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Updated: Jun 7, 2025

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Published on: July 27, 2018
A Novel and Comprehensive Wellness Assessment for Lifestyle-Based Interventions.
Katie M Ellison1,2, Kimberly A Smith2, José R Fernández1
1Department of Nutrition Sciences University of Alabama at Birmingham Birmingham Alabama USA.
A new Lifestyle Wellness assessment was developed to capture emotional and behavioral factors alongside physical health for a holistic view of wellness. This tool aids in personalized treatment decisions for obesity and chronic disease risk.
Area of Science:
- Health and Wellness
- Behavioral Science
- Obesity Research
Background:
- Traditional obesity assessments focus on weight and clinical markers.
- A comprehensive approach incorporating emotional, psychosocial, and behavioral factors is needed for better wellness context and treatment guidance.
Purpose of the Study:
- To develop and validate a comprehensive Lifestyle Wellness assessment.
- To create a tool for lifestyle-based wellness interventions and programs.
Main Methods:
- Exploratory factor analysis (EFA) on baseline data from 138 adults in behavioral weight loss trials.
- Used unweighted least squares extraction and oblique rotation.
- Analyzed 21 measures across metabolic health, emotional health, body composition, diet, and fitness.
Main Results:
- A five-factor model with 13 items explained 80.3% of the variance.
- Factors identified: Psychosocial State, Blood Pressure State, Lipid State, Fitness State, and Body State.
- Key measures included mindfulness, resilience, blood pressure, cholesterol, body fat, BMI, and waist circumference.
Conclusions:
- The Lifestyle Wellness assessment offers a comprehensive approach to wellness.
- Enables innovative research on metabolically healthy obesity and weight-neutral interventions.
- Recommends future research with diverse populations.
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