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A text message based weight management intervention for overweight adults.
- Source :
-
Journal of Human Nutrition & Dietetics . Apr2014 Supplement, p90-97. 8p. 1 Diagram, 3 Charts. - Publication Year :
- 2014
-
Abstract
- Background Weight management interventions can be extended using mobile telephone technology to deliver support in real-time, real-world settings. The present study aimed to determine whether text messaging helped patients maintain or lose weight following a weight-loss programme. Methods In this controlled study, overweight and obese [ body mass index ( BMI) >30 kg m-2 or >28 kg m-2 with co-morbidities] adults who completed a weight-loss programme participated in an additional 12-week text message intervention [ Lifestyle, Eating and Activity Programme ( LEAP) Beep]. Patients were allocated goals for steps, fruit, vegetable and breakfast consumption. Patients regularly 'texted' their progress and received tailored practitioner feedback. Pre/post-intervention body weight, waist circumference ( WC), BMI, quality of life ( QOL), anxiety and depression measurements were compared retrospectively with a control group offered weight checks only. Results Compared to control ( n = 17), the intervention group's ( n = 17) body weight, WC and BMI reduced significantly (−1.6 versus 0.7 kg, P = 0.006; −2.2 versus 1.5 cm, P = 0.0005; −0.6 versus 0.7 kg m-2, P = 0.03, respectively). QOL and depression scores also improved (−6.8 versus 1 point, P = 0.134; −0.2 versus 0.2 points, P = 0.228). No difference was observed in anxiety scores between the groups. Intervention versus control group follow-up attendance improved significantly (4.4 versus 1.7 attendances, P = 0.0005). Conclusions LEAP Beep promoted losses in weight, WC and BMI, and improved QOL parameters and follow-up attendance. Text messaging is a cheap, portable, convenient and innovative medium facilitating goal setting, self-monitoring and information exchange. Further improvements to automation at the same time as maintaining individual support are necessary to ease practitioner burden. Text messaging offers cost-efficient dietetic input, opening up possibilities for practitioner-to-patient support and yields positive weight outcomes following initial weight loss. [ABSTRACT FROM AUTHOR]
- Subjects :
- *NUTRITION counseling
*DIAGNOSIS of mental depression
*OBESITY treatment
*QUALITY of life
*PATIENT satisfaction
*ANTHROPOMETRY
*ANXIETY
*REGULATION of body weight
*CLINICAL trials
*DISCRIMINANT analysis
*HEALTH promotion
*LONGITUDINAL method
*NATIONAL health services
*PSYCHOLOGICAL tests
*QUESTIONNAIRES
*STATISTICAL sampling
*STATISTICS
*TELEMEDICINE
*U-statistics
*WEIGHT loss
*TEXT messages
*DATA analysis
*STATISTICAL significance
*BODY mass index
*RANDOMIZED controlled trials
*DATA security
*PRE-tests & post-tests
*RETROSPECTIVE studies
*DATA analysis software
*WAIST circumference
*DESCRIPTIVE statistics
RESEARCH evaluation
Subjects
Details
- Language :
- English
- ISSN :
- 09523871
- Database :
- Academic Search Index
- Journal :
- Journal of Human Nutrition & Dietetics
- Publication Type :
- Academic Journal
- Accession number :
- 95110319
- Full Text :
- https://doi.org/10.1111/jhn.12096