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The effect of electronic self-monitoring on weight loss and dietary intake: a randomized behavioral weight loss trial.

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The effect of electronic self-monitoring on weight loss and dietary intake: a randomized behavioral weight loss trial.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Burke, Lora E. Conroy, Molly B. Sereika, Susan M. Elci, Okan U. Styn, Mindi A. Acharya, Sushama D. Sevick, Mary A. Ewing, Linda J. Glanz, Karen
Description	Country affiliation: United States Author Affiliation: Burke LE ( University of Pittsburgh School of Nursing, Department of Health and Community Systems, Pittsburgh, Pennsylvania, USA. bu100@pitt.edu)
Abstract	Technology may improve self-monitoring adherence and dietary changes in weight loss treatment. Our study aimed to investigate whether using a personal digital assistant (PDA) with dietary and exercise software, with and without a feedback message, compared to using a paper diary/record (PR), results in greater weight loss and improved self-monitoring adherence. Healthy adults (N = 210) with a mean BMI of 34.01 kg/m(2) were randomized to one of three self-monitoring approaches: PR (n = 72), PDA with self-monitoring software (n = 68), or PDA with self-monitoring software and daily feedback messages (PDA+FB, n = 70). All participants received standard behavioral treatment. Self-monitoring adherence and change in body weight, waist circumference, and diet were assessed at 6 months; retention was 91%. All participants had a significant weight loss (P < 0.01) but weight loss did not differ among groups. A higher proportion of PDA+FB participants (63%) achieved ≥ 5% weight loss in comparison to the PR group (46%) (P < 0.05) and PDA group (49%) (P = 0.09). Median percent self-monitoring adherence over the 6 months was higher in the PDA groups (PDA 80%; PDA+FB 90%) than in the PR group (55%) (P < 0.01). Waist circumference decreased more in the PDA groups than the PR group (P = 0.02). Similarly, the PDA groups reduced energy and saturated fat intake more than the PR group (P < 0.05). Self-monitoring adherence was greater in the PDA groups with the greatest weight change observed in the PDA+FB group.
File Format	HTM / HTML
ISSN	19307381
e-ISSN	1930739X
DOI	10.1038/oby.2010.208
Journal	Obesity
Issue Number	2
Volume Number	19
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2011-02-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Endocrinology Energy Intake Physiology Psychology Obesity Therapy Patient Compliance Weight Loss Adolescent Behavior Therapy Body Mass Index Combined Modality Therapy Computers, Handheld Diet Records Diet, Reducing Health Behavior Randomized Controlled Trial Research Support, N.i.h., Extramural
Content Type	Text
Resource Type	Article
Subject	Nutrition and Dietetics Endocrinology, Diabetes and Metabolism Endocrinology

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