Abstract
The primary care hospital and clinic settings offer many rewards to practitioners and challenges alike. One major challenge that health care professionals may often identify in the primary care setting is the sedentary lifestyle of their patients. Needless to say, the lack of healthy exercise can be a leading cause of obesity, type II diabetes, essential hypertension, as well as obesity. In this chapter we will discuss outcome research that has been shown to increase patient participation in healthy exercise and decrease the symptoms associated with the diseases (such as type II diabetes, obesity, and essential hypertension) that can be effectively treated with behavioral health interventions directly within the primary care clinics.
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ABCNews.Com. (2012). Weight loss by the numbers. Abcnews.go.com/Health/100-million-dieters-20billion-weight-loss-industry/story?id=16297197
American Dietetic Association. (1997). Position of the American dietetic association: Weight management. Journal of the American Dietetic Association, 97, 71–74.
Annesi, J. J. (2012). Supported exercise improves controlled eating and weight through its effects on psychosocial factors: Extending a systematic research program toward treatment development. The Permanente Journal, 16(1), 7–18.
Annesi, J. J., & Tennant, G. A. (2013). Mediation of social cognitive theory variables in the relationship of exercise and improved eating in sedentary adults with severe obesity. Psychology, Health & Medicine, 18(6), 714–724. https://doi.org/10.1080/13548506.2013.766354
Bean, J. F., Vora, A., & Frontera, W. R. (2004). Benefits of exercise. Archives of Physical Medicine & Rehabilitation, 85(Suppl 3), S31–S42.
Bernstein, E., & McNally, R. (2017). Acute aerobic exercise hastens emotional recovery from a subsequent stressor. Health Psychology, 36(6), 560567.
Caldwell, K. L., Baime, M. J., & Wolever, R. Q. (2012). Mindfulness based approaches to obesity and weight loss maintenance. Journal of Mental Health Counseling, 34(3), 269–282.
Colvin, R. H., & Olson, S. B. (1984). Winners revisited: An 18-month follow-up of our successful weight losers. Addictive Behaviors, 9(3), 305–306.
Cooper, Z., Doll, H. A., Hawker, D. M., Byrne, S., Bonner, G., Eeley, E., … Fairburn, C. G. (2010). Testing a new cognitive behavioral treatment for obesity: A randomized controlled trial with three-year follow-up. Behavior Research and Therapy, 48, 706–713. https://doi.org/10.1016/j.brat.2010.03.008
Epstein, L. H., Valoski, A. M., Vara, L. S., McCurley, J., Wisniewski, L., Kalarchian, M. A., … Shrager, L. R. (1995). Effects of decreasing sedentary behavior and increasing activity on weight change in obese children. Health Psychology, 14(2), 109–115. https://doi.org/10.1037/0278-6133.14.2.109
Hill, J. O., Thompson, H., & Wyatt, H. (2005). Research: Weight maintenance: What’s missing? Journal of The American Dietetic Association, 105(Supplement), 63–66. https://doi.org/10.1016/j.jada.2005.02.016
Hunter, C., Goodie, J., Oordt, M., & Dobmeyer, A. (2009). Integrated behavioral health care: Step-by-step guidance for assessment & intervention. Washington, DC: American Psychological Association Press.
Jakicic, J., Robertson, R., Butler, B., & Wing, R. (1995). Prescribing exercise in multiple short bouts versus one continuous bout: Effects on adherence, cardiorespiratory fitness, and weight loss in overweight women. International Journal of Obesity, 19(12), 893–901.
James, L. C., & Folen, R. A. (2005). The primary care consultant. Washington, DC: American Psychological Association Press.
James, L.C., Folen, R.A., Noce, M., Pederson, D. & Page, H. (1997). Preliminary findings of a healthy lifestyle program for the treatment of obesity & hyperlipidemia in minority men. Proceedings of the National Medical Association. August 2–7. Honolulu, Hawaii.
