Dietary self-monitoring and long-term success with weight management.

Dietary self-monitoring and long-term success with weight management.
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DOI:
10.1002/oby.20807
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发表时间:
2014-09
期刊:
影响因子:
6.9
通讯作者:
Perri, Michael G.
Perri, Michael G.
中科院分区:
医学2区
文献类型:
--
作者:
Peterson, Ninoska D.;Middleton, Kathryn R.;Nackers, Lisa M.;Medina, Kristen E.;Milsom, Vanessa A.;Perri, Michael G.

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研究饮食自我监测的频率、一致性和全面性对长期体重变化的贡献。参与者包括 220 名肥胖女性(平均值±标准差,年龄=59.3±6.1 岁;BMI=36.8±4.9 kg/m2),在 6 个月的行为治疗期间,她们的平均体重较基线下降了 -10.39±5.28%,并在 12 个月的长期护理期间恢复了 2.30±7.28%。在分层线性回归分析中,检查了自我监测的累积频率(食物记录总数)、跨时间一致性(≥3 条记录的周数)和记录信息的全面性的贡献,作为体重恢复的预测因素。使用自举分析测试了坚持每日热量摄入目标的中介作用。自我监测的高总频率与体重反弹减少之间的关联通过每周自我监测的一致性来调节,p=0.004;仅当与高一致性(> 3 天/周)相结合时,增加频率才会对体重变化产生有益影响。综合性对体重变化没有影响,p>.05。高频/高一致性自我监测对体重变化的有利影响部分是由参与者成功实现每日热量摄入目标所介导的(p < .001)。高频度与高度一致性的饮食自我监测相结合,可以提高体重管理的长期成功率。
To examine the contributions of frequency, consistency, and comprehensiveness of dietary self-monitoring to long-term weight change. Participants included 220 obese women (mean±SD, age=59.3±6.1 years; BMI=36.8±4.9 kg/m2) who achieved a mean loss of -10.39±5.28% from baseline during 6 months of behavioral treatment and regained 2.30±7.28% during a 12-month extended-care period. The contributions of cumulative frequency (total number of food records) of self-monitoring, consistency across time (number of weeks with ≥3 records), and comprehensiveness of information recorded were examined as predictors of weight regain in a hierarchical linear regression analysis The mediating role of adherence to daily caloric intake goals was tested using a bootstrapping analysis. The association between high total frequency of self-monitoring and reduced weight regain was moderated by weekly consistency of self-monitoring, p=.004; increased frequency produced beneficial effects on weight change only when coupled with high consistency (>3 days/week). There was no impact of comprehensiveness on weight change, p>.05. The favorable effect of high frequency/high consistency self-monitoring on weight change was partially mediated by participants’ success in meeting daily caloric intake goals (p< .001). The combination of high frequency plus high consistency of dietary self-monitoring improves long-term success in weight management.
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