Module 1: Monitoring Food Intake, Physical Activity and Body Weight
Module 1 introduces self-monitoring of food intake and physical activity and weekly weighing. These two procedures are central to cognitive behavioural therapy of obesity (CBT-OB), because evidence has shown that the greater the use of self-monitoring, the larger the amount of weight lost. Furthermore, regular checking of weight is associated with better long-term weight-maintenance outcomes. The Monitoring Record used in CBT-OB differs from a traditional food diary, since it is used to record both mealtimes and the food, drink and calories that the patient is planning to consume in advance and also to record in “real time” (i.e. in the precise moment at which the food is consumed), whether or not the patient adhered to their meal plan. By providing patients with a detailed picture of their eating habits, advance meal planning and real-time monitoring of eating can focus their attention on their specific obstacles to weight loss. It assists them to eat consciously and to interrupt dysfunctional and automatic eating habits that had previously seemed uncontrollable. In this module, patients are also trained to calculate a rough estimate of their energy expenditure in dedicated sessions. Finally, collaborative weighing is introduced to educate patients to weigh themselves at an appropriate frequency, i.e. once a week, and to help them to interpret variations in their body weight correctly.
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