Predictors of Successful Weight Control: Cross-Cultural Moderators of Treatment Outcomes

Given the heterogeneity of effect sizes within the population for any treatment, identifying moderators of outcomes is critical [1]. In weight management programs, there is a high individual variability in terms of weight loss and an overall modest success [2]. Some people will adopt and sustain attitudes and behaviors associated with weight loss, while others won’t [3]. To predict weight loss outcome just from the subject’s baseline information would be very valuable [4,5]. It would allow to: - Better match between treatments and individuals - Identify the participants with less probability of success (or potential dropouts) in a given treatment and direct them to alternative therapies - Target limited resources to those most likely to succeed - Increase cost-effectiveness and improve success rates of the programs Few studies have been dedicated to describe baseline predictors of treatment success. The Healthy Weight for Life (USA) study is one of the few. Its findings are now being cross-validated in Portuguese samples. This paper describes these cross-cultural comparisons.

Analysis of mediation and reciprocal effects of changes in weight, self-esteem, and exercise in a behavioral weight loss treatment

Improving the treatment of obesity remains a critical challenge. Several health behaviour change models, often based on a social-cognitive framework, have been used to design weight management interventions (Baranowski et al., 2003). However, most interventions have only produced modest weight reductions (Wadden et al., 2002) and socialcognitive variables have shown limited power to predict weight outcomes (Palmeira et al., 2007). Other predictors, and possibl alte nati e e planatory models, are needed to better understand the mechanisms by which weight loss and other obesity treatment-outcomes are brought about (Baranowski, 2006). Self-esteem is one of these possible mechanisms, because is commonly reported to change during the treatment, although these changes are not necessarily associated with weight loss (Blaine et al., 2007; Maciejewski et al., 2005). This possibility should be more evident if the program integrates regular exercise, as it promotes improvements in subjective well-being (Biddle & Mutrie, 2001), with possible influences on long-term behavioral adherence (e.g. diet, exercise). Following the reciprocal effects model tenets (Marsh & Craven, 2006), we expect that the influences between changes in weight, selfesteem and exercise to be reciprocal and might present one of the mechanisms by which obesity treatments can be improved.

A água, o saneamento básico e os residuos sólidos urbanos no desenvolvimento de São Tomé e Príncipe

RESUMO: O trabalho que se apresenta no âmbito desta dissertação, é direcionado para a problemática da Água, do Saneamento Básico e dos Resíduos Sólidos Urbanos «RSU» em São Tomé e Príncipe. Num contexto de desenvolvimento e indo ao encontro dos anseios da Organização das Nações Unidas «ONU» e da sua perspetiva de alcançar os Objetivos do Milénio nesta área tão importante. Elegeu-se como primordial objetivo, conhecer as indicações técnico políticas instituídas em São Tomé e Príncipe, para a gestão dos problemas acima enumerados. Entender esses problemas, identificar as dificuldades sentidas pelo governo e pela generalidade dos seus habitantes no acesso à água, ao saneamento básico, à recolha e tratamento de RSU. Outra vertente será direcionada para apontar caminhos nestas áreas, onde a capacidade institucional tarda em dar resposta às necessidades básicas destes setores, inviabilizando um desenvolvimento sustentado destes ramos. Esta dissertação, assenta ainda no reconhecimento e na importância estratégica em se valorizar e consolidar redes técnico-científicas no âmbito da Linha de Investigação em Estudos Africanos e Pós-Coloniais, inserida na Unidade de Estudos e Investigação em Ciência, Tecnologia e Sociedade «UEICTS» da Universidade Lusófona de Humanidades e Tecnologias «ULHT».ABSTRACT: The work presented in this dissertation, is directed to the problem of Water Sanitation and Solid Waste «RSU» in Sao Tome and Principe. In a context of development, fulfillment of the wishes of the United Nations «UN» and its prospect of achieving the Millennium Goals in this important area. The prime objective, is, to know the indications and technical policies in place in Sao Tome and Principe for the management of the problems listed above. Understanding these problems, identifying the difficulties faced by government and by most of its residents in relation, to access to water, sanitation, collection and treatment of Solid Waste. Another aspect, is directed, to point, to ways, in these subjects where institutional capacity is slow to respond to basic needs of these sectors, preventing a sustained development of these industries. This dissertation focus on the recognition and strategic importance in considering and consolidate technical and scientific networks in the line of Research in African and Lusophone, inserted at the Unit for Studies and Research in Science, Technology and Society «UEICTS» Lusophone University of Humanities and Technology «ULHT».