Effects of Self-Weighing During Weight Loss Treatment: A 6-Month Randomized Controlled Trial

Alberto Hernández-Reyes, Fernando Cámara-Martos, Ángela Vidal, Rafael Molina-Luque, Rafael Moreno-Rojas, Alberto Hernández-Reyes, Fernando Cámara-Martos, Ángela Vidal, Rafael Molina-Luque, Rafael Moreno-Rojas

Abstract

Objective: To examine the effectiveness of self-weighing for weight loss in men for 6 months.

Methods: In the present study, 54 men, mean age of 40.1 ± 11.1 years, with overweight or obesity, were recruited and randomly assigned into two groups: control group (CG), without weight self-monitoring and intervention group (IG), with weight self-monitoring. Both groups received the same nutritional and educational advice and the establishment of a weight target to reach in the weight loss program. Subjects of IG also had individualized motivating content to improve self-management for 24 weeks. Anthropometric indices were measured at baseline and weekly for 24 weeks.

Results: When the group assigned after randomization was introduced in the analysis, its influence was significant in weight loss (F1.52 = 19.465, ± 2 = 0.272, p < 0.001) and in the decrease in body fat percentage (F1.52 = 8,306, ± 2 = 0.132, p < 0.01).

Conclusion: Study results indicate that self-weighing can help patients to lose additional weight. Our findings have implications in the emerging area of the behavioral approach of patients undergoing weight-loss treatment, as well as clinical care processes.

Clinical trial registration: www.ClinicalTrials.gov, identifier NCT04032249.

Keywords: goals; obesity; overweight; self-weighing; weight-loss.

Copyright © 2020 Hernández-Reyes, Cámara-Martos, Vidal, Molina-Luque and Moreno-Rojas.

Figures

FIGURE 1
FIGURE 1
Consort diagram.
FIGURE 2
FIGURE 2
Evolution of weight (A), body fat (B), and visceral fat (C) according to the assigned group.

