Adoption of diet-related self-monitoring behaviors varies by race/ethnicity, education, and baseline binge eating score among overweight-to-obese postmenopausal women in a 12-month dietary weight loss intervention

Abstract Background Certain eating behaviors are common among women with obesity. Whether these behaviors influence outcomes in weight loss programs, and whether such programs affect eating behaviors, is unclear. Methods Our aim was to examine the effect of baseline eating behaviors on intervention adherence and weight among postmenopausal women with overweight or obesity, and to assess intervention effects on eating behaviors. Four hundred and 39 women (BMI ≥25 kg/m2) were randomized to 12 months of: i) dietary weight loss with a 10% weight loss goal (‘diet’; n = 118); ii) moderate-to-vigorous intensity aerobic exercise for 225 mins/week (‘exercise’; n = 117); iii) combined dietary weight loss and exercise (‘diet + exercise’; n = 117); or iv) no-lifestyle change control (n = 87). At baseline and 12 months, restrained eating, uncontrolled eating, emotional eating and binge eating were measured by questionnaire; weight and body composition were assessed. The mean change in eating behavior scores and weight between baseline and 12 months in the diet, exercise, and diet + exercise arms were each compared to controls using the generalized estimating equation (GEE) modification of linear regression adjusted for age, baseline BMI, and race/ethnicity. Results Baseline restrained eating was positively associated with change in total calories and calories from fat during the dietary intervention but not with other measures of adherence. Higher baseline restrained eating was associated with greater 12-month reductions in weight, waist circumference, body fat and lean mass. Women randomized to dietary intervention had significant reductions in binge eating (− 23.7%, p = 0.005 vs. control), uncontrolled eating (− 24.3%, p < 0.001 vs. control), and emotional eating (− 31.7%, p < 0.001 vs. control) scores, and a significant increase in restrained eating (+ 60.6%, p < 0.001 vs. control); women randomized to diet + exercise reported less uncontrolled eating (− 26.0%, p < 0.001 vs. control) and emotional eating (− 22.0%, p = 0.004 vs. control), and increased restrained eating (+ 41.4%, p < 0.001 vs. control). Women randomized to exercise alone had no significant change in eating behavior scores compared to controls. Conclusions A dietary weight loss intervention helped women modify eating behaviors. Future research should investigate optimal behavioral weight loss interventions for women with both disordered eating and obesity. Trial registration NCT00470119 (https://clinicaltrials.gov). Retrospectively registered May 7, 2007.

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Long-Term Evaluation of Counselor Efficiency at Providing Feedback in a Technology-Based Behavioral Weight Loss Intervention (Preprint)

10.2196/preprints.23974 ◽

2020 ◽

Cited By ~ 1

Author(s):

Margaret Fahey ◽

Robert C. Klesges ◽

Mehmet Kocak ◽

Leslie Gladney ◽

Gerald W. Talcott ◽

...

Keyword(s):

