Self-Monitoring and Eating-Related Behaviors Are Associated with 12-Month Weight Loss in Postmenopausal Overweight-to-Obese Women

Angela Kong, Shirley A.A. Beresford, Catherine M. Alfano, Karen E. Foster-Schubert, Marian L. Neuhouser, Donna B. Johnson, Catherine Duggan, Ching Yun Wang, Liren Xiao, Robert W. Jeffery, Carolyn E. Bain, Anne McTiernan

Research output: Contribution to journalArticle

31 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1428-1435
Number of pages8
JournalJournal of the Academy of Nutrition and Dietetics
Volume112
Issue number9
DOIs
StatePublished - Sep 1 2012

Keywords

  • Behavioral strategies
  • Eating behaviors
  • Weight loss
  • Women

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    Kong, A., Beresford, S. A. A., Alfano, C. M., Foster-Schubert, K. E., Neuhouser, M. L., Johnson, D. B., Duggan, C., Wang, C. Y., Xiao, L., Jeffery, R. W., Bain, C. E., & McTiernan, A. (2012). Self-Monitoring and Eating-Related Behaviors Are Associated with 12-Month Weight Loss in Postmenopausal Overweight-to-Obese Women. Journal of the Academy of Nutrition and Dietetics, 112(9), 1428-1435. https://doi.org/10.1016/j.jand.2012.05.014