Krukowski Rebecca A, Harvey Jean, Borden Janna, Stansbury Melissa L, West Delia Smith
Department of Public Health Sciences University of Virginia Charlottesville Virginia USA.
Nutrition and Food Sciences University of Vermont Burlington Virginia USA.
Obes Sci Pract. 2022 Jan 12;8(4):401-410. doi: 10.1002/osp4.586. eCollection 2022 Aug.
Dietary self-monitoring is consistently related to both short- and long-term weight loss, but typically declines over time. Adopting an abbreviated approach to self-monitoring might reduce burden and potentially increase engagement while maintaining efficacy.
Using a Delphi-type study, experts were queried about abbreviated self-monitoring approaches that might best balance efficacy and burden and asked to identify when these approaches might best be implemented within a behavioral weight loss program. Experts were surveyed three times until consensus was reached.
Experts identified three main categories of promising strategies for abbreviated self-monitoring regardless of whether individuals have been successful with weight loss or full dietary self-monitoring: (1) self-weighing only, (2) reducing the foods/beverages self-monitored to those that are often less routine and higher in caloric density, and (3) reducing the number of days per week to engage in full dietary self-monitoring. Experts recommended transitioning to abbreviated self-monitoring after 2 weeks of no self-monitoring among individuals who were struggling and after reaching 5%-10% weight loss among successful individuals.
These expert opinions offer a foundation to experimentally manipulate promising strategies for reducing burden and increasing long-term engagement in self-monitoring, with a goal of enhancing long-term weight control.
饮食自我监测与短期和长期体重减轻均持续相关，但通常会随着时间推移而减少。采用简化的自我监测方法可能会减轻负担，并有可能在保持效果的同时提高参与度。
通过德尔菲法研究，向专家询问可能最能平衡效果和负担的简化自我监测方法，并要求确定这些方法在行为减肥计划中何时最适合实施。对专家进行了三次调查，直至达成共识。
专家们确定了三类主要的有前景的简化自我监测策略，无论个体在减肥或完全饮食自我监测方面是否成功：（1）仅自我称重，（2）将自我监测的食物/饮料减少到那些通常不太规律且热量密度较高的食物，（3）减少每周进行完全饮食自我监测的天数。专家建议，对于减肥困难的个体，在停止自我监测2周后，以及对于减肥成功的个体，在体重减轻5%-10%后，过渡到简化自我监测。
这些专家意见为实验性地操控有前景的策略以减轻负担并提高自我监测的长期参与度提供了基础，目标是加强长期体重控制。
