The Clinical Obesity Maintenance Model: An Integration of Psychological Constructs including Mood, Emotional Regulation, Disordered Overeating, Habitual Cluster Behaviours, Health Literacy and Cognitive Function

Article English OPEN
Raman, Jayanthi ; Smith, Evelyn ; Hay, Phillipa (2013)
  • Publisher: Hindawi Publishing Corporation
  • Journal: Journal of Obesity, volume 2,013 (issn: 2090-0708, eissn: 2090-0716)
  • Related identifiers: pmc: PMC3654353, doi: 10.1155/2013/240128
  • Subject: Research Article | Internal medicine | RC31-1245 | Article Subject

Psychological distress and deficits in executive functioning are likely to be important barriers to effective weight loss maintenance. The purpose of this paper is twofold. First, in the light of recent evidence in the fields of neuropsychology and obesity, particularly on the deficits in the executive function in overweight and obese individuals, a conceptual and theoretical framework of obesity maintenance is introduced by way of a clinical obesity maintenance model (COMM). It is argued that psychological variables, that of habitual cluster Behaviors, emotional dysregulation, mood, and health literacy, interact with executive functioning and impact on the overeating/binge eating behaviors of obese individuals. Second, cognizant of this model, it is argued that the focus of obesity management should be extended to include a broader range of maintaining mechanisms, including but not limited to cognitive deficits. Finally, a discussion on potential future directions in research and practice using the COMM is provided.
  • References (113)
    113 references, page 1 of 12

    Bray, G. A., Bouchard, C., James, W. P. T.. Handbook of Obesity. 1998

    Word Health Organization, null.

    Perri, M. G., Corsica, J. A., Wadden, T. A., Stunkard, A. J.. Improving the maintenance of weight lost in behavioral treatment of obesity. Handbook of Obesity Treatment. 2002: 357-379

    Wadden, T. A., Osei, S., Wadden, T. A., Stunkard, A. J.. The treatment of obesity: an overview. Handbook of Obesity Treatment. 2002: 229-248

    Klein, S., Burke, L. E., Bray, G. A., Blair, S., Allison, D. B., Pi-Sunyer, X., Hong, Y., Eckel, R. H.. Clinical implications of obesity with specific focus on cardiovascular disease: a statement for professionals from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism. Circulation. 2004; 110 (18): 2952-2967

    National Heart, Lung, and Blood Institute , null. Obesity education initiative expert panel on the identification, evaluation, and treatment of overweight and obesity in adults. Obesity Research. 1998; 6

    Lowe, M. R., Miller-Kovach, K., Phelan, S.. Weight-loss maintenance in overweight individuals one to five years following successful completion of a commercial weight loss program. International Journal of Obesity. 2001; 25 (3): 325-331

    Shick, S. M., Wing, R. R., Klem, M. L., McGuire, M. T., Hill, J. O., Seagle, H.. Persons successful at long-term weight loss and maintenance continue to consume a low-energy, low-fat diet. Journal of the American Dietetic Association. 1998; 98 (4): 408-413

    Zoeller, R. F.. Physical activity and obesity: their interaction and implications for disease risk and the role of physical activity in healthy weight management. American Journal of Lifestyle Medicine. 2007; 1 (6): 437-446

    Turk, M. W., Yang, K., Hravnak, M., Sereika, S. M., Ewing, L. J., Burke, L. E.. Randomized clinical trials of weight loss maintenance: a review. Journal of Cardiovascular Nursing. 2009; 24 (1): 58-80

  • Related Research Results (1)
  • Metrics
    No metrics available
Share - Bookmark