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Behavior and Psychology

Patterns of self-weighing behavior and weight change in a weight loss trial



Regular self-weighing has been associated with weight loss and maintenance in adults enrolled in a behavioral weight loss intervention; however, few studies have examined the patterns of adherence to a self-weighing protocol. The study aims were to (1) identify patterns of self-weighing behavior; and (2) examine adherence to energy intake and step goals and weight change by self-weighing patterns.


This was a secondary analysis of self-monitoring and assessment weight data from a 12-month behavioral weight loss intervention study. Each participant was given a scale that was Wi-Fi-enabled and transmitted the date-stamped weight data to a central server. Group-based trajectory modeling was used to identify distinct classes of trajectories based on the number of days participants self-weighed over 51 weeks.


The sample (N=148) was 90.5% female, 81.1% non-Hispanic white, with a mean (s.d.) age of 51.3 (10.1) years, had completed an average of 16.4 (2.8) years of education and had mean body mass index of 34.1 (4.6) kg m−2. Three patterns of self-weighing were identified: high/consistent (n=111, 75.0% self-weighed over 6 days per week regularly); moderate/declined (n=24, 16.2% declined from 4–5 to 2 days per week gradually); and minimal/declined (n=13, 8.8% declined from 5–6 to 0 days per week after week 33). The high/consistent group achieved greater weight loss than either the moderate/declined and minimal/declined groups at 6 months (−10.19%±5.78%, −5.45%±4.73% and −2.00%±4.58%) and 12 months (−9.90%±8.16%, −5.62%±6.28% and 0.65%±3.58%), respectively (P<0.001). The high/consistent group had a greater mean number days per week of adherence to calorie intake goal or step goal but not higher than the moderate/declined group.


This is the first study to reveal distinct temporal patterns of self-weighing behavior. The majority of participants were able to sustain a habit of daily self-weighing with regular self-weighing leading to weight loss and maintenance as well as adherence to energy intake and step goals.

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  1. Cooper Z, Fairburn CG . A new cognitive behavioural approach to the treatment of obesity. Behav Res Ther 2001; 39: 499–511.

    Article  CAS  PubMed  Google Scholar 

  2. National Institute of Health. National Heart Lung and Blood Institute. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults–The Evidence Report. Obes Res 1998; 6 (Suppl 2): 51S–209S.

  3. Wing RR, Tate DF, Gorin AA, Raynor HA, Fava JL . A self-regulation program for maintenance of weight loss. N Engl J Med 2006; 355: 1563–1571.

    Article  CAS  PubMed  Google Scholar 

  4. Madigan CD, Jolly K, Lewis AL, Aveyard P, Daley AJ . A randomised controlled trial of the effectiveness of self-weighing as a weight loss intervention. Int J Behav Nutr Phys Act 2014; 11: 125.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Harrison CL, Teede HJ, Lombard CB . How effective is self-weighing in the setting of a lifestyle intervention to reduce gestational weight gain and postpartum weight retention? Aust N Z J Obstet Gynaecol 2014; 54: 382–385.

    Article  PubMed  Google Scholar 

  6. Wing RR, Tate D, LaRose JG, Gorin AA, Erickson K, Robichaud EF et al. Frequent self-weighing as part of a constellation of healthy weight control practices in young adults. Obesity (Silver Spring) 2015; 23: 943–949.

    Article  Google Scholar 

  7. Pacanowski CR, Levitsky DA . Frequent self-weighing and visual feedback for weight loss in overweight adults. J Obes 2015. e-pub ahead of print 12 May 2015 doi:10.1155/2015/763680.

    Article  Google Scholar 

  8. Zheng Y, Klem ML, Sereika SM, Danford CA, Ewing LJ, Burke LE . Self-weighing in weight management: a systematic literature review. Obesity (Silver Spring) 2015; 23: 256–265.

    Article  Google Scholar 

  9. Pacanowski CR, Bertz F, Levitsky DA . Daily self-weighing to control body weight in adults: a critical review of the literature. SAGE Open 2014; 4: 1–16.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Madigan CD, Jolly K, Roalfe A, Lewis AL, Webber L, Aveyard P et al. Study protocol: the effectiveness and cost effectiveness of a brief behavioural intervention to promote regular self-weighing to prevent weight regain after weight loss: randomised controlled trial (The LIMIT Study). BMC Public Health 2015; 15: 530.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Linde JA, Jeffery RW, Crow SJ, Brelje KL, Pacanowski CR, Gavin KL et al. The Tracking Study: description of a randomized controlled trial of variations on weight tracking frequency in a behavioral weight loss program. Contemp Clin Trials 2015; 40: 199–211.

    Article  PubMed  Google Scholar 

  12. Steinberg DM, Tate DF, Bennett GG, Ennett S, Samuel-Hodge C, Ward DS . The efficacy of a daily self-weighing weight loss intervention using smart scales and email. Obesity (Silver Spring) 2013; 21: 1789–1797.

    Google Scholar 

  13. Zheng Y, Sereika SM, Danford CA, Ewing LJ, Burke LE . Association between self-weighing and percent weight change: mediation effects of adherence to energy intake and expenditure goals. J Acad Nutr Diet 2015; 116: 660–666.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Acharya SD, Elci OU, Sereika SM, Music E, Styn MA, Turk MW et al. Adherence to a behavioral weight loss treatment program enhances weight loss and improvements in biomarkers. Patient Prefer Adherence 2009; 3: 151–160.

    PubMed  PubMed Central  Google Scholar 

  15. Nagin DS . Analyzing developmental trajectories: semi-parametric, group-based approach. Psychol Methods 1999; 4: 139–157.

    Article  Google Scholar 

  16. Jones BL, Nagin DS . Advances in group-based trajectory modeling and an SAS procedure for estimating them. Sociol Methods Res 2007; 35: 542–571.

    Article  Google Scholar 

  17. Butryn ML, Webb V, Wadden TA . Behavioral treatment of obesity. Psychiatr Clin North Am 2011; 34: 841–859.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Katan MB . Weight-loss diets for the prevention and treatment of obesity. N Engl J Med 2009; 360: 923–925.

    Article  CAS  PubMed  Google Scholar 

  19. Helander EE, Vuorinen AL, Wansink B, Korhonen IK . Are breaks in daily self-weighing associated with weight gain? PLoS One 2014; 9: e113164.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Steinberg DM, Bennett GG, Askew S, Tate DF . Weighing every day matters: daily weighing improves weight loss and adoption of weight control behaviors. J Acad Nutr Diet 2015; 115: 511–518.

    Article  PubMed  PubMed Central  Google Scholar 

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This work was funded by the NIH grants. The R01HL107370 was awarded to LE Burke at the University of Pittsburgh School of Nursing and the UL1RR024153 was the CTSA grant that was awarded to the CTSI at the University of Pittsburgh, PA, USA.

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Correspondence to Y Zheng.

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Zheng, Y., Burke, L., Danford, C. et al. Patterns of self-weighing behavior and weight change in a weight loss trial. Int J Obes 40, 1392–1396 (2016).

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