Self-monitoring and eating-related behaviors are associated with 12-month weight loss in postmenopausal overweight-to-obese women

J Acad Nutr Diet. 2012 Sep;112(9):1428-1435. doi: 10.1016/j.jand.2012.05.014. Epub 2012 Jul 13.


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.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Diet, Reducing
  • Exercise / physiology
  • Feeding Behavior / psychology*
  • Female
  • Humans
  • Life Style*
  • Linear Models
  • Middle Aged
  • Obesity / psychology*
  • Obesity / therapy
  • Overweight / psychology*
  • Overweight / therapy
  • Postmenopause
  • Self Care / methods
  • Self Care / psychology*
  • Time Factors
  • Treatment Outcome
  • Weight Loss*