Does the built environment influence the effectiveness of behavioral weight management interventions?

ABSTRACT: Outcomes of behavioral lifestyle interventions for promoting weight loss vary widely across participants. The effectiveness of a weight management intervention may depend on a person's environmental context. This study compared short- and longer-term effects of a structured nationwide weight management program for people living in neighborhoods with different levels of walkability and different access to recreational places (parks, fitness facilities). Drawing on the health production model, we tested competing hypotheses for whether treatment effects of the program complement environmental supports or substitute for environmental constraints. We studied the US Department of Veterans Affairs (VA) MOVE! weight management program using VA electronic heath record data (2009-2014) and a differ

SUBMITTER: Zenk SN 

PROVIDER: S-EPMC6878977 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature