Peer Support Groups for Weight Loss

Current Cardiovascular Risk Reports - Tập 14 Số 10 - 2020
Kelsey Ufholz1
1Department of Family Medicine and Community Health, Case Western Reserve University, 11100 Euclid Avenue, Suite 1056, Cleveland, OH, 44106, USA

Tóm tắt

Abstract Purpose of Review

Social support, especially from peers, has been found to contribute to successful weight loss and long-term weight loss maintenance. Peer support groups may represent a particularly effective intervention technique for weight loss. This review focuses upon peer support weight loss interventions with the objective of identifying common elements of successful programs.

Recent Findings

Peer support interventions often consist of expert-led educational content, supplemented by peer-led activities or discussion. Peer groups may provide support to individuals who have little social support in their normal lives. Interventions are often designed for pre-existing groups, especially high-risk groups such as women from ethnic minorities. Men are underrepresented in weight loss programs and often perceive “dieting” as feminine. However, several peer programs for male sports fans have successfully resulted in weight loss and fostering support for healthy lifestyle among male peers. In addition to professionally created peer support groups, many online weight loss communities are created and moderated by peers. Online communities allow participants to share peer support similar to in-person formats.

Summary

Many peer support interventions show significant short-term weight loss. Group members frequently report that peer support was critical to their weight loss success. A sense of community among likeminded individuals with similar goals was frequently cited. Online peer support groups are becoming increasingly prevalent, may fulfill similar needs to in-person groups, and have additional advantages in accessibility, and access to a larger peer network, and may facilitate long-term adherence.

Từ khóa


Tài liệu tham khảo

Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of obesity and severe obesity among adults: United States, 2017–2018. NCHS Data Brief, no 360. Hyattsville, MD: National Center for Health Statistics. 2020.

Abdelaal M, le Roux CW, Docherty NG. Morbidity and mortality associated with obesity. Ann Transl Med. 2017;5(7).

Leggio M, Lombardi M, Caldarone E, Severi P, D'emidio S, Armeni M, et al. The relationship between obesity and hypertension: an updated comprehensive overview on vicious twins. Hypertens Res. 2017;40(12):947–63.

Fildes A, Charlton J, Rudisill C, Littlejohns P, Prevost AT, Gulliford MC. Probability of an obese person attaining normal body weight: cohort study using electronic health records. Am J Public Health. 2015;105(9):e54–e9.

Anderson JW, Konz EC, Frederich RC, Wood CL. Long-term weight-loss maintenance: a meta-analysis of US studies. Am J Clin Nutr. 2001;74(5):579–84.

Gudzune KA, Doshi RS, Mehta AK, Chaudhry ZW, Jacobs DK, Vakil RM, et al. Efficacy of commercial weight-loss programs: an updated systematic review. Ann Intern Med. 2015;162(7):501–12.

McEvedy SM, Sullivan-Mort G, McLean SA, Pascoe MC, Paxton SJ. Ineffectiveness of commercial weight-loss programs for achieving modest but meaningful weight loss: systematic review and meta-analysis. J Health Psychol. 2017;22(12):1614–27.

Finley C, Barlow C, Greenway F, Rock C, Rolls BJ, Blair SN. Retention rates and weight loss in a commercial weight loss program. Int J Obes. 2007;31(2):292–8.

Elfhag K, Rössner S. Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain. Obes Rev. 2005;6(1):67–85.

Wing RR, Jeffery RW. Benefits of recruiting participants with friends and increasing social support for weight loss and maintenance. J Consult Clin Psychol. 1999;67(1):132–8.

Lemstra M, Bird Y, Nwankwo C, Rogers M, Moraros J. Weight loss intervention adherence and factors promoting adherence: a meta-analysis. Patient Prefer Adherence. 2016;10:1547.

Connor A, George G. Women’s perceived and desired support for weight loss. J Fam Consum Sci. 2018;110(1):38–44.

Bandura A. Social cognitive theory of moral thought and action. Handbook of moral behavior and development: Psychology Press; 2014. p. 69–128.

Simpson S. The Helpmedoit! weight loss trial: main results. Int J Behav Med. 2018;25(S1).

Ryan RM, Deci EL. Intrinsic and extrinsic motivations: classic definitions and new directions. Contemp Educ Psychol. 2000;25(1):54–67.

Hupp S, Reitman D, Jewell JD. Cognitive-behavioral theory. Handb Clin Psychol. 2008;2:263–87.

Cherrington AL, Willig AL, Agne AA, Fowler MC, Dutton GR, Scarinci IC. Development of a theory-based, peer support intervention to promote weight loss among Latina immigrants. BMC Obes. 2015;2(1):17.

