Biomedical subjects

Elizabeth A Fallon

Publications and source records attributed to Elizabeth A Fallon.

4 recordsLinked to original sources

PubMed2006

Health care provider advice for African American adults not meeting health behavior recommendations.

INTRODUCTION: Poor dietary habits and sedentary lifestyle contribute to excessive morbidity and mortality. Healthy People 2010 goals are for 85% of physicians to counsel their patients about physical activity and for 75% of physician office visits made by patients with cardiovascular disease, diabetes, or dyslipidemia to include dietary counseling. The purpose of this study was to 1) determine the rate of participant-reported health care provider advice for healthy lifestyle changes among African Americans who do not meet recommendations for physical activity, fruit and vegetable consumption, and healthy weight; 2) examine correlates of provider advice; and 3) assess the association between provider advice and stage of readiness for change for each of these health behaviors. METHODS: Data for this study were collected as part of a statewide faith-based physical activity program for African Americans. A stratified random sample of 20 African Methodist Episcopal churches in South Carolina was selected to participate in a telephone survey of members aged 18 years and older. The telephone survey, conducted over a 5-month period, asked participants a series of questions about sociodemographics, health status, physical activity, and nutrition. Analyses for moderate to vigorous physical activity, fruit and vegetable consumption, and weight loss were conducted separately. For each of these behaviors, logistic regression analyses were performed to examine the independent association of sex, age, body mass index, education, number of diagnosed diseases, perceived health, and stage of change with health care provider advice for health behaviors. RESULTS: A total of 572 church members (407 women, 165 men; mean age, 53.9 years; range, 18-102 years) completed the survey. Overall, participant-reported provider advice for lifestyle changes was 47.0% for physical activity, 38.7% for fruit and vegetable consumption, and 39.7% for weight. A greater number of diagnosed diseases and higher body mass index were independently associated with receiving advice to increase physical activity. A more advanced stage of change and a greater number of diagnosed diseases were independently associated with receiving advice for fruit and vegetable consumption. Body mass index, stage of change, and poorer perceived health were independently associated with receiving advice about weight. CONCLUSION: Health care provider advice appears to be based predominantly on comorbidities. Because of the preventive benefit of physical activity, fruit and vegetable consumption, and healthy weight, all health care providers are urged to increase counseling for all patients not meeting health behavior recommendations.

Adolescent↗

PubMed2005

Changing weight-loss expectations: a randomized pilot study.

Participants in weight-loss programs expect unreasonably large weight losses and believe that such reductions will produce dramatic improvements in their lives. The failure to achieve such benefits may contribute to poor maintenance of lost weight. This randomized pilot study investigated a new cognitive-behavioral intervention designed to modify unrealistic expectations regarding weight loss and its likely impact on appearance, attractiveness, and self-esteem. Twenty-eight overweight and obese young women who completed 10 sessions of standard behavioral weight-loss treatment were randomly assigned to 10 additional sessions of either standard behavioral (SB) treatment or a reformulated cognitive-behavioral (RCB) treatment. At posttreatment, the RCB intervention produced more realistic weight-loss expectations, decreased participants' motivation to lose weight as a means of improving self-confidence, and increased their overall self-esteem, compared with the SB condition (all p's<.05). The mean posttreatment weight changes achieved in the SB (-6.2+/-4.5 kg) and RCB (-5.5+/-3.6 kg) conditions were equivalent, as were the amounts of weight regained during a 6-month follow-up (SB=2.3+/-2.7 kg; RCB=1.5+/-1.7 kg). Collectively, these findings indicate that the RCB intervention was effective in changing unrealistic weight-loss expectations, but it did not produce significantly better maintenance of lost weight than did the SB intervention.

Adolescent↗

PubMed2005

Correlates of self-efficacy for physical activity in African American women.

This study examined the correlates of self-efficacy for physical activity in African American women. In bivariate analyses, self-efficacy was higher among women reporting fewer social role constraints, more positive perceptions of physically active women, more positive sense of community, better perceived health, and higher levels of physical activity. In a simultaneous multivariate model, more positive perceived health status (p = .001), higher physical activity level (p = .007), and lower social role constraint (p = .02) were independently associated with higher self-efficacy. Thus, physical activity interventions for African-American women should include strategies to decrease social role constraint and offer safe activities for women with health conditions hindering physical activity.

Adult↗

PubMed2002

Relationship among body image, exercise behavior, and exercise dependence symptoms.

OBJECTIVE: The purpose of the present study was to examine the relationship among body image, exercise behavior, body mass index (BMI), and primary exercise dependence symptoms in physically active individuals. METHOD: Male and female university students (N = 474) completed self-report measures of exercise behavior, height, weight, exercise dependence symptoms, social physique anxiety, and body satisfaction. RESULTS: Hierarchical multiple regressions with forced block entry by gender were conducted to examine the effects of exercise behavior, BMI, and exercise dependence symptoms on body satisfaction and social physique anxiety. For females, BMI was the strongest positive predictor of body dissatisfaction and social physique anxiety. For males, exercise behavior was the strongest negative predictor of body dissatisfaction and social physique anxiety. DISCUSSION: It was concluded that after controlling for the effects of BMI and exercise behavior, primary exercise dependence symptoms were not strong predictors on body image, especially for females.

Adult↗