Weighing Every Day Matters: Daily Weighing Improves Weight Loss and Adoption of Weight Control Behaviors

Published:February 12, 2015DOI:https://doi.org/10.1016/j.jand.2014.12.011

      Abstract

      Background

      Daily weighing is emerging as the recommended self-weighing frequency for weight loss. This is likely because it improves adoption of weight control behaviors.

      Objective

      To examine whether weighing every day is associated with greater adoption of weight control behaviors compared with less frequent weighing.

      Design

      Longitudinal analysis of a previously conducted 6-month randomized controlled trial.

      Participants/setting

      Overweight men and women in Chapel Hill, NC, participated in the intervention arm (N=47).

      Intervention

      The intervention focused on daily weighing for weight loss using an e-scale that transmitted weights to a study website, along with weekly e-mailed lessons and tailored feedback on daily weighing adherence and weight loss progress.

      Main outcome measures

      We gathered objective data on self-weighing frequency from the e-scales. At baseline and 6 months, weight change was measured in the clinic and weight control behaviors (total items=37), dietary strategies, and calorie expenditure from physical activity were assessed via questionnaires. Calorie intake was assessed using an online 24-hour recall tool.

      Statistical analyses

      We used χ2 tests to examine variation in discrete weight control behaviors and linear regression models to examine differences in weight, dietary strategies, and calorie intake and expenditure by self-weighing frequency.

      Results

      Fifty-one percent of participants weighed every day (n=24) over 6 months. The average self-weighing frequency among those weighing less than daily (n=23) was 5.4±1.2 days per week. Daily weighers lost significantly more weight compared with those weighing less than daily (mean difference=–6.1 kg; 95% CI –10.2 to –2.1; P=0.004). The total number of weight control behaviors adopted was greater among daily weighers (17.6±7.6 vs 11.2±6.4; P=0.004). There were no differences by self-weighing frequency in dietary strategies, calorie intake, or calorie expenditure.

      Conclusions

      Weighing every day led to greater adoption of weight control behaviors and produced greater weight loss compared with weighing most days of the week. This further implicates daily weighing as an effective weight loss tool.

      Keywords

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      Biography

      D. M. Steinberg is a research scholar, Duke Obesity Prevention Program, Duke Global Health Institute, Duke University, Durham, NC; at the time of the study, she was a doctoral student, Department of Nutrition, University of North Carolina at Chapel Hill.

      Biography

      G. G. Bennett is a professor of psychology, global health, and medicine, Duke Obesity Prevention Program, Duke Global Health Institute, and Department of Psychology and Neuroscience, Duke University, Durham, NC.

      Biography

      S. Askew is a biostatistician, Duke Obesity Prevention Program, Duke Global Health Institute, Duke University, Durham, NC.

      Biography

      D. F. Tate is an associate professor, Departments of Nutrition and Health Behavior, University of North Carolina at Chapel Hill.

      Linked Article

      • Questions Regarding Weighing Every Day
        Journal of the Academy of Nutrition and DieteticsVol. 116Issue 3
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          In the article “Weighing Every Day Matters: Daily Weighing Improves Weight Loss and Adoption of Weight Control Behaviors,”1 the authors conclude that “weighing every day led to greater adoption of weight control behaviors and produced greater weight loss compared with weighing most days of the week.”
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