Dutton GR, Phillips JM, Kukkamalla M, Cherrington AL, Safford MM. Pilot study evaluating the feasibility and initial outcomes of a primary care weight loss intervention with peer coaches. Diabetes Educ. 2015;41(3):361–8.

Dennis C-L. Peer support within a health care context: a concept analysis. Int J Nurs Stud. 2003;40(3):321–32.

Sarlio-Lähteenkorva S, Lahelma E. The association of body mass index with social and economic disadvantage in women and men. Int J Epidemiol. 1999;28(3):445–9.

Strauss RS, Pollack HA. Social marginalization of overweight children. Arch Pediatr Adolesc Med. 2003;157(8):746–52.

Schaefer DR, Simpkins SD. Using social network analysis to clarify the role of obesity in selection of adolescent friends. Am J Public Health. 2014;104(7):1223–9.

Cutrona CE, Suhr JA. Controllability of stressful events and satisfaction with spouse support behaviors. Commun Res. 1992;19(2):154–74.

•• Atwood ME, Friedman A, Meisner BA, Cassin SE. The exchange of social support on online bariatric surgery discussion forums: a mixed-methods content analysis. Health Commun. 2018;33(5):628–35 This manuscript provides a detailed descriptions of various forms of social support, including informational and emotional, and how they may be utilized in an online setting. An excellent primer for how social support manifests in both an online and offline enviroment.

Eldredge LKB, Markham CM, Ruiter RA, Fernández ME, Kok G, Parcel GS. Planning health promotion programs: an intervention mapping approach: Wiley; 2016.

Draper C, Grobler L, Micklesfield L, Norris S. Impact of social norms and social support on diet, physical activity and sedentary behaviour of adolescents: a scoping review. Child Care Health Dev. 2015;41(5):654–67.

Higgs S, Thomas J. Social influences on eating. Curr Opin Behav Sci. 2016;9:1–6.

Robinson E, Thomas J, Aveyard P, Higgs S. What everyone else is eating: a systematic review and meta-analysis of the effect of informational eating norms on eating behavior. J Acad Nutr Diet. 2014;114(3):414–29.

McEvoy C, McAuley E, Moore S, Cupples M, Kee F, Young I, et al. A systematic review and meta-analysis of the effectiveness of peer support to reduce cardiovascular risk. Proc Nutr Soc. 2017;76(OCE3).

Palmer KN, Saha C, Phillips E, Krishnan A, Foster GD, Finkelstein E, et al. The two-year outcomes and cost effectiveness of a commercial weight loss program for the prevention of type 2 diabetes among people with prediabetes. Endocrinol Diabetes Obes. 2018;1(1):5.

Patil SJ, Ruppar T, Koopman RJ, Lindbloom EJ, Elliott SG, Mehr DR, et al. Effect of peer support interventions on cardiovascular disease risk factors in adults with diabetes: a systematic review and meta-analysis. BMC Public Health. 2018;18(1):398.

Hageman PA, Pullen CH, Hertzog M, Pozehl B, Eisenhauer C, Boeckner LS. Web-based interventions alone or supplemented with peer-led support or professional email counseling for weight loss and weight maintenance in women from rural communities: results of a clinical trial. J Obes. 2017;2017:1–21.

Kulik N, Ennett ST, Ward DS, Bowling JM, Fisher EB, Tate DF. Brief report: a randomized controlled trial examining peer support and behavioral weight loss treatment. J Adolesc. 2015;44:117–23.

Andreu A, Jimenez A, Vidal J, Ibarzabal A, De Hollanda A, Flores L, et al. Bariatric support groups predicts long-term weight loss. Obes Surg. 2020:1–6.

Lee S, Schorr E, Chi C-L, Treat-Jacobson D, Mathiason MA, Lindquist R. Peer group and text message–based weight-loss and management intervention for African American women. West J Nurs Res. 2018;40(8):1203–19.

Ogden CL, Fakhouri TH, Carroll MD, Hales CM, Fryar CD, Li X, et al. Prevalence of obesity among adults, by household income and education—United States, 2011–2014. MMWR Morb Mortal Wkly Rep. 2017;66(50):1369–73.

Goldfinger JZ, Arniella G, Wylie-Rosett J, Horowitz CR. Project HEAL: peer education leads to weight loss in Harlem. J Health Care Poor Underserved. 2008;19(1):180–92.

Correll CU, Druss BG, Lombardo I, O'Gorman C, Harnett JP, Sanders KN, et al. Findings of a US national cardiometabolic screening program among 10,084 psychiatric outpatients. Psychiatr Serv. 2010;61(9):892–8.

