Adherence and weight loss outcomes associated with food-exercise diary preference in a military weight management program
Open accessAbstract
The more consistently someone records their food intake the more likely they are to lose weight. We hypothesized that subjects who kept track via their preferred method would demonstrate higher adherence and therefore improved outcomes compared to those who used a non-preferred method. Participants were randomly assigned to use a paper, PDA, or Web-based diary and classified as “Preferred” if they used their preferred method and “Non-Preferred” if they did not. Days adherent to diary use were collected for 12 weeks. Weight, % body fat, waist circumference, and self-efficacy scores were measured at baseline, 6 and 12 weeks. Thirty nine participants completed the 12 week study. Fifty nine percent were male. The mean age was 35 and mean baseline BMI was 33 kg/m2 (±3.5). Forty four % (n=17) used their “Preferred” diary method and 56% (n=22) did not. Participants who used their preferred diary were more adherent to recording both food intake (64.2% vs. 43.4%, p=.015) and exercise (60.6% vs. 31.2%, p=.001). Though no difference was seen between groups on weight management outcomes, these results suggest that diary preference affects adherence to diary use.
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Shay found no group differences in weight loss among paper diary, Internet-based diary, and PDA diary approaches in a 12-week randomized trial.
“Shay conducted a 12-week randomized trial and compared three approaches: paper diary versus an Internet-based diary versus a PDA diary and found no group differences in weight loss (30).”
From Self-monitoring in weight loss: a systematic review of the literature (2011) · cites this paper as [30]
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- Authors
- Shay, L. E., Seibert, D., Watts, D., Sbrocco, T., & Pagliara, C.
- Affiliations
- Uniformed Services University of the Health Sciences (US)
- Walter Reed National Military Medical Center (US)
- Corresponding author
- Shay, Laura E.
- Venue
- Eating Behaviors
- Publisher
- Elsevier BV
- Published
- 2009-12
- Volume
- 10
- Issue
- 4
- Pages
- 220-227
- ISSN
- 1471-0153 (ISSN-L)
- PMC
- PMC3936599
- OpenAlex
- W2067438111
- Semantic Scholar
- 67b7de685855d689f83aa473057a295bebf7c2c4
- Cited by
- 68
- References
- 44
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2022: 2 · 2021: 7 · 2020: 6 · 2019: 6 · 2018: 4 · 2017: 5 · 2016: 4 · 2015: 7 · 2014: 3 · 2013: 6 · 2012: 4
- FWCI
- 4.19
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Eating Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Minority Health and Health Disparities (P20MD000505)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- 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
- Keywords
- food diary, exercise diary, adherence, weight loss, weight management interventions, military personnel, paper diaries, self-efficacy, fat mass, waist circumference
- MeSH terms
- Adult, Analysis of Variance, Body Composition, Feeding Behavior, Female, Humans, Male, Military Personnel, Patient Compliance, Surveys and Questionnaires, Weight Loss, Exercise, Diet Records, Body Mass Index, Treatment Outcome, Self Efficacy, Waist Circumference
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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