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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
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    Citations

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    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.

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