The Effect of Different Types of Monitoring Strategies on Weight Loss: A Randomized Controlled Trial
The Effect of Different Types of Monitoring Strategies on Weight Loss: A Randomized Controlled Trial
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DOI：
10.1002/oby.21898
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发表时间：
2017-09-01
期刊：
影响因子：
6.9
通讯作者：
Taylor, Rachael W.
中科院分区：
文献类型：
--
作者：
Jospe, Michelle R.;Roy, Melyssa;Taylor, Rachael W.
目的评价超重肥胖者减肥12个月后不同监测策略对体重下降、体成分、血液标志物、运动及心理社会指标的影响。方法将250例BMI27成人随机分为简明、每月、个别会诊、每日体重自我监测、MyFitnessPal饮食自我监测、饥饿自我监测和对照6个月。结果4个监测组的体重、体成分、血液指标、运动和饮食行为与12个月时的对照组比较，差异均无统计学意义(均P0.053)。组间体重差异在-1.1公斤(-3.8至1.6)至2.2公斤(-1.0至5.3)之间。然而，短期支持组和饥饿训练组的抑郁(差值[95%CI]分别为-3.16[-5.70~-0.62]和-3.05[-5.61~-0.50])和焦虑(-1.84，[-3.67~-0.02])得分显著低于对照组。结论虽然在饮食和锻炼建议中增加监测策略不会进一步增加体重减轻，但没有观察到对饮食行为的不良影响，一些监测策略甚至可能有利于心理健康。
ObjectiveTo determine the effectiveness of various monitoring strategies on weight loss, body composition, blood markers, exercise, and psychosocial indices in adults with overweight and obesity following a 12-month weight loss program.MethodsTwo hundred fifty adults with BMI27 were randomized to brief, monthly, individual consults, daily self-monitoring of weight, self-monitoring of diet using MyFitnessPal, self-monitoring of hunger, or control over 12 months. All groups received diet and exercise advice, and 171 participants (68.4%) remained at 12 months.ResultsNo significant differences in weight, body composition, blood markers, exercise, or eating behavior were apparent between those in the four monitoring groups and the control condition at 12 months (all P0.053). Weight differences between groups ranged from -1.1 kg (-3.8 to 1.6) to 2.2 kg (-1.0 to 5.3). However, brief support and hunger training groups reported significantly lower scores for depression (difference [95% CI]: -3.16 [-5.70 to -0.62] and -3.05 [-5.61 to -0.50], respectively) and anxiety (-1.84, [-3.67 to -0.02]) scores than control participants.ConclusionsAlthough adding a monitoring strategy to diet and exercise advice did not further increase weight loss, no adverse effects on eating behavior were observed, and some monitoring strategies may even benefit mental health.