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  • 1
    Online Resource
    Online Resource
    Weight changes during the COVID‐19 shutdown in older individuals with type 2 diabetes: the Look AHEAD Study
    Wiley ; 2023
    In:  Obesity Vol. 31, No. 3 ( 2023-03), p. 871-882
    Details
    In: Obesity, Wiley, Vol. 31, No. 3 ( 2023-03), p. 871-882
    Abstract: The aims of this study were as follows: 1) examine weight changes in older adults (mean age = 76 years) with type 2 diabetes and overweight or obesity during the COVID‐19 shutdown; and 2) compare the behavioral and psychosocial effects of the shutdown in those who had large weight losses ( 〉 5%), those who had small weight losses (2%‐5%), those who remained weight stable (±2%), or those who gained weight ( 〉 2%). Methods Look AHEAD (Action for Health in Diabetes) participants ( N  = 2544) were surveyed during the COVID‐19 shutdown (2020), and they self‐reported their current weight, reasons for weight change, weight‐related behaviors, psychosocial measures, and negative and positive effects of the pandemic on their lives. Results Comparing self‐reported weight during the COVID‐19 shutdown with earlier measured weight, Look AHEAD participants lost, on average, 2.2 kg during the COVID‐19 shutdown: 47% lost 〉 2%, and only 18% gained 〉 2% ( p   〈  0.0001). Decreases in physical activity and increases in screen time were reported frequently in all weight‐change categories. Similarly, there were few differences among the categories on standardized psychosocial measures or self‐reported effects of the shutdown on participants' lives. However, when differences were seen, the most negative impact was in those who gained weight. Conclusions Although weight loss appeared more common than weight gain during the shutdown, the weight‐change groups did not differ on most psychosocial and behavioral variables.
    Type of Medium: Online Resource
    ISSN: 1930-7381 , 1930-739X
    URL: Issue
    URL: Article
    DOI: 10.1002/oby.v31.3
    DOI: 10.1002/oby.23674
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2027211-X
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  • 2
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    Weight-related stigma mediates the relationship between weight status and bodily pain: A conceptual model and call for further research
    Elsevier BV ; 2019
    In:  Body Image Vol. 30 ( 2019-09), p. 159-164
    Details
    In: Body Image, Elsevier BV, Vol. 30 ( 2019-09), p. 159-164
    Type of Medium: Online Resource
    ISSN: 1740-1445
    URL: Article
    DOI: 10.1016/j.bodyim.2019.07.005
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2019
    detail.hit.zdb_id: 2135730-4
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  • 3
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    Body shape concerns across racial and ethnic groups among adults in the United States: More similarities than differences
    Elsevier BV ; 2020
    In:  Body Image Vol. 35 ( 2020-12), p. 108-113
    Details
    In: Body Image, Elsevier BV, Vol. 35 ( 2020-12), p. 108-113
    Type of Medium: Online Resource
    ISSN: 1740-1445
    URL: Article
    DOI: 10.1016/j.bodyim.2020.08.013
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2020
    detail.hit.zdb_id: 2135730-4
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  • 4
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    Association of Weight-Related Stigmas With Daily Pain Symptoms Among Individuals With Obesity
    Oxford University Press (OUP) ; 2023
    In:  Annals of Behavioral Medicine Vol. 57, No. 3 ( 2023-04-05), p. 269-274
    Details
    In: Annals of Behavioral Medicine, Oxford University Press (OUP), Vol. 57, No. 3 ( 2023-04-05), p. 269-274
    Abstract: Individuals with obesity are disproportionately impacted by pain-related symptoms. Purpose This study evaluated experienced weight stigma and internalized weight bias (IWB) as predictors of pain symptoms in daily life among individuals with obesity. Methods Adults with obesity (n = 39; 51% female, 67% White, 43.8 ± 11.6 years old, BMI = 36.8 ± 6.7 kg/m2) completed a baseline assessment (demographics, experienced weight stigma, IWB) and a 14-day Ecological Momentary Assessment (EMA) period involving five daily prompts of pain/aches/joint pain, muscle soreness, experienced weight stigma, and IWB. Generalized linear models were used to assess experienced weight stigma and IWB at baseline as prospective predictors of EMA pain/soreness symptoms. Multi-level models were used to test the association of momentary weight stigma experiences and IWB with pain/soreness at the same and subsequent EMA prompts. Results IWB at baseline, but not experienced weight stigma, was associated with more frequent pain symptoms (p  & lt; .05) and muscle soreness (p  & lt; .01) during EMA. Momentary IWB (but not experienced stigma) was associated with more pain/aches/joint pain and muscle soreness at the same and subsequent prompt. Conclusions Internalized (but not experienced) weight bias was prospectively associated with pain symptoms in daily life among individuals with obesity. Results are consistent with growing evidence that weight-related stigmas represent psychosocial factors that contribute to weight-related morbidity typically attributed to body size.