Weight Loss ◽

Electronic Mail ◽

Detailed Examination ◽

Monitoring Data ◽

Weight Loss Intervention ◽

Behavioral Weight Loss ◽

Self Monitoring ◽

Future Technology ◽

Study Implementation ◽

Weight Loss Interventions

BACKGROUND Feedback for participants’ self-monitoring is a crucial, and costly, component of technology-based weight loss interventions. Detailed examination of interventionist time when reviewing and providing feedback for online self-monitoring data is unknown. OBJECTIVE Study purpose was to longitudinally examine time counselors spent providing feedback on participant self-monitoring data (i.e., diet, physical activity, weight) in a 12-month technology-based weight loss intervention. We hypothesized that counselors would deliver feedback to participants more quickly over time. METHODS Time counselors (N=10) spent reviewing and providing feedback to participants via electronic mail (e-email) was longitudinally examined for all counselors across the three years of study implementation. Descriptives were observed for counselor feedback duration across counselors by 12 annual quarters (i.e., three-month periods). Differences in overall duration times by each consecutive annual quarter were analyzed using Wilcoxon-Mann-Whitney tests. RESULTS There was a decrease in counselor feedback duration from first to second quarter [Mean (M) = 53 to 46 minutes], and from second to third (M= 46 to 30). A trend suggested a decrease from third to fourth quarters (M = 30 to 26), but no changes were found in subsequent quarters. Consistent with hypothesis, counselors increased their efficiency in providing feedback. Across 12-months, mean time counselors needed to review participant self-monitoring and provide feedback decreased from 53 to 26 minutes. CONCLUSIONS Counselors needed increasingly less time to review online self-monitoring data and provide feedback after the initial nine months of study implementation. Results inform counselor costs for future technology-based behavioral weight loss interventions. For example, regardless of increasing counselor efficiency, 25-30 minutes per feedback message is a high cost for interventions. One possibility for reducing costs would be generating computer-automated feedback. CLINICALTRIAL NCT02063178

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The Impact of Self-monitoring of Blood Glucose on a Behavioral Weight Loss Intervention for Patients With Type 2 Diabetes

The Diabetes Educator ◽

10.1177/0145721712449434 ◽

2012 ◽

Vol 39 (3) ◽

pp. 397-405 ◽

Cited By ~ 11

Author(s):

Lisa M. McAndrew ◽

Melissa A. Napolitano ◽

Leonard M. Pogach ◽

Karen S. Quigley ◽

Kerri Leh Shantz ◽

...

Keyword(s):

Type 2 Diabetes ◽

Weight Loss ◽

Blood Glucose ◽

Weight Loss Intervention ◽

Behavioral Weight Loss ◽

Self Monitoring ◽

Behavioral Weight Loss Intervention ◽

The Impact

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Feasibility of using a peer coach to deliver a behavioral intervention for promoting postpartum weight loss in Black and Latina mothers

Translational Behavioral Medicine ◽

10.1093/tbm/ibaa096 ◽

2020 ◽

Author(s):

Sharon J Herring ◽

Veronica M Bersani ◽

Christine Santoro ◽

Saleemah J McNeil ◽

Linda M Kilby ◽

...

Keyword(s):

Weight Loss ◽

Ethnic Minority ◽

Weight Control ◽

Peer Coaching ◽

Minority Women ◽

Weight Loss Intervention ◽

Self Monitoring ◽

Latina Mothers ◽

Ethnic Minority Women ◽

Postpartum Weight

Abstract Peer coaching may provide a culturally relevant and potentially scalable approach for delivering postpartum obesity treatment. We aimed to evaluate the feasibility of peer coaching to promote postpartum weight loss among ethnic minority women with obesity. This pilot study was a prospective, parallel-arm, randomized controlled trial. Twenty-two obese, Black or Latina mothers ≤6 months postpartum were recruited from the Philadelphia Special Supplemental Nutrition Education Program for Women, Infants and Children (WIC) and randomly assigned to either: (a) a peer-led weight loss intervention (n = 11) or (b) usual WIC care (n = 11). The intervention provided skills training and problem solving via six calls and two in-person visits with a Black mother trained in behavioral weight control strategies. Text messaging and Facebook served as platforms for self-monitoring, additional content, and interpersonal support. Both arms completed baseline and 14 week follow-up assessments. All participants were retained in the trial. Intervention engagement was high; the majority (55%) responded to at least 50% of the self-monitoring text prompts, and an average of 3.4 peer calls and 1.7 visits were completed. Mean weight loss among intervention participants was −1.4 ± 4.2 kg compared to a mean weight gain of 3.5 ± 6.0 kg in usual WIC care. Most intervention participants strongly agreed that the skills they learned were extremely useful (90%) and that the coach calls were extremely helpful for weight control (80%). Results suggest the feasibility of incorporating peer coaching into a postpartum weight loss intervention for ethnic minority women with obesity. Future research should examine the sustained impact in a larger trial.

