Self-monitoring and eating-related behaviors are associated with 12-month weight loss in postmenopausal overweight-to-obese women.
Lifestyle-based interventions, which typically promote various behavior modification strategies, can serve as a setting for evaluating specific behaviors and strategies thought to promote or hinder weight loss. The aim of our study was to test the associations of self-monitoring (ie, self-weighing and food journal completion) and eating-related (ie, dietary intake, diet-related weight-control strategies, and meal patterns) behaviors with weight loss in a sample of postmenopausal overweight-to-obese women enrolled in a 12-month dietary weight loss intervention. Changes in body weight and adoption of self-monitoring and eating-related behaviors were assessed in 123 participants. Generalized linear models tested associations of these behaviors with 12-month weight change after adjusting for potential confounders. Mean percent weight loss was 10.7%. In the final model, completing more food journals was associated with a greater percent weight loss (interquartile range 3.7% greater weight loss; P<0.0001), whereas skipping meals (4.3% lower weight loss; P<0.05) and eating out for lunch (at least once a week, 2.5% lower weight loss; P<0.01) were associated with a lower amount of weight loss. These findings suggest that a greater focus on dietary self-monitoring, home-prepared meals, and consuming meals at regular intervals may improve 12-month weight loss among postmenopausal women enrolled in a dietary weight loss intervention.
Angela
A
Kong
Shirley A A
SAA
Beresford
Catherine M
CM
Alfano
Karen E
KE
Foster-Schubert
Marian L
ML
Neuhouser
Donna B
DB
Johnson
Catherine
C
Duggan
Ching-Yun
CY
Wang
Liren
L
Xiao
Robert W
RW
Jeffery
Carolyn E
CE
Bain
Anne
A
McTiernan
D004038:Diet, Reducing; D015444:Exercise / Q000502:physiology; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D006801:Humans; D008019:Life Style; D016014:Linear Models; D008875:Middle Aged; D009765:Obesity / Q000523:psychology* / Q000628:therapy; D050177:Overweight / Q000523:psychology* / Q000628:therapy; D017698:Postmenopause; D012648:Self Care / Q000379:methods / Q000523:psychology*; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss