Tanenbaum Molly L, Ross Kathryn M, Wing Rena R
Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, The Miriam Hospital/Weight Control and Diabetes Research Center, Providence, Rhode Island, USA.
Obesity (Silver Spring). 2016 Nov;24(11):2341-2343. doi: 10.1002/oby.21650. Epub 2016 Sep 13.
Daily self-weighing is an effective weight loss strategy. Little is known about "micro" factors influencing nonadherence to self-weighing (e.g., daily overeating). It was hypothesized that increased caloric intake on a given day would increase odds of not self-weighing the following day.
Daily self-reports of weight and caloric intake were collected from 74 adults with overweight and obesity (mean BMI = 31.2 ± 4.5 kg/m , age = 50.6 ± 10 years, 69% female, 87% Caucasian) throughout a 12-week Internet-based weight management intervention. Multilevel logistic regression investigated odds of nonadherence to self-weighing on a given day based on the previous day's caloric intake.
Self-monitoring adherence was high (weights: 87%; calories: 85%); adherence was associated with greater 12-week weight loss (weighing: r = -0.24, P = 0.04; calories: r = -0.26, P = 0.04). Increased caloric intake on a given day, relative to the individual's average intake, was associated with increased odds of nonadherence to self-weighing the next day (F = 12.66, P = 0.0004, β = 0.001). For example, following a day of eating 300 calories more than usual, odds of not self-weighing increased by 1.33.
Odds of nonadherence to self-weighing increased following a day with higher-than-usual caloric intake. Weight management interventions collecting daily self-monitoring data could provide support to participants who report increased caloric intake to prevent self-weighing nonadherence.
每日自行称重是一种有效的减肥策略。对于影响不坚持自行称重的“微观”因素(如每日暴饮暴食),人们了解甚少。据推测,某一天热量摄入增加会增加次日不自行称重的几率。
在一项为期12周的基于互联网的体重管理干预中,收集了74名超重和肥胖成年人(平均体重指数=31.2±4.5kg/m²,年龄=50.6±10岁,69%为女性,87%为白种人)的每日体重和热量摄入自我报告。多水平逻辑回归分析根据前一天的热量摄入情况,研究某一天不坚持自行称重的几率。
自我监测的依从性较高(体重:87%;热量:85%);依从性与12周内更大程度的体重减轻相关(称重:r=-0.24,P=0.04;热量:r=-0.26,P=0.04)。与个体平均摄入量相比,某一天热量摄入增加与次日不坚持自行称重的几率增加相关(F=12.66,P=0.0004,β=0.001)。例如,在比平常多摄入300卡路里的一天之后,不自行称重的几率增加了1.33。
在热量摄入高于平常的一天之后,不坚持自行称重的几率增加。收集每日自我监测数据的体重管理干预措施可为报告热量摄入增加的参与者提供支持,以防止不坚持自行称重的情况发生。