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Binge eating predicts adherence to digital self-monitoring during behavioral weight loss

Eating Behaviors ◽

10.1016/j.eatbeh.2020.101448 ◽

2020 ◽

Vol 39 ◽

pp. 101448

Author(s):

Mary K. Martinelli ◽

Laura D'Adamo ◽

Meghan L. Butryn

Keyword(s):

Weight Loss ◽

Binge Eating ◽

Behavioral Weight Loss ◽

Self Monitoring

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Independent and combined effects of dietary weight loss and exercise on leukocyte telomere length in postmenopausal women

Obesity ◽

10.1002/oby.20509 ◽

2013 ◽

Vol 21 (12) ◽

pp. E549-E554 ◽

Cited By ~ 40

Author(s):

Caitlin Mason ◽

Rosa-Ana Risques ◽

Liren Xiao ◽

Catherine R. Duggan ◽

Ikuyo Imayama ◽

...

Keyword(s):

Weight Loss ◽

Postmenopausal Women ◽

Telomere Length ◽

Combined Effects ◽

Leukocyte Telomere Length ◽

Dietary Weight Loss

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Dietary Weight Loss and Exercise Effects on Insulin Resistance in Postmenopausal Women

American Journal of Preventive Medicine ◽

10.1016/j.amepre.2011.06.042 ◽

2011 ◽

Vol 41 (4) ◽

pp. 366-375 ◽

Cited By ~ 82

Author(s):

Caitlin Mason ◽

Karen E. Foster-Schubert ◽

Ikuyo Imayama ◽

Angela Kong ◽

Liren Xiao ◽

...

Keyword(s):

Insulin Resistance ◽

Weight Loss ◽

Postmenopausal Women ◽

Dietary Weight Loss

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Feasibility of a social media-based weight loss intervention designed for low-SES adults

Translational Behavioral Medicine ◽

10.1093/tbm/ibaa070 ◽

2020 ◽

Author(s):

David N Cavallo ◽

Rogelio Martinez ◽

Monica Webb Hooper ◽

Susan Flocke

Keyword(s):

Social Support ◽

Social Media ◽

Weight Loss ◽

Low Socioeconomic Status ◽

Low Ses ◽

Weight Loss Intervention ◽

Self Monitoring ◽

Intervention Delivery ◽

Group 2 ◽

Pilot Intervention

Abstract Low-socioeconomic status (SES) individuals have higher rates of obesity. Social media platforms are used frequently by low-SES individuals and facilitate important weight loss program components including social support. Very few social media-based weight loss interventions, however, have enrolled or been tailored to low-SES participants. The purpose of this article is to examine the feasibility of a social media-based weight loss intervention among low-SES adults. We conducted a one-group pretest post-test pilot intervention study with two groups (group 1, n = 39, group 2, n = 16) of low-SES overweight/obese adults who were enrolled in a 12-week social media-based weight loss intervention including self-monitoring via Fitbits and participation in a private Facebook group. A moderator provided educational content and encouraged social support via Facebook. Descriptive statistics were used to assess intervention acceptability and engagement. Exploratory analyses were conducted to examine changes in study outcomes and engagement patterns. The study had good retention (86%). Among 55 total participants enrolled, there were 9,175 participant interactions within the Facebook group. Among completers (n = 47), 96% indicated they would recommend the intervention to a friend. Mean weight loss was 1.07 kg (SD = 3.96, p = .0498), and participants reported increases in positive dietary social support (mean = 2.47, SD = 5.09, p = .0007). Engagement in this social media-based pilot intervention was high and exceeded results from previous studies using similar formats. Participants evaluated the intervention favorably. Changes in weight loss and several theoretical mediators were in the desired direction. Overall, our results indicate social media groups as a platform for weight loss intervention delivery among low-SES adults are feasible and should be studied in larger randomized trials.

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