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dc.contributor.authorAkers, Jeremy Dewayneen_US
dc.date.accessioned2014-03-14T20:09:01Z
dc.date.available2014-03-14T20:09:01Z
dc.date.issued2010-03-26en_US
dc.identifier.otheretd-04062010-204643en_US
dc.identifier.urihttp://hdl.handle.net/10919/26668
dc.description.abstractOne-third of the American population is obese (1), and of those successful at losing weight, most return to their baseline weight within three to five years (2). In an effort to increase the success of weight loss maintenance (WTLM), research has focused on strategies that promote self-regulation (3). Self-regulation strategies, such as daily self-monitoring of body weight (4), increased step count (5, 6), and increased fruit and vegetable intake (7) have proven to be effective in long-term WTLM interventions. To date, increased water consumption has not been researched as a WTLM strategy, yet it has been shown to decrease meal energy intake (8, 9) and increase weight loss among middle-aged and older adults (10). The purpose of our first investigation was to determine if self-monitoring of increased water consumption facilitates WTLM over 12 months among middle-aged to older adults, when combined with other self-regulation strategies. Our second investigation was a review of WTLM literature to determine the translation potential published interventions using the RE-AIM (Reach, Efficacy/effectiveness, Adoption, Implementation, Maintenance) framework (11) to provide recommendations for future research. Our first main finding was that weekly tracking of these self-regulatory behaviors (self-weighing, step counts, fruit/vegetable intake) for 12 months promotes effective long-term WTLM among middle-aged and older adults. However, daily self-monitoring of increased water consumption (48 fl oz/day) did not appear to provide an additional benefit. Secondly, we have identified significant gaps in the WTLM literature that may hinder the translatability of existing effective interventions. Specifically, current WTLM research is limited in reporting important external validity factors (e.g. costs, adoption, participation rate). Available WTLM literature provided a more detailed overview of Reach, Efficacy, and Implementation, yet was little information on potential adoption, costs, or sustainability. Future work in this area should address these factors to increase the translation potential of WTLM interventions in clinical or community settings.en_US
dc.publisherVirginia Techen_US
dc.relation.haspartAkers_JD_D_2010.pdfen_US
dc.rightsI hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to Virginia Tech or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report.en_US
dc.subjectdaily weighingen_US
dc.subjectwateren_US
dc.subjectweight maintenanceen_US
dc.subjectRE-AIMen_US
dc.subjectself-regulationen_US
dc.subjectphysical activityen_US
dc.subjectfruits and vegetablesen_US
dc.titleIncreased Water Consumption: A Self-Regulatory Strategy for Long-Term Weight Loss Maintenance?en_US
dc.typeDissertationen_US
dc.contributor.departmentHuman Nutrition, Foods, and Exerciseen_US
dc.description.degreePh. D.en_US
thesis.degree.namePh. D.en_US
thesis.degree.leveldoctoralen_US
thesis.degree.grantorVirginia Polytechnic Institute and State Universityen_US
thesis.degree.disciplineHuman Nutrition, Foods, and Exerciseen_US
dc.contributor.committeechairDavy, Brenda Muelleren_US
dc.contributor.committeememberJanet W. Rankinen_US
dc.contributor.committeememberDavy, Kevin P.en_US
dc.contributor.committeememberJyoti S. Savlaen_US
dc.contributor.committeememberRichard A. Winetten_US
dc.identifier.sourceurlhttp://scholar.lib.vt.edu/theses/available/etd-04062010-204643/en_US
dc.date.sdate2010-04-06en_US
dc.date.rdate2013-05-21
dc.date.adate2010-04-16en_US


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