Expert Opinions on Reducing Dietary Self‐Monitoring Burden and Maintaining Efficacy in Weight Loss Programs: A Delphi Study

Abstract Objectives We compared self-monitoring adherence in participants randomized to two weight loss programs: a STANDARDIZED, one-size-fits-all, low-fat diet, or a diet PERSONALIZED to minimize the postprandial glycemic response. Methods Participants were adults with pre-diabetes or type 2 diabetes, and a BMI >27 k/m2. Both groups were instructed to restrict total calories, monitor dietary intake with the Personal Nutrition Program (PNP) smartphone app, and attend videoconference behavioral counseling sessions on the same intervention schedule. STANDARDIZED (n = 12) received app feedback about intake of total calories and dietary fat. PERSONALIZED (n = 20) received app feedback about intake of total calories plus a meal-specific predicted glycemic score. Total meal entries were measured at 1, 2 and 3 months. Self-monitoring adherence was defined as logging >50% of expected meals each month into the PNP app, assuming 3 meals/day. Session attendance was also measured. Repeated measures binomial logistic regression analysis was used to assess change in adherence due to treatment group, time (i.e., months), and the interaction between treatment and time, adjusting for age, gender and BMI. Results Proportion adherent was 75.0%, 41.7% and 8.3% in the STANDARDIZED group and 85.0%, 80.0% and 75.0% in the PERSONALIZED group during months 1, 2 and 3, respectively. The repeated measures model demonstrated a significant effect of month (P < 0.001) and a treatment*month interaction (P = 0.011). After adjusting for covariates, these effects remained significant, showing a significant reduction in odds of adherence by month (OR [95%CI]: 0.13 [0.05, 0.37]; P < 0.001). Moreover, compared to the STANDARDIZED, PERSONALIZED participants had greater odds of adherence over time (OR [95%CI]: 5.12 [1.49, 17.6]; P = 0.009). Higher BMI was significantly associated with lower adherence (OR [95%CI]: 0.92 [0.87, 0.98]; P = 0.006). The proportion of attendance at videoconference sessions was similar between groups (STANDARDIZED: 77.1%; PERSONALIZED: 77.5%). Conclusions Two weight loss programs having similar calorie targets, behavioral approach, and contact schedule resulted in similar session attendance. However, adherence to self-monitoring was better when feedback was personalized. Funding Sources American Heart Association.

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Adapting evidence-based behavioral weight loss programs for emerging adults: A pilot randomized controlled trial

Journal of Health Psychology ◽

10.1177/1359105316688951 ◽

2017 ◽

Vol 24 (7) ◽

pp. 870-887 ◽

Cited By ~ 9

Author(s):

Jessica Gokee LaRose ◽

Deborah F Tate ◽

Autumn Lanoye ◽

Joseph L Fava ◽

Elissa Jelalian ◽

...

Keyword(s):

Weight Loss ◽

Emerging Adults ◽

Controlled Trial ◽

Behavioral Weight Loss ◽

Self Monitoring ◽

Web Based ◽

Face To Face ◽

Weight Losses ◽

Weight Loss Programs ◽

Intent To Treat

Emerging adults are at high risk of obesity but behavioral weight loss programs do not meet their needs. Emerging adults ( N = 52, age = 22.3 ± 2 years, body mass index = 34.2 ± 5.5 kg/m2, 46.2% non-Hispanic White) were randomly assigned to one of three behavioral weight loss programs adapted based on formative work: face-to-face behavioral weight loss, web-based behavioral weight loss, or web plus optional community sessions (Hybrid). Assessments occurred at 0 and 3 months. Engagement and self-monitoring were highest in Hybrid. Intent-to-treat weight losses were −2.8 ± 2.9 percent in face-to-face behavioral weight loss, −2.2 ± 4.5 percent in web-based behavioral weight loss, and 4.8 ± 4.9 percent in Hybrid. Percent achieving ⩾5 percent weight loss was highest in Hybrid (63%). Findings suggest potential for adapted behavioral weight loss to promote engagement and weight loss in emerging adults.

