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Caloric Titration Method (CTM) for weight loss in overweight and obese adults: 12 month results

The primary objective of this study is to experimentally test the efficacy of daily self weighing paired with a graphical representation of the individual's weight over time (versus no intervention) in producing a slow, clinically meaningful weight loss. Adults volunteered to participate in a weight loss trial (n = 178). Inclusion criteria consisted of having a BMI of at least 27.0kg/m2, absence of diabetes, pregnancy and eating disorder/history of eating disorder. Participants randomly assigned to the control group were tracked for the first year, and then given access to the intervention: frequent (ideally daily) weighing using a bathroom scale paired with an internet program designed to prompt 1% reductions in body weight by displaying a graphical representation of the user's weight. Despite lack of a statistically significant difference in average weight loss between groups (p = 0.10), 12 month analyses suggest that for some individuals, this intervention appears to be an effective self‐guided strategy for weight loss. Future research that identifies individuals that would benefit from this type of self‐directed approach is necessary.