{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:03:41Z","timestamp":1753869821856,"version":"3.41.2"},"reference-count":43,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T00:00:00Z","timestamp":1723248000000},"content-version":"am","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T00:00:00Z","timestamp":1723248000000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007917","name":"Agricultural Research Service","doi-asserted-by":"publisher","award":["58\u20108050\u20109\u2010004","8050\u201051000\u2010105\u201000D"],"award-info":[{"award-number":["58\u20108050\u20109\u2010004","8050\u201051000\u2010105\u201000D"]}],"id":[{"id":"10.13039\/100007917","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["2P30DK048520\u201026","3P30DK056336\u201019S1"],"award-info":[{"award-number":["2P30DK048520\u201026","3P30DK056336\u201019S1"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity Science &amp;amp; Practice"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Socioecological factors are associated with key health behaviors that are critical for weight management, and major life events may disrupt engagement in these behaviors. However, the influence of socioecological factors on health behaviors in the midst of major life events is not clear and is difficult to study due to the random and sporadic nature of their occurrence. The COVID\u201019 pandemic provided a unique opportunity to study a major life event and its impacts on diet, physical activity, and body weight.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This cross\u2010sectional study aimed to investigate associations between socioecological factors (environmental, interpersonal, and individual) and self\u2010reported weight change during a major life event using data collected during the COVID\u201019 pandemic, and whether the associations were mediated through self\u2010reported changes in eating and physical activity behaviors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants self\u2010reported socioecological factors, weight change, and changes in eating behaviors (EB) and physical activity (PA) via online questionnaires between December 2020 and October 2021. Changes in EB and PA were measured using scales with higher scores reflecting more positive changes during the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants (<jats:italic>n<\/jats:italic>\u00a0=\u00a01283) were mostly female (84.9%) with age 52.1\u00a0\u00b1\u00a014.1\u00a0years (mean\u00a0\u00b1\u00a0SD) and BMI of 32.9\u00a0\u00b1\u00a08.2\u00a0kg\/m<jats:sup>2<\/jats:sup>. Stronger healthy eater and exercise identities (individual factors) were associated with higher EB scores (EBS) and PA scores (PAS), respectively (<jats:italic>p<\/jats:italic>'s\u00a0&lt;\u00a00.00001). Less discouragement for healthy eating by family\/friends (interpersonal factor) was associated with higher EBS (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.002). Higher EBS and PAS were associated with weight loss. The indirect effect of healthy eater identity (\u22120.72; 95% CI: \u22120.90, \u22120.55) and discouragement for diet (0.07; 95% CI: 0.03, 0.12) on weight change through EBS were significant, as was the indirect effect of exercise identity (\u22120.25; 95% CI: \u22120.35, \u22120.15) on weight change through PAS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Stronger identities and less discouragement from family\/friends may support health promoting behaviors and weight loss during a major life event, as well as identify additional behavioral targets for lifestyle interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Trial Registration<\/jats:title><jats:p>IWCR was registered at <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/ClinicalTrials.gov\">ClinicalTrials.gov<\/jats:ext-link> (NCT04907396).<\/jats:p><\/jats:sec>","DOI":"10.1002\/osp4.785","type":"journal-article","created":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T19:38:31Z","timestamp":1723318711000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of socioecological factors on health behaviors and weight change during major life event: A cross\u2010sectional study using data collected during the COVID\u201019 pandemic"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1979-7991","authenticated-orcid":false,"given":"Tsz Kiu","family":"Chui","sequence":"first","affiliation":[{"name":"Department of Nutrition Sciences University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6177-1077","authenticated-orcid":false,"given":"Yenni E.","family":"Cedillo","sequence":"additional","affiliation":[{"name":"Department of Nutrition Sciences University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Assil","family":"El Zein","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory","family":"Pavela","sequence":"additional","affiliation":[{"name":"Department of Health Behavior University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann E.","family":"Caldwell","sequence":"additional","affiliation":[{"name":"Division of Endocrinology Metabolism &amp; Diabetes University of Colorado Anschutz Medical Campus  Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John C.","family":"Peters","sequence":"additional","affiliation":[{"name":"Division of Endocrinology Metabolism &amp; Diabetes University of Colorado Anschutz Medical Campus  Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James E.","family":"Friedman","sequence":"additional","affiliation":[{"name":"Department of Nutrition Sciences University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swati","family":"DebRoy","sequence":"additional","affiliation":[{"name":"Certara Drug Development Services Certara  Princeton New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer L.","family":"Oslund","sequence":"additional","affiliation":[{"name":"Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy Tufts University  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sai Krupa","family":"Das","sequence":"additional","affiliation":[{"name":"Jean Mayer USDA Human Nutrition Research Center on Aging Tufts University  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan B.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Geisel School of Medicine Dartmouth College  Hanover New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4690-2264","authenticated-orcid":false,"given":"James O.","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Nutrition Sciences University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9488-7030","authenticated-orcid":false,"given":"R. Drew","family":"Sayer","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.17925\/ee.2013.09.02.111"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548500802512302"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1123\/jpah.2018\u20100135"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0278\u20106133.19.6.605"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzac011"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2021.04.015"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13020671"},{"key":"e_1_2_9_9_1","first-page":"4","article-title":"Ecological models of health behavior","author":"Sallis J","year":"2008","journal-title":"Health Behav Health Educ"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14091788"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966\u2010017\u20100558\u2010z"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2012.03.014"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/1750984X.2016.1183222"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12336"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/003151259407800313"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/1612197x.2008.9671857"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.5993\/ajhb.34.3.5"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2016.1143334"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1559\u20101816.1998.tb01683.x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1559\u20101816.2004.tb01985.x"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105309104915"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366\u2010022\u201001158\u20104"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2012.05.006"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwr445"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000227639.83607.4d"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.93.9.1552"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/0091\u20107435(87)90022\u20103"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/17461391.2011.568631"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966\u2010024\u201001573\u2010y"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.Mss.0000078924.61453.Fb"},{"key":"e_1_2_9_33_1","unstructured":"SemegaJ KollarM ShriderEA CreamerJ.Decennial Census of Population and Housing Questionnaires and Instructions;2020."},{"key":"e_1_2_9_34_1","first-page":"60","volume-title":"Income and Poverty in the United States: 2019","author":"Semega J","year":"2020"},{"volume-title":"Introduction to Mediation, Moderation, and Conditional Process Analysis Third Edition: A Regression\u2010Based Approach","year":"2022","author":"Hayes AF","key":"e_1_2_9_35_1"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/aphw.12409"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2018.1437551"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.3390\/land10121396"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1103216"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102019\u2010034690"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/08964289.2023.2238102"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966\u2010022\u201001368\u2010z"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/osp4.645"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12529\u2010013\u20109355\u20105"}],"container-title":["Obesity Science &amp; Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/osp4.785","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/osp4.785","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T08:56:44Z","timestamp":1724835404000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/osp4.785"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8]]},"references-count":43,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1002\/osp4.785"],"URL":"https:\/\/doi.org\/10.1002\/osp4.785","archive":["Portico"],"relation":{},"ISSN":["2055-2238","2055-2238"],"issn-type":[{"type":"print","value":"2055-2238"},{"type":"electronic","value":"2055-2238"}],"subject":[],"published":{"date-parts":[[2024,8]]},"assertion":[{"value":"2024-02-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e785"}}