James, L. C., Folen, R. A., & Noce, M. A. (1998). A healthy lifestyle program for the treatment of obesity in minority men. Journal of Clinical Psychology in Medical Settings, 5(3), 259–273. https://doi.org/10.1023/A:1026250019031
James, L. C., Folen, R. A., Page, H., Noce, M., Brown, J., & Britton, C. (1999). The Tripler LE3AN program: A two-year follow-up report. Military Medicine, 164(6), 389–395.
James, L. C., & O’Donohue, W. (2008). The primary care tool kit. New York, NY: Springer.
James, L.C. & Linton, J. (2008). Treating obseity across the lifespan. New York: Springer Press.
Jeffery, R. W., Bjornson-Benson, W. M., Rosenthal, B. S., Lindquist, R. A., Kurth, C. L., & Johnson, S. L. (1984). Correlates of weight loss and its maintenance over two years of follow-up among middle-aged men. Preventive Medicine, 13(2), 155–168.
Kayman, S., Stern, J., & Bruvold, W. (1990). Maintenance and relapse after weight loss in women: Behavioral aspects. American Journal of Clinical Nutrition, 52(5), 800–807.
Mann, T., Tomiyama, A. J., Westling, E., Lew, A., Samuels, B., & Chatman, J. (2007). Medicare’s search for effective obesity treatments: Diets are not the answer. American Psychologist, 62(3), 220–233.
Miller, W. (2001). Effective diet and exercise treatments for overweight and recommendations for intervention. Sports Medicine, 31(10), 717–724. 0112-1642/01/0010-0717.
Miller, W. C. (1999). Fitness and fatness in relation to health: Implications for a paradigm shift. Journal of Social Issues, 55(2), 207–219.
Nicklas, B. J., Chmelo, E., Delbono, O., Carr, J. e., Lyles, M. F., & Marsh, A. P. (2015). Effects of resistance training with and without caloric restriction on physical function and mobility in overweight and obese older adults: A randomized controlled trial. American Journal of Clinical Nutrition, 101(5), 991–999. https://doi.org/10.3945/ajcn.114.105270
O’Donohue, W., Byrd, M., Cummings, N., & Anderson, D. (2005). Behavioral integrative care: Treatments that work in primary care. New York, NY: Brunner-Routledge.
O’Donohue, W., Cummings, N., Cucciare, N., Runyan, C., & Cummings, J. (2006). Integrated behavioral health care: A guide to effective intervention. New York, NY: Humanity Books.
Wansink, B., & Sobal, J. (2007). Mindless eating: The 200 daily food decisions we overlook. Environment and Behavior, 39(1), 106–123. https://doi.org/10.1177/0013916506295573
Williams, G. (2013, January 3). The heavy price of losing weight. USNews&World Report. https://money.usnews.com/money/personal-finance/articles/2013/01/02/the-heavy-price-of-losing-weight
Wing, R. R. (2008). Behavioral approaches to the treatment of obesity. In G. A. Bray & C. Bouchard (Eds.), Handbook of obesity: Clinical applications (pp. 227–248). New York, NY: Informal Healthcare.
World Health Organization (WHO). Obesity and overweight. World Health Organization. (2015). Fact sheet No 311. Retrieved from http://www.who.int/mediacentre/factsheets/fs311/en/
World Health Organization (WHO). (2000). Obesity: Preventing and managing the global epidemic: Report of a WHO consultation. Geneva, Switzerland: World Health Organization.
Zhaoyang, R., Matire, L., & Sliwinski, M. (2017). Morning self-efficacy predicts physical activity throughout the day in knee osteoarthritis. Health Psychology, 369(6), 568–576.
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Oroszi, T.L., Shoenleben, J., James, L.C. (2018). Increasing Healthy Exercise in the Primary Care Setting. In: Duckworth, M., O'Donohue, W. (eds) Behavioral Medicine and Integrated Care. Springer, Cham. https://doi.org/10.1007/978-3-319-93003-9_11
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