Readiness redefined: a behavioral task during screening predicted 1-year weight loss in the look AHEAD study.

Readiness redefined: a behavioral task during screening predicted 1-year weight loss in the look AHEAD study.
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DOI:
10.1002/oby.20648
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发表时间:
2014-04
期刊:
影响因子:
6.9
通讯作者:
Van Dorsten, Brent
Van Dorsten, Brent
中科院分区:
医学2区
文献类型:
--
作者:
Tsai, Adam G.;Fabricatore, Anthony N.;Wadden, Thomas A.;Higginbotham, Allison J.;Anderson, Andrea;Foreyt, John;Hill, James O.;Jeffery, Robert W.;Gluck, Marci E.;Lipkin, Edward W.;Reeves, Rebecca S.;Van Dorsten, Brent

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Predicting outcome in weight loss trials from baseline characteristics has proved difficult. Readiness to change is typically measured by self-report. We assessed performance of a behavioral task, completion of food records, from the screening period in the Look AHEAD study (n = 549 at 4 clinical centers). Completeness of records was measured by the number of words and Arabic numerals (numbers) recorded per day, the number of eating episodes per day, and days per week where physical activity was noted. The primary outcome was weight loss at one year. In univariable analysis, both the number of words recorded and the number of numbers recorded were associated with greater weight loss. In multivariable analysis, individuals who recorded 20–26, 27–33, and ≥34 words per day lost 9.12%, 11.40%, and 12.08% of initial weight, compared to 8.98% for individuals who recorded less than 20 words per day (p values of 0.87, 0.008, and <0.001, respectively, compared to <20 words per day). Participants who kept more detailed food records at screening lost more weight after 1 year than individuals who kept sparser records. The use of objective behavioral screening tools may improve the assessment of weight loss readiness.
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发表时间: 2012-03-29
期刊: The New England journal of medicine
影响因子: --
作者:
Rejeski WJ;Ip EH;Bertoni AG;Bray GA;Evans G;Gregg EW;Zhang Q;Look AHEAD Research Group
通讯作者: Look AHEAD Research Group