Abstract

Evidence has suggested that self-weighing may be beneficial for weight control in adults, but few studies have independently assessed the contribution of this behavior to weight loss. This study experimentally tested daily self-weighing and visual feedback (the Caloric Titration Method (CTM)) as a weight loss and weight loss maintenance intervention over 2 years. 162 overweight individuals were randomized to the CTM intervention or delayed treatment control group. In year 1, weight change was compared between groups, and in year 2, the control group started using the CTM while the intervention group continued using the CTM for maintenance. A significant difference in weight loss over the first year (CTM n = 70; 2.6 ± 5.9 kg versus control n = 65; 0.5 ± 4.4 kg, p = 0.019) was qualified by a group × gender × time interaction (p = 0.002) such that men lost more weight using the CTM. In year 2, the CTM group maintained their weight and the control group lost an amount similar to the intervention group in year 1. Daily self-weighing and visual feedback facilitated a minimal amount of weight loss and maintenance of this loss. Future research investigating characteristics of those who benefit from this type of self-directed intervention is warranted.

Highlights

  • Several studies have included self-weighing as a component of behavioral weight loss interventions [1,2,3,4,5,6,7,8,9,10]

  • There were no significant differences between the control and intervention group at baseline

  • In year 2, participants in the control group were provided with the Caloric Titration Method (CTM) intervention

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Summary

Introduction

Several studies have included self-weighing as a component of behavioral weight loss interventions [1,2,3,4,5,6,7,8,9,10]. More recent evidence has suggested that frequent self-weighing may be beneficial for weight control, including weight loss, prevention of weight gain, and prevention of weight regain after loss ([1, 2, 8, 11,12,13,14,15,16]; reviews: [17, 18]). Because frequent selfweighing is both relatively affordable and not time consuming, it is an important method to test independently to produce sustained weight reduction. It is a feasible technique for individual use to monitor progress, with or without the assistance of a healthcare professional

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