Evaluation of Internet-Based Interventions on Waist Circumference Reduction: A Meta-Analysis
BackgroundInternet-based interventions are more cost-effective than conventional interventions and can provide immediate, easy-to-access, and individually tailored support for behavior change. Waist circumference is a strong predictor of an increased risk for a host of diseases, such as hypertension...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2015-07-01
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| Series: | Journal of Medical Internet Research |
| Online Access: | http://www.jmir.org/2015/7/e181/ |
| _version_ | 1818898487815700480 |
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| author | Seo, Dong-Chul Niu, Jingjing |
| author_facet | Seo, Dong-Chul Niu, Jingjing |
| author_sort | Seo, Dong-Chul |
| collection | DOAJ |
| description | BackgroundInternet-based interventions are more cost-effective than conventional interventions and can provide immediate, easy-to-access, and individually tailored support for behavior change. Waist circumference is a strong predictor of an increased risk for a host of diseases, such as hypertension, diabetes, and dyslipidemia, independent of body mass index. To date, no study has examined the effect of Internet-based lifestyle interventions on waist circumference change.
ObjectiveThis study aimed to systematically review the effect of Internet-based interventions on waist circumference change among adults.
MethodsThis meta-analysis reviewed randomized controlled trials (N=31 trials and 8442 participants) that used the Internet as a main intervention approach and reported changes in waist circumference.
ResultsInternet-based interventions showed a significant reduction in waist circumference (mean change –2.99 cm, 95% CI −3.68 to −2.30, I2=93.3%) and significantly better effects on waist circumference loss (mean loss 2.38 cm, 95% CI 1.61-3.25, I2=97.2%) than minimal interventions such as information-only groups. Meta-regression results showed that baseline waist circumference, gender, and the presence of social support in the intervention were significantly associated with waist circumference reduction.
ConclusionsInternet-based interventions have a significant and promising effect on waist circumference change. Incorporating social support into an Internet-based intervention appears to be useful in reducing waist circumference. Considerable heterogeneity exists among the effects of Internet-based interventions. The design of an intervention may have a significant impact on the effectiveness of the intervention. |
| first_indexed | 2024-12-19T19:32:51Z |
| format | Article |
| id | doaj.art-cb1a99d5787f44a3a3f7c543fb47254f |
| institution | Directory Open Access Journal |
| issn | 1438-8871 |
| language | English |
| last_indexed | 2024-12-19T19:32:51Z |
| publishDate | 2015-07-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | Journal of Medical Internet Research |
| spelling | doaj.art-cb1a99d5787f44a3a3f7c543fb47254f2022-12-21T20:08:33ZengJMIR PublicationsJournal of Medical Internet Research1438-88712015-07-01177e18110.2196/jmir.3921Evaluation of Internet-Based Interventions on Waist Circumference Reduction: A Meta-AnalysisSeo, Dong-ChulNiu, JingjingBackgroundInternet-based interventions are more cost-effective than conventional interventions and can provide immediate, easy-to-access, and individually tailored support for behavior change. Waist circumference is a strong predictor of an increased risk for a host of diseases, such as hypertension, diabetes, and dyslipidemia, independent of body mass index. To date, no study has examined the effect of Internet-based lifestyle interventions on waist circumference change. ObjectiveThis study aimed to systematically review the effect of Internet-based interventions on waist circumference change among adults. MethodsThis meta-analysis reviewed randomized controlled trials (N=31 trials and 8442 participants) that used the Internet as a main intervention approach and reported changes in waist circumference. ResultsInternet-based interventions showed a significant reduction in waist circumference (mean change –2.99 cm, 95% CI −3.68 to −2.30, I2=93.3%) and significantly better effects on waist circumference loss (mean loss 2.38 cm, 95% CI 1.61-3.25, I2=97.2%) than minimal interventions such as information-only groups. Meta-regression results showed that baseline waist circumference, gender, and the presence of social support in the intervention were significantly associated with waist circumference reduction. ConclusionsInternet-based interventions have a significant and promising effect on waist circumference change. Incorporating social support into an Internet-based intervention appears to be useful in reducing waist circumference. Considerable heterogeneity exists among the effects of Internet-based interventions. The design of an intervention may have a significant impact on the effectiveness of the intervention.http://www.jmir.org/2015/7/e181/ |
| spellingShingle | Seo, Dong-Chul Niu, Jingjing Evaluation of Internet-Based Interventions on Waist Circumference Reduction: A Meta-Analysis Journal of Medical Internet Research |
| title | Evaluation of Internet-Based Interventions on Waist Circumference Reduction: A Meta-Analysis |
| title_full | Evaluation of Internet-Based Interventions on Waist Circumference Reduction: A Meta-Analysis |
| title_fullStr | Evaluation of Internet-Based Interventions on Waist Circumference Reduction: A Meta-Analysis |
| title_full_unstemmed | Evaluation of Internet-Based Interventions on Waist Circumference Reduction: A Meta-Analysis |
| title_short | Evaluation of Internet-Based Interventions on Waist Circumference Reduction: A Meta-Analysis |
| title_sort | evaluation of internet based interventions on waist circumference reduction a meta analysis |
| url | http://www.jmir.org/2015/7/e181/ |
| work_keys_str_mv | AT seodongchul evaluationofinternetbasedinterventionsonwaistcircumferencereductionametaanalysis AT niujingjing evaluationofinternetbasedinterventionsonwaistcircumferencereductionametaanalysis |