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Updated: May 4, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
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High general self-efficacy is associated with less weight loss under a supervised dietary modification program.

Tomoaki Matsuo1, Yukako Murotake1, Mi-Ji Kim1

  • 1Graduate School of Comprehensive Human Science, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, Japan.

Obesity Research & Clinical Practice
|December 19, 2013
PubMed
Summary

High general self-efficacy was linked to less weight loss in a supervised program for obese women. This finding contrasts with previous research on behavior modification and weight management.

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Area of Science:

  • Behavioral Science
  • Nutrition Science
  • Obesity Research

Background:

  • Self-efficacy is a key predictor of behavior change, particularly in weight loss interventions.
  • Previous studies show a link between situation-specific self-efficacy and successful weight loss.

Purpose of the Study:

  • To examine the association between general self-efficacy and body weight changes.
  • To investigate the impact of general self-efficacy on a 14-week supervised dietary modification program.

Main Methods:

  • 154 obese, middle-aged Japanese women participated in a 1200 kcal/day diet program with counseling.
  • General Self-Efficacy Scale (GSES) assessed baseline self-efficacy.
  • Body weight, waist circumference, and risk factors measured pre- and post-intervention.

Main Results:

  • Significant body weight reduction observed (-7.8 ± 2.7 kg).
  • Lower GSES scores correlated with greater weight loss.
  • Confidence in ability relative to others and fat intake influenced weight loss outcomes.

Conclusions:

  • Contrary to prior research, high general self-efficacy was associated with less weight loss in this supervised program.
  • Findings suggest general self-efficacy's role in weight management may be context-dependent.