Optimizing Weight Loss Outcomes Through Body Image Enhancement
- Conditions
- Overweight and Obesity
- Interventions
- Behavioral: Lifestyle Intervention (LI)
- Registration Number
- NCT05090293
- Lead Sponsor
- Texas Tech University
- Brief Summary
The study will examine if a standard group-delivered cognitive behavioral lifestyle intervention for weight loss can be improved via the incorporation of a novel body image intervention designed to address body image and improve weight loss outcomes in a sample of women with overweight/obesity.
- Detailed Description
Weight loss is associated with improved morbidity and mortality in people with overweight/obesity. Lifestyle-focused interventions reliably produce modest weight loss. While some comprehensive multidisciplinary weight management interventions include behavioral and psychosocial aspects of behavior change, including brief body image education, few have focused substantially on body image as a potentially salient influence on motivation and/or successful outcomes. Body image is an individual's perception of their physical self. A common psychosocial correlate of obesity is body dissatisfaction, and research has shown that individuals with obesity are more often dissatisfied with their bodies than individuals without obesity. Multiple studies suggest that improving body image might enhance eating self-regulation during weight management interventions and engagement in physical activity. Additionally, negative body image has been associated with detrimental health outcomes, such as emotional eating and avoidance of physical activity. Although body image has been addressed in the context of obesity and weight management, it is often done in a cursory manner. To date, no weight loss programs have attempted to develop a novel body image intervention that specifically targets the necessary dichotomy between body acceptance and expectable desire for body changes in a weight loss program. As such, the investigators will examine if a standard group-delivered cognitive behavioral lifestyle intervention for weight loss can be improved via the incorporation of a novel body image intervention designed to address body image and improve weight loss outcomes.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 58
- Age: 18 and older
- Sex: Female
- BMI of 25 kg/m2 or greater
- Participants unable or unwilling to provide informed consent
- Participants who are pregnant or planning to become pregnant over the next 4 months
- Participants who are breastfeeding or planning to breastfeed over the next 4 months
- Participants who have received a diagnosis of diabetes (type I or II)
- Participants who been told NOT to lose weight or exercise for any reason by a healthcare provider
- Participants who currently have psychiatric illnesses (e.g., Psychosis, schizophrenia, bipolar disorder or severe depression/anxiety)
- Participants who currently have persistent suicidal thoughts or have attempted suicide in the last year
- Participants with a history of diagnosed eating disorders such as bulimia nervosa or anorexia nervosa.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Lifestyle Intervention (LI) Lifestyle Intervention (LI) Participants will receive a standard, 12-week, group-delivered cognitive behavioral lifestyle intervention for weight loss.
- Primary Outcome Measures
Name Time Method Comparison of Body Image Baseline (pre-intervention) and 14 weeks (post-intervention) Changes in attitudinal and perceptual body image
Comparison of Weight Baseline (pre-intervention) and 14 weeks (post-intervention) Changes in weight loss
Comparison of Body Fat Mass Baseline (pre-intervention) and 14 weeks (post-intervention) Changes in body fat mass
Comparison of Blood Pressure Baseline (pre-intervention) and 14 weeks (post-intervention) Changes in resting heart rate
Comparison of Health Related Quality of Life Baseline (pre-intervention) and 14 weeks (post-intervention) Increase in self-reported health related quality of life
Comparison of Physical Activity Engagement Baseline (pre-intervention) and 14 weeks (post-intervention) Increase in self-reported physical activity engagement
- Secondary Outcome Measures
Name Time Method Comparison of Interoceptive Awareness Baseline (pre-intervention) and 14 weeks (post-intervention) Changes in the ability to identify and respond appropriately to internal bodily signals
Comparison of Motivation to Engage in Physical Activity Baseline (pre-intervention) and 14 weeks (post-intervention) Changes in self-reported motivation to engage in physical activity
Comparison of General Self-Efficacy Baseline (pre-intervention) and 14 weeks (post-intervention) Changes in self-perception of ability and competence to perform effectively across different tasks and situations
Comparison of Exercising Self-Efficacy Baseline (pre-intervention) and 14 weeks (post-intervention) Changes in self-perception of belief in ability to continue exercising despite setbacks
Comparison of Fear of Negative Evaluation Baseline (pre-intervention) and 14 weeks (post-intervention) Changes in self-reported apprehension about negative evaluations by others
Comparison of Dieting Self-Efficacy Baseline (pre-intervention) and 14 weeks (post-intervention) Changes in self-perception of adequately responding to scenario-based eating temptations
Trial Locations
- Locations (2)
Texas Tech University - Department of Nutritional Sciences
🇺🇸Lubbock, Texas, United States
Nutrition & Metabolic Health Initiative
🇺🇸Lubbock, Texas, United States