Dietary self‐monitoring and long‐term success with weight management. (13th June 2014)

• Record Type: Journal Article
• Authors: Peterson, Ninoska D.; Middleton, Kathryn R.; Nackers, Lisa M.; Medina, Kristen E.; Milsom, Vanessa A.; Perri, Michael G.
• Is Part Of: Obesity. Volume 22:Number 9(2014:Sep.)
• Page Start: 1962
• Page End: 1967
• Publication Date: 2014-06-13
• Subjects: Obesity -- Periodicals; 616.398005
• DOI: 10.1002/oby.20807
• Languages: English
• ISSNs: 1930-7381

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="oby20807-sec-0001" sec-type="section"> <title>Objective</title> <p>To examine the contributions of frequency, consistency, and comprehensiveness of dietary self‐monitoring to long‐term weight change.</p> </sec> <sec id="oby20807-sec-0002" sec-type="section"> <title>Methods</title> <p>Participants included 220 obese women (mean ± SD, age = 59.3 ± 6.1 years; BMI = 36.8 ± 4.9 kg/m<sup>2</sup>) who achieved a mean weight loss of −10.39 ± 5.28% from baseline during 6 months of behavioral treatment and regained 2.30 ± 7.28% during a 12‐month extended‐care period. The contributions of cumulative <italic>frequency</italic> of self‐monitoring (total number of food records), <italic>consistency</italic> across time (number of weeks with ≥3 records), and <italic>comprehensiveness</italic> of information recorded were examined as predictors of weight regain in a hierarchical linear regression analysis. The mediating role of adherence to daily caloric intake goals was tested using a bootstrapping analysis.</p> </sec> <sec id="oby20807-sec-0003" sec-type="section"> <title>Results</title> <p>The association between high total frequency of self‐monitoring and reduced weight regain was moderated by weekly consistency of self‐monitoring, <italic>P</italic> = 0.004; increased frequency produced beneficial effects on weight change only when coupled with high consistency (<underline>></underline>3 days/week). There was no impact of comprehensiveness on weight change, <italic>P</italic> > 0.05. The favorable effect of high frequency/high consistency self‐monitoring on weight change was partially mediated by participants' success in meeting daily caloric intake goals (<italic>P</italic> < 0.001).</p> </sec> <sec id="oby20807-sec-0004" sec-type="section"> <title>Conclusion</title> <p>The combination of high frequency <italic>plus</italic> high consistency of dietary self‐monitoring improves long‐term success in weight management.</p> </sec> </abstract>