Web-based intervention to promote weight-loss maintenance using an activity monitor: A randomized controlled trial
The present study examined whether a web-based intervention could promote weight-loss maintenance, after weight loss. The study was a two-phase, 27-month, randomized controlled trial conducted in Ibaraki, Japan, from 2014 to 2017; 133 participants were recruited through local newspaper advertisement...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-06-01
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| Series: | Preventive Medicine Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335519300282 |
| _version_ | 1819176899000139776 |
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| author | Yoshio Nakata Hiroyuki Sasai Takehiko Tsujimoto Koichi Hashimoto Hiroyuki Kobayashi |
| author_facet | Yoshio Nakata Hiroyuki Sasai Takehiko Tsujimoto Koichi Hashimoto Hiroyuki Kobayashi |
| author_sort | Yoshio Nakata |
| collection | DOAJ |
| description | The present study examined whether a web-based intervention could promote weight-loss maintenance, after weight loss. The study was a two-phase, 27-month, randomized controlled trial conducted in Ibaraki, Japan, from 2014 to 2017; 133 participants were recruited through local newspaper advertisements. The eligibility criteria were as follows: age of 40–64 years, body mass index of 25–40 kg/m2, and having at least one metabolic syndrome component. In phase 1, a 3-month, group-based weight-loss program was provided to all eligible participants (n = 119). We then randomly assigned (1:1) participants who had lost 5% or more of their weight during phase 1 (n = 95) to either the self-help (mean 3-month weight loss 7.30 kg) or the web-support group (7.00 kg). Participants in the web-support group regularly reported their body weight and physical activity through a web-based system. They received monthly personalized feedback from a study staff for 24 months. The primary outcome, 27-month body-weight change (mean ± standard deviation), in the self-help and web-support groups were − 5.3 ± 5.0 kg and −4.5 ± 4.9 kg, respectively. There was no significant difference. An exploratory secondary analysis demonstrated that those with greater 27-month increases in their step count, assessed with an accelerometer, lost more weight with no difference in changes in energy intake. The mean 27-month body-weight change in the 4th quartile of changes in step count was −7.78 kg. Although web-based intervention using an activity monitor failed to promote weight-loss maintenance, increased physical activity was associated with successful weight-loss maintenance. Keywords: Body weight changes, Exercise, Diet, Obesity management |
| first_indexed | 2024-12-22T21:18:05Z |
| format | Article |
| id | doaj.art-2647305c52844d269cb913c5c6b4ba2c |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-12-22T21:18:05Z |
| publishDate | 2019-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-2647305c52844d269cb913c5c6b4ba2c2022-12-21T18:12:17ZengElsevierPreventive Medicine Reports2211-33552019-06-0114Web-based intervention to promote weight-loss maintenance using an activity monitor: A randomized controlled trialYoshio Nakata0Hiroyuki Sasai1Takehiko Tsujimoto2Koichi Hashimoto3Hiroyuki Kobayashi4Faculty of Health and Sport Sciences, University of Tsukuba, Tsukuba, Japan; Corresponding author at: Faculty of Health and Sport Sciences, University of Tsukuba, Laboratory of Advanced Research D606, 1-1-1 Tennodai, Tsukuba 305-8577, Japan.Graduate School of Arts and Sciences, The University of Tokyo, JapanFaculty of Human Sciences, Shimane University, JapanFaculty of Medicine, University of Tsukuba, Tsukuba, JapanFaculty of Medicine, University of Tsukuba, Tsukuba, JapanThe present study examined whether a web-based intervention could promote weight-loss maintenance, after weight loss. The study was a two-phase, 27-month, randomized controlled trial conducted in Ibaraki, Japan, from 2014 to 2017; 133 participants were recruited through local newspaper advertisements. The eligibility criteria were as follows: age of 40–64 years, body mass index of 25–40 kg/m2, and having at least one metabolic syndrome component. In phase 1, a 3-month, group-based weight-loss program was provided to all eligible participants (n = 119). We then randomly assigned (1:1) participants who had lost 5% or more of their weight during phase 1 (n = 95) to either the self-help (mean 3-month weight loss 7.30 kg) or the web-support group (7.00 kg). Participants in the web-support group regularly reported their body weight and physical activity through a web-based system. They received monthly personalized feedback from a study staff for 24 months. The primary outcome, 27-month body-weight change (mean ± standard deviation), in the self-help and web-support groups were − 5.3 ± 5.0 kg and −4.5 ± 4.9 kg, respectively. There was no significant difference. An exploratory secondary analysis demonstrated that those with greater 27-month increases in their step count, assessed with an accelerometer, lost more weight with no difference in changes in energy intake. The mean 27-month body-weight change in the 4th quartile of changes in step count was −7.78 kg. Although web-based intervention using an activity monitor failed to promote weight-loss maintenance, increased physical activity was associated with successful weight-loss maintenance. Keywords: Body weight changes, Exercise, Diet, Obesity managementhttp://www.sciencedirect.com/science/article/pii/S2211335519300282 |
| spellingShingle | Yoshio Nakata Hiroyuki Sasai Takehiko Tsujimoto Koichi Hashimoto Hiroyuki Kobayashi Web-based intervention to promote weight-loss maintenance using an activity monitor: A randomized controlled trial Preventive Medicine Reports |
| title | Web-based intervention to promote weight-loss maintenance using an activity monitor: A randomized controlled trial |
| title_full | Web-based intervention to promote weight-loss maintenance using an activity monitor: A randomized controlled trial |
| title_fullStr | Web-based intervention to promote weight-loss maintenance using an activity monitor: A randomized controlled trial |
| title_full_unstemmed | Web-based intervention to promote weight-loss maintenance using an activity monitor: A randomized controlled trial |
| title_short | Web-based intervention to promote weight-loss maintenance using an activity monitor: A randomized controlled trial |
| title_sort | web based intervention to promote weight loss maintenance using an activity monitor a randomized controlled trial |
| url | http://www.sciencedirect.com/science/article/pii/S2211335519300282 |
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