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Open AccessReview

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

1
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China
2
Centre for Nutritional Studies, The Chinese University of Hong Kong, Hong Kong, China
*
Author to whom correspondence should be addressed.
Academic Editor: Sylvia Kirchengast
Int. J. Environ. Res. Public Health 2017, 14(8), 922; https://doi.org/10.3390/ijerph14080922
Received: 7 June 2017 / Revised: 19 July 2017 / Accepted: 8 August 2017 / Published: 16 August 2017
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
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. View Full-Text
Keywords: adherence; lifestyle modification; factors; weight management; adults; obesity adherence; lifestyle modification; factors; weight management; adults; obesity
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Leung, A.W.Y.; Chan, R.S.M.; Sea, M.M.M.; Woo, J. An Overview of Factors Associated with Adherence to Lifestyle Modification Programs for Weight Management in Adults. Int. J. Environ. Res. Public Health 2017, 14, 922.

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