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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 3/2012

01-12-2012 | Original Article

Social Cognitive Changes Following Weight Loss and Physical Activity Interventions in Obese, Older Adults in Poor Cardiovascular Health

Authors: Lawrence Brawley, Ph.D, W. Jack Rejeski, Ph.D, Jill E. Gaukstern, MS, Walter T. Ambrosius, Ph.D

Published in: Annals of Behavioral Medicine | Issue 3/2012

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Abstract

Background

The study objectives were to determine (a) the effects of group-mediated cognitive–behavioral interventions on change in performance self-efficacy, satisfaction with function, and with appearance among older, overweight/obese adults in poor cardiovascular health and (b) whether self-efficacy mediated change in 400-m walk time.

Methods

This translational, randomized controlled trial of physical activity and weight loss was conducted within community Cooperative Extension Centers. Participants were randomized to three intervention arms: Physical Activity, Weight Loss + Physical Activity, or a Successful Aging education control.

Results

Across 18 months, the Weight Loss + Physical Activity intervention demonstrated greater improvements in self-efficacy, satisfaction with function, and appearance versus other trial arms. Physical Activity intervention participants also experienced significant improvements in self-efficacy and satisfaction with function versus those in Successful Aging. Self-efficacy mediated 400-m walk time at 18 months.

Conclusions

Both group-mediated cognitive–behavioral interventions yielded desirable improvements in social cognitions and preserved mobility improvements post-intervention.
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Metadata
Title
Social Cognitive Changes Following Weight Loss and Physical Activity Interventions in Obese, Older Adults in Poor Cardiovascular Health
Authors
Lawrence Brawley, Ph.D
W. Jack Rejeski, Ph.D
Jill E. Gaukstern, MS
Walter T. Ambrosius, Ph.D
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 3/2012
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-012-9390-5

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