References

    1. Batra P., Das S. K., Salinardi T., Robinson L., Saltzman E., Scott T., et al. (2013). Eating behaviors as predictors of weight loss in a 6 month weight loss intervention. Obesity 21 2256–2263. 10.1002/oby.20404
    1. Berk K. A., Buijks H. I. M., Verhoeven A. J. M., Mulder M. T., Özcan B., van ’t Spijker A., et al. (2018). Group cognitive behavioural therapy and weight regain after diet in type 2 diabetes: results from the randomised controlled power trial. Diabetologia 61 790–799. 10.1007/s00125-017-4531-9
    1. Bilancio G., Cavallo P., Ciacci C., Cirillo M. (2019). Dietary protein, kidney function and mortality: review of the evidence from epidemiological studies. Nutrients 11:196. 10.3390/nu11010196
    1. Brooks C., Siegler J. C., Marshall P. W. M. (2016). Relative abdominal adiposity is associated with chronic low back pain: a preliminary explorative study. BMC Public Health 16:700. 10.1186/s12889-016-3357-6
    1. Burke L. E., Wang J., Sevick M. A. (2011). Self-monitoring in weight loss: a systematic review of the literature. J. Am. Diet. Assoc. 111 92–102. 10.1016/j.jada.2010.10.008
    1. Byrne N. M., Meerkin J. D., Laukkanen R., Ross R., Fogelholm M., Hills A. P., et al. (2006). Weight loss strategies for obese adults: personalized weight management program vs. standard care. Obesity 14 1777–1788. 10.1038/oby.2006.205
    1. Callaway C. W., Chumlea W. C., Bouchard C., et al. (1991). “Circumferences,” in Anthropometric Standardization Reference Manual, eds Lohman T. G., Roche A. F., Martorell R. (Campaign: Human Kinetics Books; ), 44–45.
    1. Campbell F., Holmes M., Everson-Hock E., Davis S., Buckley Woods H., Anokye N., et al. (2015). A systematic review and economic evaluation of exercise referral schemes in primary care: a short report. Health Technol. Assess. 19 1–10. 10.3310/hta19600
    1. Chambers J. A., Swanson V. (2012). Stories of weight management: factors associated with successful and unsuccessful weight maintenance. Br. J. Health Psychol. 17 223–243. 10.1111/j.2044-8287.2011.02030.x
    1. Claire D. M., Daley A. J., Lewis A. L., Aveyard P., Jolly K. (2015). Is self-weighing an effective tool for weight loss: a systematic literature review and meta-analysis. Int. J. Behav. Med. 12:104. 10.1186/s12966-015-0267-4
    1. Conroy M. B., Yang K., Elci O. U., Gabriel K. P., Styn M. A., Wang J., et al. (2011). Physical activity self-monitoring and weight loss: 6-month results of the SMART trial. Med. Sci. Sports Exerc. 43 1568–1574. 10.1249/MSS.0b013e31820b9395
    1. Curioni C. C., Lourenço P. M. (2005). Long-term weight loss after diet and exercise: a systematic review. Int. J. Obes. 29 1168–1174. 10.1038/sj.ijo.0803015
    1. De Lucia R. E., Ong K. K., Sleigh A., Dunger D. B., Norris S. A. (2015). Abdominal fat depots associated with insulin resistance and metabolic syndrome risk factors in black African young adults. BMC Public Health 15:1013. 10.1186/s12889-015-2147-x
    1. Dietowin S. L. (1991–2015). Dietowin® 8. 0. © (1991). España: Barcelona.
    1. Dombrowski S. U., Knittle K., Avenell A., Araújo-Soares V., Sniehotta F. F. (2014). Long term maintenance of weight loss with non-surgical interventions in obese adults: systematic review and meta-analyses of randomised controlled trials. Br. Med. J. 348:g2646. 10.1136/bmj.g2646
    1. Dominika K., Dombrowski S. U., Martin W., Falko F. S. (2017). N-of-1 study of weight loss maintenance assessing predictors of physical activity, adherence to weight loss plan and weight change. Psychol. Health 32 686–708. 10.1080/08870446.2017.1293057
    1. Dominika K., Dombrowski S. U., White M., Sniehotta F. F. (2019). ‘It’s not a diet, it’s a lifestyle’: a longitudinal, data-prompted interview study of weight loss maintenance. Psychol. Health 34 963–982. 10.1080/08870446.2019.1579913
    1. Elfhag K., Rössner S. (2005). Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain. Obes. Rev. 6 67–85. 10.1111/j.1467-789X.2005.00170.x
    1. Gavin K. L., Linde J. A., Pacanowski C. R., French S. A., Jeffery R. W., Ho Y.-Y. (2015). Weighing frequency among working adults: cross-sectional analysis of two community samples. Prev. Med. Rep. 2 44–46. 10.1016/j.pmedr.2014.12.005
    1. Godino J. G., Golaszewski N. M., Norman G. J., Rock C. L., Griswold W. G., Arredondo E., et al. (2019). Text messaging and brief phone calls for weight loss in overweight and obese English- and Spanish-speaking adults: a 1-year, parallel-group, randomized controlled trial. PLoS Med. 16:e1002917. 10.1371/journal.pmed.1002917
    1. Hall P. A., Fong G. T. (2007). Temporal self-regulation theory: a model for individual health behavior. Health Psychol. Rev. 1 6–52. 10.1080/17437190701492437
    1. Harkin B., Webb T. L., Chang B. P. I., Prestwich A., Conner M., Kellar I., et al. (2016). Does monitoring goal progress promote goal attainment? A metaanalysis of the experimental evidence. Psychol. Bull. 142 198–229. 10.1037/bul0000025
    1. Harris J. A., Benedict F. G. (1919). A Biometric Study of the Basal Metabolism in Man. (Washington, DC: Carnegie Institution of Washington publication; ).
    1. Heather M., Ntoumanis N., Smith B. (2013). Weight maintenance: self-regulatory factors underpinning success and failure. Psychol. Health 28 1207–1223. 10.1080/08870446.2013.799162
    1. Hernández-Reyes A., Cámara-Martos F., Molina-Recio G., Molina-Luque R., Romero-Saldana M., Moreno-Rojas R. (2020). Push notifications from a mobile app to improve the body composition of overweight or obese women: randomized controlled trial. JMIR Mhealth Uhealth. 2019, 8:e13747. 10.2196/13747
