Adherence
Adherence to self-monitoring behaviors (daily weigh-ins, activity tracker use, and step counts) and engagement with expert coaching (via web-based messages and sessions) are significantly associated with achieving clinically significant weight loss (≥5%) and high-performing weight loss (≥10%) in a commercial weight-loss program.
To maximize your chances of losing weight, adopt a routine of daily self-monitoring. Weigh yourself every day using a connected scale, wear an activity tracker daily, and aim for personalized step goals. Additionally, actively engage with your coach through regular check-ins and web-based messages. This consistent adherence to self-monitoring and coaching is strongly linked to achieving significant weight loss.
High-performing participants show greater adherence to self-monitoring behaviors of weighing in, number of days wearing an activity tracker, and average number of steps per day. Female high performers have higher coaching engagement through conversation days and total number of coaching conversations.
Why this rating
Retrospective analysis of real-world data with a large sample size (n=2720 initially, n=1075 at 12 months), but lacks randomization and control groups, limiting causal inference.
Source
Retrofit Weight-Loss Outcomes at 6, 12, and 24 Months and Characteristics of 12-Month High Performers: A Retrospective Analysis
Stefanie Painter et al. · JMIR mhealth and uhealth · 2016
DOI 10.2196/mhealth.5873
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
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