Module 3: Developing an Active Lifestyle
An active lifestyle plays a central role in the management of obesity, favouring the maintenance of weight loss and reducing the health risk associated with the condition. Unfortunately, however, most patients with obesity have little motivation to change their physical activity habits, and their adherence to exercise is further hampered by several physical, psychological and environmental barriers. The key role of these processes in the failure–success of exercise adherence suggests that without taking them into account, a simple traditional prescriptive approach to exercising is insufficient to produce long-term lifestyle alteration. With this in mind, Module 3 of cognitive behavioural therapy for obesity (CBT-OB) includes three main sections, described in detail below. The first prepares and motivates each patient to develop an active lifestyle and includes procedures to assess their eligibility and functional exercise capacity. The second involves a CBT-OB-recommended physical activity programme, and the third adopts several strategies for increasing patients’ adherence to exercise.
- 2.Mayo MJ, Grantham JR, Balasekaran G. Exercise-induced weight loss preferentially reduces abdominal fat. Med Sci Sports Exerc. 2003;35(2):207–13. https://doi.org/10.1249/01.mss.0000048636.46744.01.CrossRefPubMedGoogle Scholar
- 7.Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):1334–59. https://doi.org/10.1249/MSS.0b013e318213fefb.CrossRefPubMedGoogle Scholar
- 8.Canadian Society for Exercise Physiology. Physical Activity Readiness Questionnaire—PAR-Q. Revised 2002. www.csep.ca/forms.
- 10.El Ghoch M, Rossi AP, Calugi S, Rubele S, Soave F, Zamboni M, Chignola E, et al. Physical performance measures in screening for reduced lean body mass in adult females with obesity. Nutr Metab Cardiovasc Dis. 2018. https://doi.org/10.1016/j.numecd.2018.06.008.
- 14.Dalle Grave R. Motivating patients with obesity to exercise. In: Hansen D, editor. Exercise therapy in adult obesity. New York: Nova Press; 2013. p. 167–82.Google Scholar
- 23.Jakicic JM, Rogers RJ. Exercise in the management of obesity. In: Brownell KD, Walsh BT, editors. Eating disorders and obesity: a comprehensive handbook. 3rd ed. New York: Guilford Press; 2017. p. 546–50.Google Scholar
- 27.Soave F. Strategie per adottare uno stile di vita attivo e per migliorare la fitness fisica. Emozioni e Cibo. 2014;39:18–20.Google Scholar
- 31.Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs: Prentice-Hall; 1986.Google Scholar