The efficacy of a daily self‐weighing weight loss intervention using smart scales and e‐mail

Steinberg, Dori M.; Tate, Deborah F.; Bennett, Gary G.; Ennett, Susan; Samuel‐Hodge, Carmen; Ward, Dianne S.

doi:10.1002/oby.20396

Cited by 212Mobile Health and mHealth ApplicationsObesity, Physical Activity, DietObesity and Health Practices

The efficacy of a daily self‐weighing weight loss intervention using smart scales and e‐mail

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Steinberg, Dori M., Tate, Deborah F., Bennett, Gary G., Ennett, Susan, Samuel‐Hodge, Carmen, Ward, Dianne S.·2013·Obesity

DOI 10.1002/oby.20396PMC PMC3788086

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Abstract

Objective: To examine the impact of a weight loss intervention that focused on daily self‐weighing for self‐monitoring as compared to a delayed control group among 91 overweight adults. Design and Methods: The 6‐month intervention included a cellular‐connected “smart” scale for daily weighing, web‐based weight loss graph, and weekly e‐mails with tailored feedback and lessons. An objective measure of self‐weighing frequency was obtained. Weight was measured in clinic at 3 and 6 months. Caloric intake and expenditure, and perceptions of daily self‐weighing were also measured. Results: Using intent‐to‐treat analyses, the intervention group lost significantly more weight compared to the control group [mean (95% CI); 3 months: −4.41% (−5.5, −3.3) vs. −0.37% (−1.5, 0.76); 6 months: −6.55% (−7.7, −5.4) vs. −0.35% (−1.5, 0.79); group × time interaction: P < 0.001] and a greater percentage achieved 5% (42.6% vs. 6.8%; P < 0.0001) and 10% (27.7% vs. 0%; P < 0.0001) weight loss. On average, the intervention group self‐weighed more days/week (6.1 ± 1.1 vs. 1.1 ± 1.5; P < 0.0001) and consumed fewer calories/day compared to the control group [mean (95% CI); 6 months: 1,509 (1,291, 1,728) vs. 1,856 (1,637, 2,074); group × time interaction: P = 0.006]. Among intervention participants, daily self‐weighing was perceived positively. Conclusions: These results indicate that an intervention focusing on daily self‐weighing can produce clinically significant weight loss.

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In this CCI, self-monitoring combined with continuous remote-monitoring and feedback from the care team, including behavioral support and nutrition advice via the app, may have improved accountability and engagement.
“In this CCI, self-monitoring combined with continuous remote-monitoring and feedback from the care team, including behavioral support and nutrition advice via the app, may have improved accountability and engagement (58).”
From Long-Term Effects of a Novel Continuous Remote Care Intervention Including Nutritional Ketosis for the Management of Type 2 Diabetes: A 2-Year Non-randomized Clinical Trial (2019) · cites this paper as [58]
The Introduction states that self-monitoring provides personal accountability. The Methods (Study Design and Intervention Description) describe remotely collected weights, weekly tailored feedback, and behavioral and dietary guidance, but these were delivered by email, not an app. The paper does not establish that the combination improved engagement; the sentence presents that as a possibility for the citing authors’ CCI. (LLM, conf=0.84)
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Self-weighing promotes weight loss for obese adults
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Authors: Steinberg, D. M., Tate, D. F., Bennett, G. G., Ennett, S., Samuel‐Hodge, C., & Ward, D. S.
Affiliations: University of North Carolina at Chapel Hill (US)
Duke University (US)
Corresponding author: Steinberg, Dori M.
ORCID: Steinberg, Dori M.
Tate, Deborah F.
Bennett, Gary G.
Ennett, Susan
Samuel‐Hodge, Carmen
Ward, Dianne S.
Venue: Obesity
Publisher: Wiley
Published: 2013-07-02
Volume: 21
Issue: 9
Pages: 1789-1797
ISSN: 1930-7381 (ISSN-L)
1930-739X
DOI: 10.1002/oby.20396
PMC: PMC3788086
OpenAlex: W1500094019
Cited by: 212
References: 43
Citations by year: 2026: 7 · 2025: 7 · 2024: 5 · 2023: 15 · 2022: 20 · 2021: 16 · 2020: 21 · 2019: 24 · 2018: 17 · 2017: 21 · 2016: 23 · 2015: 18 · 2014: 13 · 2013: 5
FWCI: 35.62
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Obesity (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
UNC Libraries
Funders: Gillings School of Public Health
University of North Carolina at Chapel Hill
National Cancer Institute (R25CA057726)
Topics: Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
Keywords: weight loss interventions, smart scales, self-monitoring, personalized feedback, overweight adults, energy intake, weight loss maintenance
MeSH terms: Adult, Body Weight, Energy Intake, Energy Metabolism, Female, Health Promotion, Humans, Male, Middle Aged, Obesity, Perception, Weight Loss, Health Behavior, Treatment Outcome, Patient Satisfaction, Internet, Electronic Mail, Intention to Treat Analysis

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The efficacy of a daily self‐weighing weight loss intervention using smart scales and e‐mail

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