Diet Satisfaction, Exercise Adherence and Self-Reported Weight Change: A Secondary Cross-Sectional Analysis of Participants in a Lifestyle Intervention Study
International Journal of Clinical Practice, cilt.2026, sa.1, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 2026 Sayı: 1
- Basım Tarihi: 2026
- Doi Numarası: 10.1155/ijcp/1258856
- Dergi Adı: International Journal of Clinical Practice
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, Directory of Open Access Journals, Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest)
- Anahtar Kelimeler: diet satisfaction, exercise adherence, lifestyle intervention, obesity, weight change
- Hacettepe Üniversitesi Adresli: Evet
Özet
Background: Diet satisfaction and exercise adherence may be associated with engagement in lifestyle interventions, but their relationships with weight change in primary care remain unclear. This study examined the associations of diet satisfaction and exercise adherence with self-reported weight-change status among adults with overweight or obesity who had participated in a lifestyle intervention study. Methods: This secondary cross-sectional analysis included 102 adults aged 18–40 years with a BMI of ≥ 25 kg/m2 who attended the three-month follow-up assessment of a previous lifestyle intervention study and completed the study questionnaire. All participants included in the present analysis received a calorie-restricted diet and a prescribed exercise programme. Diet satisfaction was assessed using the Diet Satisfaction Score (DSS), while adherence to prescribed exercise was assessed primarily using the validated six-item Section B of the Exercise Adherence Rating Scale (EARS-B). Results: DSS differed overall across the weight-change groups (p = 0.017), although no Bonferroni-adjusted pairwise comparison was significant. EARS-B also differed overall (p < 0.001) and was higher in the weight-loss group than in the no-change and weight-gain groups in adjusted pairwise comparisons. In an exploratory adjusted logistic regression model, higher EARS-B was associated with greater odds of reporting weight loss (OR = 1.188, 95% CI 1.084–1.303; p < 0.001); a sensitivity analysis using the combined EARS B + C score yielded a similar result (OR = 1.110, 95% CI 1.049–1.174; p < 0.001). DSS and EARS-B were positively correlated (ρ = 0.373, p < 0.001). Conclusion: Self-reported weight-change status was associated with diet satisfaction and EARS-B scores. Because all measures were obtained concurrently and weight change was self-reported, temporal and causal inferences cannot be made.