Kilbourne AM, McCarthy JF, Post EP, Welsh D, Blow FC. Social support among veterans with serious mental illness. Soc Psychiatry Psychiatr Epidemiol. 2007;42(8):639–46.

• Aschbrenner KA, Naslund JA, Shevenell M, Kinney E, Bartels SJ. A pilot study of a peer-group lifestyle intervention enhanced with mHealth technology and social media for adults with serious mental illness. J Nerv Ment Dis. 2016;204(6):483 This manuscript provides a description of a peer support program, unique in its focus upon individuals with serious mental illness, and the comprehensiveness of the program described.

Aschbrenner KA, Naslund JA, Bartels SJ. A mixed methods study of peer-to-peer support in a group-based lifestyle intervention for adults with serious mental illness. Psychiatr Rehabil J. 2016;39(4):328–34.

Pagoto SL, Schneider KL, Oleski JL, Luciani JM, Bodenlos JS, Whited MC. Male inclusion in randomized controlled trials of lifestyle weight loss interventions. Obesity. 2012;20(6):1234–9.

Sidhu M, Aiyegbusi O, Daley A, Jolly K. Older men’s experience of weight loss and weight loss maintenance interventions: qualitative findings from the Lighten Up Plus Trial. J Obes Weight Loss Ther. 2016;1(003).

Harcourt KA, Appleton J, Clegg ME, Hunter L. The influence of social relationships on men’s weight. J Nutr Educ Behav. 2020;52(2):106–13.

Petrella RJ, Gill DP, De Cruz A, Riggin B, Muise S, Pulford R, et al. Can a sports team-based lifestyle program (hockey fans in training) improve weight in overweight men?: 2140 Board# 292 June 2, 330 PM-500 PM. Med Sci Sports Exerc. 2016;48(5S):604.

Hunt K, Wyke S, Gray CM, Anderson AS, Brady A, Bunn C, et al. A gender-sensitised weight loss and healthy living programme for overweight and obese men delivered by Scottish Premier League football clubs (FFIT): a pragmatic randomised controlled trial. Lancet. 2014;383(9924):1211–21.

Bunn C, Wyke S, Gray CM, Maclean A, Hunt K. ‘Coz football is what we all have’: masculinities, practice, performance and effervescence in a gender-sensitised weight-loss and healthy living programme for men. Sociol Health Illn. 2016;38(5):812–28.

• Muise SB, Gill DP, De Cruz A, Riggin B, Pulford R, Sibbald SL, et al. Men’s experiences with the hockey fans in training weight loss and healthy lifestyle program. Int J Med Stud. 2016;4(3):91–5 This qualitative study describes the active elements necessary for a successful weight loss intervention for men.

Chung JE. Social interaction in online support groups: preference for online social interaction over offline social interaction. Comput Hum Behav. 2013;29(4):1408–14.

Hwang KO, Ottenbacher AJ, Green AP, Cannon-Diehl MR, Richardson O, Bernstam EV, et al. Social support in an Internet weight loss community. Int J Med Inform. 2010;79(1):5–13.

Kim H, Faw M, Michaelides A. Mobile but connected: harnessing the power of self-efficacy and group support for weight loss success through mHealth intervention. J Health Commun. 2017;22(5):395–402.

Perrin AA, Monica. Share of U.S. adults using social media, including Facebook, is mostly unchanged since 2018 Pew Research CenterApril 19, 2019 [Available from: https://www.pewresearch.org/fact-tank/2019/04/10/share-of-u-s-adults-using-social-media-including-facebook-is-mostly-unchanged-since-2018/.

Taiminen H. How do online communities matter? Comparison between active and non-active participants in an online behavioral weight loss program. Comput Hum Behav. 2016;63:787–95.

Rao G, Kirley K. The future of obesity treatment: comment on “integrating technology into standard weight loss treatment: a randomized controlled trial”. JAMA Intern Med. 2013;173(2):111–2.

• Dahl AA, Hales SB, Turner-McGrievy GM. Integrating social media into weight loss interventions. Curr Opin Psychol. 2016;9:11–5 This review article is essential reading for any researcher or clinician interested in inclusion of social media into a weight loss intervention.

Wang Y, McKee M, Torbica A, Stuckler D. Systematic literature review on the spread of health-related misinformation on social media. Soc Sci Med. 2019;240:112552.

Chou WYS, Oh A, Klein WM. Addressing health-related misinformation on social media. Jama. 2018;320(23):2417–8.

Ghaznavi J, Taylor LD. Bones, body parts, and sex appeal: an analysis of #thinspiration images on popular social media. Body Image. 2015;14:54–61.