论 WGP的意图在体重管理过程中很重要,因为对大多数人来说,WGP的意图先于行为意图,而行为意图先于计划。WGP的意图与行为意图相关,但行为特定因素是行为意图和计划的最强相关性。
BACKGROUND Weight gain prevention (WGP) among adults who are overweight is an important target in the prevention of obesity. However, little is known about the process from WGP as a goal to successful weight-management. The present study aimed to: (i) gain more insight into this process; (ii) identify cognitive predictors of intention for WGP; and (iii) examine WGP as a potential predictor for the intention to change weight-related behaviours [dietary intake (DI) and physical activity (PA)] and specific action planning. METHODS In this cross-sectional study, overweight adults [n = 510; body mass index 25-30 kg m(-2); mean (SD) age 48 (9.5) years; 30.8% male] completed an online questionnaire, assessing goal intention for WGP, behavioural intention for DI and PA, planning for change in DI and PA and socio-cognitive correlates. Ordinal regression analyses were used to analyse the data. RESULTS In 89% of the sample, (parts of) the proposed sequence from goal intention (for WGP), behavioural intention (for DI/PA) and planning (for DI/PA) was observed. Attitude, social norm and perceived control towards WGP, and perceived weight status and risk perception, were associated with intention for WGP. Behaviour-specific perceived control and preferences were more strongly associated with intention to change DI or PA and planning for change than intention for WGP was. CONCLUSIONS Intention for WGP is important in the process toward weight-management because, for most people, intention for WGP precedes behavioural intention, which precedes planning. Intention for WGP is associated with behavioural intention but behaviour-specific factors are the strongest correlates of behavioural intention and planning.