Self-monitoring of spontaneous physical activity and sedentary behavior to prevent weight regain in older adults

Barbara J Nicklas, Jill E Gaukstern, Kristen M Beavers, Jill C Newman, Xiaoyan Leng, W Jack Rejeski, Barbara J Nicklas, Jill E Gaukstern, Kristen M Beavers, Jill C Newman, Xiaoyan Leng, W Jack Rejeski

Abstract

Objective: The objective was to determine whether adding a self-regulatory intervention (SRI) focused on self-monitoring of spontaneous physical activity (SPA) and sedentary behavior to a standard weight loss intervention improved maintenance of lost weight.

Methods: Older (65-79 years), obese (BMI = 30-40 kg/m(2) ) adults (n = 48) were randomized to a 5-month weight loss intervention involving a hypocaloric diet (DIET) and aerobic exercise (EX) with or without the SRI to promote SPA and decrease sedentary behavior (SRI + DIET + EX compared with DIET + EX). Following the weight loss phase, both groups transitioned to self-selected diet and exercise behavior during a 5-month follow-up. Throughout the 10-months, the SRI + DIET + EX group utilized real-time accelerometer feedback for self-monitoring.

Results: There was an overall group by time effect of the SRI (P < 0.01); DIET + EX lost less weight and regained more weight than SRI + DIET + EX. The average weight regain during follow-up was 1.3 kg less in the SRI + DIET + EX group. Individuals in this group maintained approximately 10% lower weight than baseline compared with those in the DIET + EX group whom maintained approximately 5% lower weight than baseline.

Conclusions: Addition of a SRI, designed to increase SPA and decrease sedentary behavior, to a standard weight loss intervention enhanced successful maintenance of lost weight.

Keywords: Obesity; older adult; physical activity; sedentary behavior; self-monitoring; weight loss maintenance.

Copyright © 2014 The Obesity Society.

Figures

Figure 1
Figure 1
Body weight at each time point by treatment group, adjusted for time, treatment, time × treatment interaction and baseline weight; there is an overall group by time effect (P=0.005) of the SRI intervention.

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