Body image and weight changes in a multisite comprehensive very-low-calorie diet program
1994; Elsevier BV; Volume: 25; Issue: 2 Linguagem: Inglês
10.1016/s0005-7894(05)80286-2
ISSN1878-1888
Autores Tópico(s)Body Image and Dysmorphia Studies
ResumoSubstantial evidence points to the negative body-image experiences of obese persons. Limited evidence suggests that after successful weight loss a “vestigial” negative body image may be retained. This prospective investigation repeatedly assessed obese participants' weight and body images over the course of a comprehensive VLCD program. Of an initial sample of 88 female subjects, 36 were available for post-reduction assessments and 20 for maintenance assessments. VLCD completers reduced their weight by 24% and displayed marked improvements in most aspects of body image. A modest weight increase during maintenance partially, albeit significantly, diminished some body-image gains. Systematic analyses of attrition implicated several body-image variables as predictors of attrition independent of the extent of weight loss, including poor fitness-related attitudes and less prominent gains in body image. A revised perspective on the phenomenon of vestigial body image is offered. The potential value of cognitive-behavioral body-image therapy for obese persons is discussed.
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