Obesity

How much food tracking during a digital weight‐management program is enough to produce clinically significant weight loss?

Obesity (Silver Spring)Published Secondary analysis of a single-arm trial

Authors' conclusion

Results suggest that perfect food-tracking adherence is not necessary to achieve clinically significant weight loss.

Study context

Population
Participants of a 6-month commercial digital weight-management program (WeightWatchers)
Participants
153 participants
Primary endpoint
Food-tracking adherence thresholds that best predict ≥3%, ≥5% and ≥10% weight loss
Follow-up
6 months
Methodological detailsROC curve analysis, time series clustering analysis
  • ROC curve analysis
  • Time series clustering analysis

Primary result

As reported in the abstract

Optimum food-tracking thresholds (% of intervention days) predicting weight loss (ROC analysis)

Threshold for ≥3% weight loss (AUC = 0.820, p < 0.001)

28.5%

Threshold for ≥5% weight loss (AUC = 0.744, p < 0.001)

39.4%

Threshold for 10% weight loss (AUC = 0.712, p = 0.002)

67.1%

Further findings

Food-tracking trajectories (time series clustering) and weight loss · 6 months

Number of food-tracking trajectories identified
3
Trajectories differed significantly in weight loss (F = 14.1, p < 0.001)

Original publication

How much food tracking during a digital weight‐management program is enough to produce clinically significant weight loss? Obesity (Silver Spring). Published 4 June 2023. doi:10.1002/oby.23795

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