    1. Hernández-Reyes A., Cámara-Martos F., Molina-Luque R., Romero-Saldaña M., Molina-Recio G., Moreno-Rojas R. (2019). Changes in body composition with a hypocaloric diet combined with sedentary, moderate and high-intense physical activity: a randomized controlled trial. BMC Women’s Health 19:167. 10.1186/s12905-019-0864-5
    1. Hooper L. (2007). Primary prevention of CVD: diet and weight loss. BMJ Clin. Evid. 2007:219.
    1. Leung A., Chan R., Sea M., Woo J. (2019). Identifying psychological predictors of adherence to a community-based lifestyle modification program for weight loss among Chinese overweight and obese adults. Nutr. Res. Pract. 13 415–424. 10.4162/nrp.2019.13.5.415
    1. National Institute for Health and Clinical Excellence (2006). Obesity: Guidance on the Prevention, Identification, Assessment and Management of Overweight and Obesity in Adults and Children. NICE (clinical guideline 43). London: National Institute for Health, and Clinical Excellence.
    1. Neumark-Sztainer D., Sherwood N. E., French S. A., Jeffery R. W. (1999). Weight control behaviors among adult men and women: cause for concern? Obes. Res. 7 179–188. 10.1002/j.1550-8528.1999.tb00700.x
    1. Nutrición Sur (2017). Version (1.3). Avaliable online at: .
    1. Pacanowski C. R., Crosby R. D., Grilo C. M. (2019). Self-weighing behavior in individuals with binge-eating disorder. Eat. Disord. 1 1–8. 10.1080/10640266.2019.1656467
    1. Pacanowski C. R., Linde J. A., Neumark-Sztainer D. (2015). Self-weighing: helpful or harmful for psychological well-being? A review of the literature. Cur. Obes. Rep. 4 65–72. 10.1007/s13679-015-0142-2
    1. Phillips S. M. (2014). A brief review of higher dietary protein diets in weight loss: a focus on athletes. Sports Med. 44(Suppl. 2), S149–S153. 10.1007/s40279-014-0254-y
    1. Schubert M. M., Seay R. F., Spain K. K., Clarke H. E., Taylor J. (2019). Reliability and validity of various laboratory methods of body composition assessment in young adults. Clin. Physiol. Funct. 39 150–159. 10.1111/cpf.12550
    1. Shieh C., Knisely M. R., Clark D., Carpenter J. S. (2016). Self-weighing in weight management interventions: a systematic review of literature. Obes. Res. Clin. Pract. 10 493–519. 10.1016/j.orcp.2016.01.004
    1. Steinberg D. M., Tate D. F., Bennett G. G., Ennett S., Hodge C. S., Ward D. S., et al. (2013). The efficacy of a daily self-weighing weight loss intervention using smart scales and email. Obes 21 1789–1797. 10.1002/oby.20396
    1. Steinberg D. M., Tate D. F., Bennett G. G., Ennett S., Samuel-Hodge C., Ward D. S. (2014). Daily self-weighing and adverse psychological outcomes: a randomized controlled trial. Am. J. Prev. Med. 4 24–29. 10.1016/j.amepre.2013.08.006
    1. Turner-McGrievy G. M., Dunn C. G., Wilcox S., Boutté A. K., Hutto B., Hoover A., et al. (2019). Defining adherence to mobile dietary self-monitoring and assessing tracking over time: tracking at least two eating occasions per day is best marker of adherence within two different mobile health randomized weight loss interventions. J. Acad. Nutr. Diet. 119 1516–1524. 10.1016/j.jand.2019.03.012
    1. U. S. Department of Health and Human Services, and U. S. Department of Agriculture (2015). 2015 – 2020 Dietary Guidelines for Americans, 8th Edn Available online at: (accessed November 29, 2019).
    1. Udo T., Grilo C. M. (2018). Prevalence and correlates of DSM-5–defined eating disorders in a nationally representative sample of US adults. Biol. Psychiatry 84 345–354. 10.1016/j.biopsych.2018.03.014
    1. Van Dorsten B., Lindley E. M. (2015). Cognitive and behavioral approaches in the treatment of obesity. Med. Clin. North Am. 95 971–988. 10.1016/j.mcna.2011.06.008
    1. Van Hoye K., Boen F., Lefevre J. (2015). The impact of different degrees of feedback on physical activity levels: a 4-week intervention study. Int. J. Environ. Res. Public Health 12 6561–6581. 10.3390/ijerph120606561
    1. Van Wormer J. J., French S. A., Pereira M. A., Welsh E. M. (2008). The impact of regular selfweighing on weight management: a systematic literature review. Intern. J. Behav. Nutri. Phys. Act 5 54. 10.1186/1479-5868-5-54
    1. Van Wormer J. J., Linde J. A., Harnack L. J., Stovitz S. D., Jeffery R. W. (2012). Selfweighing frequency is associated with weight gain prevention over two years among working adults. Int. J. Behav. Med. 19 351–358. 10.1007/s12529-011-9178-1
    1. Wang J., Sereika S. M., Chasens E. R., Ewing L. J., Matthews J. T., Burke L. E., et al. (2012). Effect of adherence to self-monitoring of diet and physical activity on weight loss in a technology-supported behavioral intervention. Patient Prefer. Adherence 6 221–226. 10.2147/ppa.s28889
    1. Welsh E. M., Sherwood N. E., VanWormer J. J., Hotop A. M., Jeffery R. W. (2009). Is frequent self-weighing associated with poorer body satisfaction? Findings from phone-based weight loss trial. J. Nutr. Educ. Behav. 41 425–428. 10.1016/j.jneb.2009.04.006
    1. Wilding J. (2018). Medication use for the treatment of diabetes in obese individuals. Diabetologia 61 265–272. 10.1007/s00125-017-4288-1
    1. Willett W. C., Skerrett P. J. (2001). Eat, Drink, and be Healthy: The Harvard Medical School Guide to Healthy Eating. New York, NY: Simon & Schuster.
    1. Yao A. (2012). Screening for and management of obesity in adults: u.s. Preventive services task force recommendation statement: a policy review. Ann. Med. Surg. 2 18–21. 10.1016/S2049-0801(13)70022-0
    1. Zheng Y., Klem M. L., Sereika S. M., Danford C. A., Ewing L. J., Burke L. E. (2015). Self-weighing in weight management: a systematic literature review. Obesity 23 256–265. 10.1002/oby.20946

Source: PubMed

Sponsors et collaborateurs

Les conditions médicales

Interventions en matière de drogue

3
S'abonner