Abstract
OBJECTIVE: (1) To examine the effects of attentional distraction on running time in an incremental treadmill test in obese youngsters; (2) to investigate whether distraction works at the same extent at the beginning and at the end of residential treatment; and (3) to explore the underlying mechanisms of the possible distraction effects.
METHODS: Thirty severely obese youngsters (10 boys, 20 girls, age range 9–17) who were following a 10 month residential treatment, performed a treadmill test until exhaustion in four different sessions using a within subjects design. The two sessions at the beginning of the treatment and the two sessions at the end the treatment were counterbalanced, one with attentional distraction (music) and one without distraction.
RESULTS: Obese youngsters ran significantly longer during distraction. This distraction effect seemed to be larger at the beginning compared to at the end of obesity treatment. The absence of differences between the condition with music and the condition without music on perceived bodily symptoms is in line with the idea that it took longer to perceive sufficient bodily sensations to decide to stop the treadmill test in the distraction condition. This interpretation is further corroborated by the physiological data indicating a superior peak performance in the condition with distraction.
CONCLUSIONS: Attentional distraction has a positive effect on perseverance in obese youngsters. Further research has to show the usefulness of attentional distraction as a technique to increase exercise adoption and adherence in obesity treatment.
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References
Guillaume L, Lapidus L, Beckers F, Lambert A, Bjorntorp P . Familial trends of obesity through three generations: the Belgian-Luxembourg child study Int J Obes Relat Metab Disord 1995 19 (Suppl 3): S5–9.
Troiano RP, Flegal KM . Overweight prevalence and trends for children and adolescents: description, epidemiology, and demographics Pediatrics 1998 101: 497–504.
Woringer W, Schutz Y . What is the evolution of the body mass index (BMI) in Swiss children from five to sixteen years, measured one decade apart? Int J Obes Relat Metab Disord 1998 22 (Suppl 3): S209.
Barth N, Ziegler A, Himmelmann GW, Coners H, Wabitsch M, Hennighausen K, Mayer H, Remschmidt H, Schäfer H, Helebrand J . Significant weight gains in a clinical sample of obese children and adolescents between 1985 and 1995 Int J Obes Relat Metab Disord 1997 21: 122–126.
Dietz WH . Therapeutic stategies in childhood obesity Horm Res 1993 39 (Suppl 3): 86–90.
Sothern MS, von Almen TK, Schumacher H, Zelman M, Farris RP, Carlisle L, Udall JN Jr, Suskind RM . An effective multidisciplinary approach to weight reduction in youth Ann NY Acad Sci 1993 699: 292–294.
Epstein LH, Myers MD, Raynor HA, Saelens BE . Treatment of pediatric obesity Pediatrics 1998 101: 554–570.
Dishman RK . Determinants of participation in physical activity In: Bouchard C, Shephard RJ, Stephens T, Sutton JR, McPherson BD (eds) Exercise, fitness and health Human Kinetics Books: Champaign; IL 1990 pp 75–101.
Epstein LH, Smith J, Vara L, Rodefer J . Behavioral economic analysis of activity choice in obese children Health Psychol 1991 10: 311–316.
Bar-Or O . Obesity In: Goldberg B (ed) Sports and exercise for children with chronic health conditions Human Kinetics Book: Champaign, IL 1995 pp 335–353.
Epstein LH, Coleman KJ, Meyers MD . Exercise in treating obesity in children and adolescents Med Sci Sports Exerc 1996 28: 428–435.
Parízková J, Hills A . Practical programs for weight management during the growing years In: Parízková J, Hills A (eds) Childhood obesity: prevention and treatment CRC Press: Boca Raton, FL 2001 pp 271–305.
Jakicic JM, Wing RR, Butler BA, Robertson RJ . Prescribing exercise in multiple bouts versus one continuous bout: effects on adherence, cardiorespiratory fitness and weight loss in overweight women Int J Obes Relat Metab Disord 1995 19: 892–901.
Dishman RK . Increasing and maintaining exercise and physical activity Behav Ther 1991 22: 345–378.
Dubbert PM . Exercise in behavioral medicine J Consult Clin Psych 1992 60: 613–618.
Perri MG, McAllister DA, Gange JJ, Jordan RC, McAdoo WG, Nezu AM . Effects of four maintenance programs on the long-term management of obesity J Consult Clin Psych 1988 56: 529–534.
De Bourdeaudhuij I, Deforche B . Increasing physical activity: exercise programs and guidelines (Verhogen van fysieke activiteit: bewegingsprogramma's en richtlijnen) In: Braet C, Van Winckel M (eds) Obesitas bij kinderen Van Loghu: Bohn Staflen 2001 pp 74–95.
Mattsson EU, EversLarsson U, Rössner S . Is walking for exercise to exhausting for obese women? Int J Obes Relat Metab Disord 1997 21: 380–386.
Wilfley DE, Brownell KD . Physical activity and diet in weight loss In: Dishman RK (ed) Advances in exercise adherence Human Kinetics Book: Champaign, IL 1994 pp 361–393.