    Type of Medium: Online Resource
    ISSN: 0883-6612 , 1532-4796
    URL: Article
    DOI: 10.1093/abm/kaac025
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2023
    detail.hit.zdb_id: 2052310-5
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  • 5
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    Resilience among older adults with Type 2 Diabetes from the Look AHEAD trial
    Oxford University Press (OUP) ; 2021
    In:  Innovation in Aging Vol. 5, No. Supplement_1 ( 2021-12-17), p. 903-903
    Details
    In: Innovation in Aging, Oxford University Press (OUP), Vol. 5, No. Supplement_1 ( 2021-12-17), p. 903-903
    Abstract: There is growing interest in identifying factors protecting against aging-related decline. This cross-sectional study evaluated associations of self-reported resilience (ability to bounce back) with factors linked to aging-related decline among older adults with Type 2 diabetes (T2DM). Participants were 3,199 adults (72.2±6.2 years, 61% female, 61% white, BMI 34.2±8.2 kg/m2) enrolled in Look AHEAD (a multi-site RCT comparing weight loss to diabetes education among individuals with T2DM), who were followed observationally after the 10-year intervention was discontinued. The following items were assessed approximately 14.4yrs post-randomization: Brief Resilience Scale; overnight hospitalizations in past year; physical functioning measured objectively (gait speed, grip strength) and via self-report (Pepper Assessment Tool for Disability; Physical quality of life (QOL; SF-36)); a composite measure of phenotypic frailty based on having ≥3 of unintentional weight loss, low energy, slow gait, reduced grip strength, physical activity. Depressive symptoms (PHQ-9) and mental QOL (SF-36) were also measured. Logistic/linear regression was used to evaluate the association of these variables with resilience adjusted for age, race, and gender. Greater resilience was associated with lower BMI (p=.01), fewer hospitalizations (p=.02), better physical functioning (i.e., lower self-reported disability, better self-reported physical QOL, faster gait speed, greater grip strength and lower likelihood of meeting criteria for frailty; all p & lt;.001), fewer depressive symptoms and greater mental QOL. Resilience is associated with better performance on indicators of overall functioning and risk for decline among older adults. Findings correspond with efforts to shift narrative on aging beyond ‘loss and decline’ to highlight opportunities to facilitate healthy aging.
    Type of Medium: Online Resource
    ISSN: 2399-5300
    URL: Article
    DOI: 10.1093/geroni/igab046.3278
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2021
    detail.hit.zdb_id: 2905697-4
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  • 6
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    Repressive coping, stigmatization, psychological distress, and quality of life among behavioral weight management participants
    Elsevier BV ; 2016
    In:  Eating Behaviors Vol. 22 ( 2016-08), p. 206-210
    Details
    In: Eating Behaviors, Elsevier BV, Vol. 22 ( 2016-08), p. 206-210
    Type of Medium: Online Resource
    ISSN: 1471-0153
    URL: Article
    DOI: 10.1016/j.eatbeh.2016.06.007
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2016
    detail.hit.zdb_id: 2036464-7
    SSG: 5,2
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  • 7
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    Mindfulness and Weight Loss : A Systematic Review
    Ovid Technologies (Wolters Kluwer Health) ; 2015
    In:  Psychosomatic Medicine Vol. 77, No. 1 ( 2015-01), p. 59-67
    Details
    In: Psychosomatic Medicine, Ovid Technologies (Wolters Kluwer Health), Vol. 77, No. 1 ( 2015-01), p. 59-67
    Type of Medium: Online Resource
    ISSN: 0033-3174
    URL: Article
    DOI: 10.1097/PSY.0000000000000127
    RVK:
    XA 10000
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2015
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  • 8
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    Sex‐related differences in cognitive trajectories in older individuals with type 2 diabetes and overweight or obesity and the role of APOE4: Findings from the Look AHEAD and Look AHEAD‐MIND studies : Epidemiology / Risk and protective factors in MCI and dementia
    Wiley ; 2020
    In:  Alzheimer's & Dementia Vol. 16, No. S10 ( 2020-12)
    Details
    In: Alzheimer's & Dementia, Wiley, Vol. 16, No. S10 ( 2020-12)
    Abstract: Women’s cognitive performance, particularly in the domains of verbal learning and memory, generally exceeds that of men. Among older individuals with diabetes and overweight/obesity, two conditions known to accelerate cognitive aging, it is unknown how these sex‐related differences in cognitive functioning unfold over time, i.e. whether any advantages seen in women result from less steep trajectories of cognitive decline than men, and whether any differences in rates of decline are moderated by the APOE4 genotype. Method A standardized battery of cognitive function tests was administered 2 to 4 times over the course of up to 10 years (mean 5.3 years) among 2583 adults (62% women) who averaged 68 years of age at their first assessment. Mixed effects models were used to compare cognitive function scores (verbal learning, executive function, and processing speed) at the first assessment and rates of cognitive decline over time between women and men, with covariate adjustment for potentially confounding risk factors for cognitive decline. Result At their first assessment, women significantly outperformed men on tasks of verbal memory and processing speed (both p 〈 0.001), but not executive function (p=0.38). These differences were evident for those both with and without the APOE4 genotype. Over follow‐up, women and men had similar rates of cognitive decline in these domains, overall and among those without the APOE4 genotype (all p 〉 0.05). However, the APOE4 genotype was associated with significantly greater rates of decline among women than men for verbal learning (37% vs 8% increase, p=0.04) and processing speed (28% increase vs 5% decrease, p=0.004), but similar increased rates of decline in executive function (p=0.67). Conclusion Female sex is associated with better cognitive functioning than male sex in key domains among older individuals with diabetes and overweight/obesity. Overall, this relative advantage is maintained over time among women without the APOE4 genotype. However, among those with the APOE4 genotype, rates of decline in verbal learning and processing speed are greater among women compared with men.
