Importance of self‐weighing to avoid post‐cessation weight gain: A secondary analysis of the fit and quit randomized trial

Abstract Background Smoking cessation is associated with weight gain, and the risk of weight gain is a common deterrent to quitting smoking. Thus, the identification of strategies for reducing post‐smoking cessation weight gain is critical. Objective Conduct secondary analysis of data from the Fit &...

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Main Authors: Mackenzi Oswald, Kathryn M. Ross, Ning Sun, Wupeng Yin, Stephanie J. Garcia, Zoran Bursac, Rebecca A. Krukowski
Format: Article
Language:English
Published: Wiley 2023-08-01
Series:Obesity Science & Practice
Subjects:
Online Access:https://doi.org/10.1002/osp4.668
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author Mackenzi Oswald
Kathryn M. Ross
Ning Sun
Wupeng Yin
Stephanie J. Garcia
Zoran Bursac
Rebecca A. Krukowski
author_facet Mackenzi Oswald
Kathryn M. Ross
Ning Sun
Wupeng Yin
Stephanie J. Garcia
Zoran Bursac
Rebecca A. Krukowski
author_sort Mackenzi Oswald
collection DOAJ
description Abstract Background Smoking cessation is associated with weight gain, and the risk of weight gain is a common deterrent to quitting smoking. Thus, the identification of strategies for reducing post‐smoking cessation weight gain is critical. Objective Conduct secondary analysis of data from the Fit & Quit trial to determine if greater frequency of self‐weighing is associated with less weight gain in the context of smoking cessation. Methods Participants (N = 305) were randomized to one of three 2‐month weight interventions (i.e., Stability, Loss, Bibliotherapy), followed by a smoking cessation intervention. Stability and Loss conditions received different types of self‐weighing feedback. All participants received e‐scales at baseline, to capture daily self‐weighing data over 12 months. General linear models were applied to test the main objective. Results Frequency of self‐weighing was (mean ± SD) 2.67 ± 1.84 days/week. The Stability condition had significantly higher self‐weighing frequency (3.18 ± 1.72 days/week) compared to the Loss (2.51 ± 1.99 days/week) and the Bibliotherapy conditions (2.22 ± 1.63 days/week). Adjusting for baseline weight and treatment condition, self‐weighing 3–4 days/week was associated with weight stability (−0.77 kg, 95% CI: −2.2946, 0.7474, p = 0.3175), and self‐weighing 5 or more days/week was associated with 2.26 kg weight loss (95% CI: −3.9249, −0.5953, p = 0.0080). Conclusions Self‐weighing may serve as a useful tool for weight gain prevention after smoking cessation. Feedback received about self‐weighing behaviors and weight trajectory (similar to the feedback Stability participants received) might enhance adherence.
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spelling doaj.art-2d7816e7d0ea4d35a6bf1778bf55f1542023-08-03T13:31:55ZengWileyObesity Science & Practice2055-22382023-08-019441642310.1002/osp4.668Importance of self‐weighing to avoid post‐cessation weight gain: A secondary analysis of the fit and quit randomized trialMackenzi Oswald0Kathryn M. Ross1Ning Sun2Wupeng Yin3Stephanie J. Garcia4Zoran Bursac5Rebecca A. Krukowski6Univeristy of Virginia School of Medicine Charlottesville Virginia USADepartment of Clinical and Health Psychology University of Florida Gainesville Florida USADepartment of Biostatistics Robert Stempel College of Public Health and Social Work Florida International University Miami Florida USADepartment of Biostatistics Robert Stempel College of Public Health and Social Work Florida International University Miami Florida USADepartment of Biostatistics Robert Stempel College of Public Health and Social Work Florida International University Miami Florida USADepartment of Biostatistics Robert Stempel College of Public Health and Social Work Florida International University Miami Florida USAUniveristy of Virginia School of Medicine Charlottesville Virginia USAAbstract Background Smoking cessation is associated with weight gain, and the risk of weight gain is a common deterrent to quitting smoking. Thus, the identification of strategies for reducing post‐smoking cessation weight gain is critical. Objective Conduct secondary analysis of data from the Fit & Quit trial to determine if greater frequency of self‐weighing is associated with less weight gain in the context of smoking cessation. Methods Participants (N = 305) were randomized to one of three 2‐month weight interventions (i.e., Stability, Loss, Bibliotherapy), followed by a smoking cessation intervention. Stability and Loss conditions received different types of self‐weighing feedback. All participants received e‐scales at baseline, to capture daily self‐weighing data over 12 months. General linear models were applied to test the main objective. Results Frequency of self‐weighing was (mean ± SD) 2.67 ± 1.84 days/week. The Stability condition had significantly higher self‐weighing frequency (3.18 ± 1.72 days/week) compared to the Loss (2.51 ± 1.99 days/week) and the Bibliotherapy conditions (2.22 ± 1.63 days/week). Adjusting for baseline weight and treatment condition, self‐weighing 3–4 days/week was associated with weight stability (−0.77 kg, 95% CI: −2.2946, 0.7474, p = 0.3175), and self‐weighing 5 or more days/week was associated with 2.26 kg weight loss (95% CI: −3.9249, −0.5953, p = 0.0080). Conclusions Self‐weighing may serve as a useful tool for weight gain prevention after smoking cessation. Feedback received about self‐weighing behaviors and weight trajectory (similar to the feedback Stability participants received) might enhance adherence.https://doi.org/10.1002/osp4.668behavioral scienceinterventionmonitoringsmokingweight maintenance
spellingShingle Mackenzi Oswald
Kathryn M. Ross
Ning Sun
Wupeng Yin
Stephanie J. Garcia
Zoran Bursac
Rebecca A. Krukowski
Importance of self‐weighing to avoid post‐cessation weight gain: A secondary analysis of the fit and quit randomized trial
Obesity Science & Practice
behavioral science
intervention
monitoring
smoking
weight maintenance
title Importance of self‐weighing to avoid post‐cessation weight gain: A secondary analysis of the fit and quit randomized trial
title_full Importance of self‐weighing to avoid post‐cessation weight gain: A secondary analysis of the fit and quit randomized trial
title_fullStr Importance of self‐weighing to avoid post‐cessation weight gain: A secondary analysis of the fit and quit randomized trial
title_full_unstemmed Importance of self‐weighing to avoid post‐cessation weight gain: A secondary analysis of the fit and quit randomized trial
title_short Importance of self‐weighing to avoid post‐cessation weight gain: A secondary analysis of the fit and quit randomized trial
title_sort importance of self weighing to avoid post cessation weight gain a secondary analysis of the fit and quit randomized trial
topic behavioral science
intervention
monitoring
smoking
weight maintenance
url https://doi.org/10.1002/osp4.668
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