Deforche B, De Bourdeaudhuij I, Braet C, Bouckaert J . Evaluation of 10 weeks residential treatment in obese children. (Abstract.) Int J Obes Relat Metab Disord 24: S103 Poster presented at the 10th European Congress on Obesity incorporating the 4th European Childhood Obesity Group Sattelite 24–27 May, 2000, Antwerp, Belgium
Pennebaker JW, Lightner JM . Competition and internal and external information in an exercise setting J Personal Soc Psychol 1980 39: 165–174.
Masters KS, Ogles BM . Associative and dissociative cognitive strategies in exercise and running: 20 y later, what do we know? Sport Psychol 1998 12: 253–270.
Valverde MA, Patin RV, Oliveira FLC, Lopez FA, Vitolo MR . Outcomes of obese children and adolescents enrolled in a multidisciplinary health program Int J Obes Relat Metab Disord 1998 22: 513–518.
Braet C, Van Winckel M, VanLeeuwen K . Follow-up results of different treatment programs for obese children Acta Paediat 1997 86: 397–402.
Braet C, Van Winckel M . Long-term follow-up of a cognitive behavioral treatment program for obese children Behav Ther 2000 31: 55–74.
Stegen K, Van Diest I, Van de Woestijne KP, Van den Bergh O . Negative affectivity and bodily sensations induced by 5.5% CO2 enriched air inhalation: is there a bias to interpret bodily sensations negatively in persons with negative affect? Psychol Health 2000 15: 513–525.
Deforche B, De Bourdeaudhuij I, Braet C, Hardyns L, Vermaut S, Bouckaert J . Evolution of overweight and aerobic fitness in obese children during residential treatment. (Evolutie van overgewicht en fitheid bij obese kinderen tijdens een residentiële behandeling.) Gedrag & Gezondheid 2001 29: 98–108.
Gutin B, Cuzucco N, Islam S, Smith C, Moffat R, Pargam D . Physical training improves body composition of black obese 7- to 11-year-old girls Obes Res 1995 3: 305–312.
Epstein L, Valiski A, Vara L, McCurley J, Wisniewski L, Kalarchian M, Klein K, Shrager L . Effects of decreasing sedentary behavior and increasing activity on weight change in obese children Health Psychol 1995 14: 109–115.
Gutin B, Cucuzzo N, Islam S, Smith C, Stachura M . Physical training, lifestyle education, and coronary risk factors in obese girls Med Sci Sports Exerc 1996 28: 19–23.
Pennebaker JW . The psychology of physical symptoms Springer: New York 1982.
Abernethy B . Attention In: Singer RN, Hausenblas HA, Janelle CM (eds) Handbook of sport psychology Wiley: New York 2001 pp 53–85.
Fillingim RB, Fine MA . The effects of internal versus external information processing on symptom perception in an exercise setting Health Psychol 1986 5: 115–123.
Johnson JH, Siegel DS . Effects of association and dissociation on effort perception J Sport Behav 1992 15: 119–129.
Wrisberg CA, Franks BD, Birdwell MW, High DM . Physiological and psychological responses to exercise with an induced attentional focus Percept Motor Skill 1988 66: 603–616.
Harte JL, Eifert GH . The effects of running, environment, and attentional focus on athletes' catecholamine and corisole levels and mood Psychophysiology 1995 32: 49–54.
Szmedra L, Bacharach DW . Effects of music on perceived exertion, plasma lactate, norepinephrine and cardiovascular hemodynamics during treadmill running Int J Sports Med 1998 19: 32–37.
Boutcher SH, Trenske M . The effects of sensory deprivation and music on perceived exertion and affect during exercise J Sport Exersice Psychol 1990 12: 167–176.
Aldrich S, Eccleston C, Crombez G . Worrying about chronic pain: vigilance to threat and misdirected problem solving Behav Res and Ther 2000 38: 457–470.
Eccleston C, Crombez G . Pain demands attention: a cognitive-affective model of the interruptive function of pain Psychol Bul 1999 125: 356–366.
Stevinson CD, Biddle SJH . Cognitive strategies in running: a response to Masters and Ogles (1998) Sport Psychol 1999 13: 235–236.
Stevinson CD, Biddle SJH . Cognitive orientations in marathon running and ‘hitting the wall’ Br J Sport Med 1998 32: 229–235.
Leventhal H . A perceptual-motor theory of emotion Adv Exp Soc Psychol 1984 17: 117–182.
Copeland BL, Franks BD . Effects of types and intensities of background music on treadmill endurance J Sports Med Phys Fitness 1991 31: 100–103.
Szabo A, Small A, Leigh M . The effects of slow- and fast- rhythm classical music on progressive cycling to voluntary physical exhaustion J Sports Med Phys Fitness 1999 39: 220–225.
Rejeski WJ, Kenney EA . Fitness motivation Human Kinetics Books: Champaign, IL 1988.
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De Bourdeaudhuij, I., Crombez, G., Deforche, B. et al. Effects of distraction on treadmill running time in severely obese children and adolescents. Int J Obes 26, 1023–1029 (2002). https://doi.org/10.1038/sj.ijo.0802052
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DOI: https://doi.org/10.1038/sj.ijo.0802052
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