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Self-Monitoring and Eating-Related Behaviors Are Associated with 12-Month Weight Loss in Postmenopausal Overweight-to-Obese Women

      Abstract

      Lifestyle-based interventions, which typically promote various behavior modification strategies, can serve as a setting for evaluating specific behaviors and strategies thought to promote or hinder weight loss. The aim of our study was to test the associations of self-monitoring (ie, self-weighing and food journal completion) and eating-related (ie, dietary intake, diet-related weight-control strategies, and meal patterns) behaviors with weight loss in a sample of postmenopausal overweight-to-obese women enrolled in a 12-month dietary weight loss intervention. Changes in body weight and adoption of self-monitoring and eating-related behaviors were assessed in 123 participants. Generalized linear models tested associations of these behaviors with 12-month weight change after adjusting for potential confounders. Mean percent weight loss was 10.7%. In the final model, completing more food journals was associated with a greater percent weight loss (interquartile range 3.7% greater weight loss; P<0.0001), whereas skipping meals (4.3% lower weight loss; P<0.05) and eating out for lunch (at least once a week, 2.5% lower weight loss; P<0.01) were associated with a lower amount of weight loss. These findings suggest that a greater focus on dietary self-monitoring, home-prepared meals, and consuming meals at regular intervals may improve 12-month weight loss among postmenopausal women enrolled in a dietary weight loss intervention.

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      Biography

      A. Kong is a postdoctoral research associate, Cancer Education and Career Development Program, Institute for Health Research and Policy, University of Illinois at Chicago

      Biography

      S. A. A. Beresford is a professor of Epidemiology, University of Washington, Seattle, WA

      Biography

      K. E. Foster-Schubert is an assistant professor of Medicine, University of Washington, Seattle, WA

      Biography

      D. B. Johnson is an associate professor of Nutritional Sciences and associate director, Center for Public Health Nutrition, University of Washington, Seattle, WA

      Biography

      C. M. Alfano is program director, Office of Cancer Survivorship, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD

      Biography

      M. L. Neuhouser is a member, Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle, WA

      Biography

      C. Duggan is a senior staff scientist, Fred Hutchinson Cancer Research Center, Seattle, WA

      Biography

      A. McTiernan is director, Prevention Center, and member, Epidemiology Program, Fred Hutchinson Cancer Research Center, Seattle, WA

      Biography

      C.-Y. Wang is a member, Biostatistics and Biomathmatics Program, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA

      Biography

      L. Xiao is a statistical research associate, Fred Hutchinson Cancer Research Center, Seattle, WA

      Biography

      C. E. Bain is a project coordinator II, Fred Hutchinson Cancer Research Center, Seattle, WA

      Biography

      R. W. Jeffery is a professor, Division of Epidemiology and Community Health, University of Minnesota, Minneapolis