The Impact of Education Level on Weight Loss in a Primary Care-Anchored eHealth Lifestyle Coaching Program in Denmark: A Randomized Controlled Trial
In a randomized controlled trial including 340 people living with obesity, with and without type 2 diabetes, digital coaching has induced significant long-term weight loss compared to the usual methods of care. We investigated whether education level influenced this weight loss and which lifestyle c...
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MDPI AG
2024-03-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/16/6/795 |
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| author | Luma Shahin Thomas Bastholm Olesen Michael Hecht Olsen Ditte Hjorth Laursen Jeanette Reffstrup Christensen Carl J. Brandt |
| author_facet | Luma Shahin Thomas Bastholm Olesen Michael Hecht Olsen Ditte Hjorth Laursen Jeanette Reffstrup Christensen Carl J. Brandt |
| author_sort | Luma Shahin |
| collection | DOAJ |
| description | In a randomized controlled trial including 340 people living with obesity, with and without type 2 diabetes, digital coaching has induced significant long-term weight loss compared to the usual methods of care. We investigated whether education level influenced this weight loss and which lifestyle changes supported the digital lifestyle coaching program. The intervention consisted of a 1 h face-to-face motivational interview followed by digital coaching using behavioral change techniques. At 6 months, the weight loss in the intervention group was significantly larger in participants with short education (6.0 vs. 2.2 kg, <i>p</i> < 0.01) (<i>p</i> = 0.006). Participants with long education experienced initially a modest weight loss, but the effect was maintained, leading to the largest weight loss at 24 months (5.06 [−11.98–1.86] kg), even though there were fewer coaching sessions in the maintenance period. In multiple regression analyses, the greater weight loss in the intervention group was associated with short education (<i>β</i> = 1.81, <i>p</i> = 0.02), improvements in everyday physical activity (<i>β</i> = 2.60, <i>p</i> = 0.014) and improvements in dietary habits (<i>β</i> = 3.84, <i>p</i> = 0.013). In conclusion, at 6 months, the effect of the intervention was more pronounced in people with short education through improvements in everyday physical activity and dietary habits. However, participants with long education sustained their weight loss at 24 months. |
| first_indexed | 2024-04-24T17:57:26Z |
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| id | doaj.art-a3b9bee1604541afbb99eb6d9ceab3d2 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-04-24T17:57:26Z |
| publishDate | 2024-03-01 |
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| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-a3b9bee1604541afbb99eb6d9ceab3d22024-03-27T13:58:07ZengMDPI AGNutrients2072-66432024-03-0116679510.3390/nu16060795The Impact of Education Level on Weight Loss in a Primary Care-Anchored eHealth Lifestyle Coaching Program in Denmark: A Randomized Controlled TrialLuma Shahin0Thomas Bastholm Olesen1Michael Hecht Olsen2Ditte Hjorth Laursen3Jeanette Reffstrup Christensen4Carl J. Brandt5Research Unit for General Practice, Department of Public Health, University of Southern Denmark, 5230 Odense, DenmarkSteno Diabetes Center Odense, Odense University Hospital, 5000 Odense, DenmarkDepartment of Internal Medicine, Holbaek Hospital and Steno Diabetes Center Zealand, 2730 Herlev, DenmarkLiva Healthcare, Research and Innovation, 1434 Copenhagen, DenmarkResearch Unit for General Practice, Department of Public Health, University of Southern Denmark, 5230 Odense, DenmarkResearch Unit for General Practice, Department of Public Health, University of Southern Denmark, 5230 Odense, DenmarkIn a randomized controlled trial including 340 people living with obesity, with and without type 2 diabetes, digital coaching has induced significant long-term weight loss compared to the usual methods of care. We investigated whether education level influenced this weight loss and which lifestyle changes supported the digital lifestyle coaching program. The intervention consisted of a 1 h face-to-face motivational interview followed by digital coaching using behavioral change techniques. At 6 months, the weight loss in the intervention group was significantly larger in participants with short education (6.0 vs. 2.2 kg, <i>p</i> < 0.01) (<i>p</i> = 0.006). Participants with long education experienced initially a modest weight loss, but the effect was maintained, leading to the largest weight loss at 24 months (5.06 [−11.98–1.86] kg), even though there were fewer coaching sessions in the maintenance period. In multiple regression analyses, the greater weight loss in the intervention group was associated with short education (<i>β</i> = 1.81, <i>p</i> = 0.02), improvements in everyday physical activity (<i>β</i> = 2.60, <i>p</i> = 0.014) and improvements in dietary habits (<i>β</i> = 3.84, <i>p</i> = 0.013). In conclusion, at 6 months, the effect of the intervention was more pronounced in people with short education through improvements in everyday physical activity and dietary habits. However, participants with long education sustained their weight loss at 24 months.https://www.mdpi.com/2072-6643/16/6/795digital behavioral coachinghealth behavioral changeobesitytype 2 diabetes |
| spellingShingle | Luma Shahin Thomas Bastholm Olesen Michael Hecht Olsen Ditte Hjorth Laursen Jeanette Reffstrup Christensen Carl J. Brandt The Impact of Education Level on Weight Loss in a Primary Care-Anchored eHealth Lifestyle Coaching Program in Denmark: A Randomized Controlled Trial Nutrients digital behavioral coaching health behavioral change obesity type 2 diabetes |
| title | The Impact of Education Level on Weight Loss in a Primary Care-Anchored eHealth Lifestyle Coaching Program in Denmark: A Randomized Controlled Trial |
| title_full | The Impact of Education Level on Weight Loss in a Primary Care-Anchored eHealth Lifestyle Coaching Program in Denmark: A Randomized Controlled Trial |
| title_fullStr | The Impact of Education Level on Weight Loss in a Primary Care-Anchored eHealth Lifestyle Coaching Program in Denmark: A Randomized Controlled Trial |
| title_full_unstemmed | The Impact of Education Level on Weight Loss in a Primary Care-Anchored eHealth Lifestyle Coaching Program in Denmark: A Randomized Controlled Trial |
| title_short | The Impact of Education Level on Weight Loss in a Primary Care-Anchored eHealth Lifestyle Coaching Program in Denmark: A Randomized Controlled Trial |
| title_sort | impact of education level on weight loss in a primary care anchored ehealth lifestyle coaching program in denmark a randomized controlled trial |
| topic | digital behavioral coaching health behavioral change obesity type 2 diabetes |
| url | https://www.mdpi.com/2072-6643/16/6/795 |
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