    Type of Medium: Online Resource
    ISSN: 1552-5260 , 1552-5279
    URL: Issue
    URL: Article
    DOI: 10.1002/alz.v16.S10
    DOI: 10.1002/alz.038743
    Language: English
    Publisher: Wiley
    Publication Date: 2020
    detail.hit.zdb_id: 2201940-6
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  • 9
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    Evaluating the effect of targeting body shape concerns on long‐term weight change
    Wiley ; 2023
    In:  International Journal of Eating Disorders
    Details
    In: International Journal of Eating Disorders, Wiley
    Abstract: The goal of this follow‐up to a randomized proof‐of‐concept study was to determine if targeting body shape concern (BSC) has a clinically significant impact on long‐term weight change among adult women of higher body weight with BSC. A secondary aim was to observe the maintenance of body image improvements during follow‐up. Method In the original 4‐week trial, women were randomized to behavioral weight loss recommendations alone (control; n = 15) or combined with the evidence‐based body project intervention ( n = 17). All participants were directed to continue monitoring diet and exercise through Week 8. The current analysis focused on follow‐up data collected on weight, BSC, internalized weight bias, internalized thin ideal, and body appreciation at 8 weeks, 6 months, and 12 months. Percent weight change was calculated from baseline and compared against clinical milestones of −2.5% and −5%. An intent‐to‐treat approach was used for individuals lost to follow‐up ( n = 11). Results Body project participants achieved the clinically significant target of −2.5% weight loss by 12 months. Control participants did not reach the milestone and regained lost weight at 12 months. Neither condition reached the 5% clinical target. Both groups experienced improved body image, but body project participants maintained a greater magnitude of improvement in all measures except internalized thin ideal at 12 months. Conclusion The current study provides preliminary evidence that targeting BSC among women with BSC who want to lose weight may improve long‐term weight loss. Further intervention development and testing are warranted. Public Significance The results of this study suggest that targeting negative body image among adult women with high BSC might be a pathway to improve long‐term weight loss in behavioral weight management. This is aligned with precision medicine priorities to optimize weight‐related health care.
    Type of Medium: Online Resource
    ISSN: 0276-3478 , 1098-108X
    URL: Article
    DOI: 10.1002/eat.24096
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 1492880-2
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  • 10
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    Factors Associated With Well-being and Confidence in Providing Compassionate Care
    SAGE Publications ; 2014
    In:  Journal of Evidence-Based Complementary & Alternative Medicine Vol. 19, No. 4 ( 2014-10), p. 292-296
    Details
    In: Journal of Evidence-Based Complementary & Alternative Medicine, SAGE Publications, Vol. 19, No. 4 ( 2014-10), p. 292-296
    Abstract: We explored the relationships between potentially modifiable factors (mindfulness and self-compassion), intermediate factors (resilience and stress), and outcomes of interest in a cross-sectional study of medical trainees (compassionate care and clinician well-being). Among the 12 participants, the average age was 27.6 years. Mindfulness and self-compassion were positively associated with confidence in providing calm, compassionate care ( r = 0.91 and 0.81, respectively; P 〈 .01); they were also positively correlated with clinician resilience ( P 〈 .01), which was correlated with clinician mental health ( r = 0.83; P 〈 .01). Perceived stress was strongly and significantly negatively correlated with all measures ( rs ranging from –0.62 for flourishing to –0.92 for confidence in delivering calm, compassionate care; P 〈 .05 for all correlations). Given the positive correlations between mindfulness and self-compassion with both clinician well-being and confidence in providing calm, compassionate care, interventional studies are warranted to determine what kind of training most efficiently and effectively improves trainee mindfulness and self-compassion.
    Type of Medium: Online Resource
    ISSN: 2156-5872 , 2156-5899
    URL: Article
    DOI: 10.1177/2156587214539977
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2014
    detail.hit.zdb_id: 2968855-3
    detail.hit.zdb_id: 2604898-X
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