Obesity

Adherence to self‐monitoring and behavioral goals is associated with improved weight loss in an mHealth randomized‐controlled trial

Obesity (Silver Spring)Published Secondary analysis of the SMARTER randomised trial

Authors' conclusion

These results suggest that future research should examine the mechanisms underlying tailored FB to improve the effect of FB intervention strategies that can lead to improved weight loss.

Study context

Population
Adults in an mHealth weight-loss trial using digital tools to monitor diet, physical activity (PA) and weight; 80% female, 82% White, mean (SD) BMI 33.7 (4.0) kg/m²
Participants
502 adults
Comparison
Self-monitoring (SM) + FB vs SM-only
Primary endpoint
Monthly adherence to SM of diet, PA and weight and to prescribed diet and PA goals, and its association with ≥5% weight loss
Follow-up
12 months
Methodological detailsmHealth, Generalized linear mixed modeling
  • mHealth
  • Generalized linear mixed modeling

Primary result

As reported in the abstract

Adherence to SM and behavioral goals · over 12 months
  • Adherence to SM and fat, calorie and PA goals declined nonlinearly over time; less decline with SM + FB vs SM-only
  • Higher adherence to diet, PA and weight SM and to calorie and PA goals associated with greater odds of ≥5% weight loss
  • Higher monthly probability of ≥5% weight loss associated with greater adherence to diet, PA and weight SM and to calorie and PA goals

Original publication

Adherence to self‐monitoring and behavioral goals is associated with improved weight loss in an mHealth randomized‐controlled trial. Obesity (Silver Spring). Published 18 February 2025. doi:10.1002/oby.24234

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