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Responses to Two Weight-loss Programs Based on Approximating the Diet to the Ideal: Differences Associated with Increased Cereal or Vegetable Consumption

International Journal for Vitamin and Nutrition Research ◽

10.1024/0300-9831.76.6.367 ◽

2006 ◽

Vol 76 (6) ◽

pp. 367-376 ◽

Cited By ~ 9

Author(s):

Ortega ◽

Rodríguez-Rodríguez ◽

Aparicio ◽

Marín-Arias ◽

López-Sobaler

Keyword(s):

Weight Loss ◽

Weight Control ◽

Dietary Intervention ◽

Vegetable Consumption ◽

Healthy Eating Index ◽

Anthropometric Data ◽

Control Programs ◽

Weight Loss Programs ◽

Spanish Women ◽

The Ideal

The fight against excess weight and obesity is a health priority. The aim of this study was to analyze the anthropometric changes induced by two weight control programs based on approximating the diet to the theoretical ideal (increasing the consumption of foods with the largest differences between the recommended and observed intakes: cereals and vegetables – for which a minimum of 6 and 3 servings/day are recommended, respectively). The study subjects were 57 Spanish women with a body-mass index (BMI) of 24–35 kg/m², all of whom were randomly assigned to one of two slightly hypocaloric diets for a six-week period: diet V, in which the consumption of greens and vegetables was increased, or diet C, in which the consumption of cereals was increased. Dietetic and anthropometric data were collected at the start of the study and again at two and six weeks. The dietary intervention approximated the subjects’ energy provision from proteins, fats, and carbohydrates to those recommended. The Healthy Eating Index (HEI) improved with both diets. Reductions in body weight, BMI, and the amount of body fat (kg) were also achieved with both diets. Weight loss was 1.56 ± 0.93 kg and 1.02 ± 0.55 kg at two weeks with diet C and V respectively, and 2.8 ± 1.4 kg and 2.0 ± 1.3 kg at six weeks (p < 0.05). Approximating the diet to the theoretical ideal by increasing the consumption of vegetables or cereals may therefore be of use in weight control. In terms of weight loss and the improvement of the diet quality (energy profile and HEI), diet C was significantly more effective than diet V.

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Weight Loss Programs Fail in Obese Patients with Blount's Disease and Slipped Capital Femoral Epiphysis

10.1542/peds.140.1_meetingabstract.117 ◽

2017 ◽

Author(s):

Gregory Pace ◽

William Hennrikus

Keyword(s):

Weight Loss ◽

Slipped Capital Femoral Epiphysis ◽

Obese Patients ◽

Blount’S Disease ◽

Weight Loss Programs

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Enrolling Caregivers in Obesity Interventions to Improve Obesity-Related Outcomes in Children

Western Journal of Nursing Research ◽

10.1177/01939459211037057 ◽

2021 ◽

pp. 019394592110370

Author(s):

Hannah Bessette ◽

MinKyoung Song ◽

Karen S. Lyons ◽

Sydnee Stoyles ◽

Christopher S. Lee ◽

...

Keyword(s):

Physical Activity ◽

Body Mass Index ◽

Weight Loss ◽

Linear Regression ◽

Body Mass ◽

Sedentary Time ◽

Vigorous Physical Activity ◽

Weight Loss Program ◽

Weight Loss Programs ◽

Obesity Interventions

In this study, we assessed the influences of change in moderate-to-vigorous physical activity (MVPA)/sedentary time (ST) of caregivers participating in a commercial weight-loss program on their children’s change in MVPA/ST. Data from 29 caregivers and their children were collected over 8 weeks. We used multivariable linear regression to assess associations of changes in caregiver’s percent of time spent in MVPA/ST and changes in their child’s percent of time spent in MVPA/ST. For caregivers that decreased body mass index (BMI) over 8 weeks, changes in caregivers’ MVPA was strongly associated with the change in children’s MVPA (β = 2.61 [95% CI: 0.45, 4.77]) compared to caregivers who maintained/increased BMI (β = 0.24 [–2.16, 2.64]). Changes in caregivers’ ST was strongly associated with changes in children’s ST (β = 2.42 [1.02, 3.81]) compared to caregivers who maintained/increased BMI (β = 0.35 [–0.45, 1.14]). Findings reinforce encouraging caregivers to enroll in weight-loss programs for the benefit of their children as well as for themselves.

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