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Related Experiment Videos

Physical activity within a community-based weight control program: program evaluation and predictors of success

D Neumark-Sztainer1, N A Kaufmann, E M Berry

  • 1Department of Social Medicine, Hadassah Medical Organization, Jerusalem, Israel.

Public Health Reviews
|January 1, 1995
PubMed
Summary

Adding physical activity to weight control programs shows promise for improving health markers and weight loss maintenance in overweight women. Community health centers can effectively implement such interventions.

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Area of Science:

  • Community health
  • Weight management interventions
  • Behavioral science

Background:

  • Weight control programs are essential for public health.
  • Integrating physical activity can enhance program effectiveness.
  • Community health centers offer accessible settings for health interventions.

Purpose of the Study:

  • To evaluate the feasibility and effectiveness of incorporating physical activity into a community-based weight control program.
  • To identify characteristics of individuals best suited for group outpatient treatment, with or without physical activity.
  • To compare outcomes between nutrition/behavior modification alone and combined with physical activity.

Main Methods:

  • A randomized controlled trial involving 42 overweight women.

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  • Two treatment groups: nutrition/behavior modification vs. nutrition/behavior modification plus physical activity sessions.
  • Eight-month follow-up period assessing physical fitness, anthropometrics, and behavioral changes.

    • Main Results:

    • Both groups showed significant improvements in fitness, anthropometrics, nutritional knowledge, and eating behaviors.
    • No significant difference in weight loss at three months between groups.
    • A trend towards better weight loss maintenance in the physical activity group at eight months, though not statistically significant.
    • High participant satisfaction and low attrition rates observed in both groups.
    • Lower baseline BMI, poorer eating behaviors, and employment outside the home predicted greater weight loss.
    • Perceived spousal support was linked to continued participation.

    Conclusions:

    • Adding physical activity to standard weight control programs is feasible and well-received in a community health center setting.
    • While not statistically significant, physical activity may support long-term weight loss maintenance.
    • Individual factors like baseline BMI and psychosocial support influence weight loss outcomes and participation.