IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v14y2017i8p922-d108539.html
   My bibliography  Save this article

An Overview of Factors Associated with Adherence to Lifestyle Modification Programs for Weight Management in Adults

Author

Listed:
  • Alice W. Y. Leung

    (Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China)

  • Ruth S. M. Chan

    (Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China
    Centre for Nutritional Studies, The Chinese University of Hong Kong, Hong Kong, China)

  • Mandy M. M. Sea

    (Centre for Nutritional Studies, The Chinese University of Hong Kong, Hong Kong, China)

  • Jean Woo

    (Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China
    Centre for Nutritional Studies, The Chinese University of Hong Kong, Hong Kong, China)

Abstract

This review aims to provide an overview of the factors associated with adherence reported in existing literature on lifestyle modification programs for weight management among the adult population. An electronic search was performed using PubMed, Medline, PsycINFO and PsycARTICLE to identify studies that examined the factors of adherence to lifestyle modification programs with explicit definition of adherence indicators. We identified 19 studies published between 2004 and 2016. The most commonly used indicator of adherence was attrition, followed by attendance, self-monitoring and dietary adherence. A broad array of factors has been studied but only few studies exploring each factor. Limited evidence suggested older age, higher education, healthier eating and physical activity behaviours, higher stage of change at baseline and higher initial weight loss may predict better adherence. On the other hand, having depression, stress, strong body shape concern, more previous weight loss attempts and being unemployed may predict poor adherence. Inconsistent findings were obtained for self-efficacy, motivation and male gender. This review highlights the need for more rigorous studies to enhance our knowledge on factors related to adherence. Identification of the factors of adherence could provide important implication for program improvement, ultimately improving the effectiveness and the cost-effectiveness of lifestyle modification program.

Suggested Citation

  • Alice W. Y. Leung & Ruth S. M. Chan & Mandy M. M. Sea & Jean Woo, 2017. "An Overview of Factors Associated with Adherence to Lifestyle Modification Programs for Weight Management in Adults," IJERPH, MDPI, vol. 14(8), pages 1-28, August.
  • Handle: RePEc:gam:jijerp:v:14:y:2017:i:8:p:922-:d:108539
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/14/8/922/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/14/8/922/
    Download Restriction: no
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Carlos Vasconcelos & António Almeida & Maria Cabral & Elisabete Ramos & Romeu Mendes, 2019. "The Impact of a Community-Based Food Education Program on Nutrition-Related Knowledge in Middle-Aged and Older Patients with Type 2 Diabetes: Results of a Pilot Randomized Controlled Trial," IJERPH, MDPI, vol. 16(13), pages 1-16, July.
    2. Karen Hovhannisyan & Michelle Günther & Rie Raffing & Maria Wikström & Johanna Adami & Hanne Tønnesen, 2019. "Compliance with the Very Integrated Program (VIP) for Smoking Cessation, Nutrition, Physical Activity and Comorbidity Education Among Patients in Treatment for Alcohol and Drug Addiction," IJERPH, MDPI, vol. 16(13), pages 1-14, June.
    3. Che Young Lee & Michael C. Robertson & Hannah Johnston & Thuan Le & Margaret Raber & Ruth Rechis & Katherine Oestman & Alise Neff & Amber Macneish & Karen M. Basen-Engquist, 2022. "Feasibility and Effectiveness of a Worksite-Weight-Loss Program for Cancer Prevention among School-District Employees with Overweight and Obesity," IJERPH, MDPI, vol. 20(1), pages 1-14, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:14:y:2017:i:8:p:922-:d:108539. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.