Accepted for/Published in: JMIR mHealth and uHealth
Date Submitted: Jan 3, 2019
Open Peer Review Period: Jan 3, 2019 - Jan 10, 2019
Date Accepted: Nov 29, 2019
(closed for review but you can still tweet)
Effect of mHealth with offline anti-obesity treatment in a community-based weight management program: cross-sectional study.
ABSTRACT
Background:
Mobile weight loss interventions using smartphone applications have recently shown promising results.
Objective:
This study aimed to explore the efficacy of a multidisciplinary approach using mobile intervention accompanied by conventional healthcare assets, including a local public health center and regional hospital obesity clinic.
Methods:
A total of 150 overweight or obese adults signed up to complete an 8-week intervention program consisting of anti-obesity treatment with human coaching through a mobile platform. The mean values and standard deviations of all variables before and after the intervention program were calculated. Changes in weight, body mass index (BMI), and participant satisfaction were analyzed using descriptive statistics.
Results:
Mean participant age was 47.8 ± 10.2; 72.3% were women. Weight (from 77.5 kg to 74.8 kg), BMI (from 28.8 to 27.8), waist circumference (from 94.2 cm to 90.5 cm), fat mass (from 28.3% to 25.7%), and fat percentage (from 36.7% to 34.5%) were significantly reduced after the intervention in comparison to those before intervention. Age (ß = 0.07, P = .03), change in metabolic equivalent (ß = -0.0009, P = .002), and frequency of weight records (ß = -0.058, P = .05), number of articles read (ß = -0.01, P = .06), and steps walked per day (ß = -0.00004, P = .03), (R2 =0.5225) were identified as significant predictors in the weight loss program.
Conclusions:
The multidisciplinary approach, combining a mobile healthcare application and offline care by healthcare providers, was effective for weight loss. Additional studies are needed to evaluate the efficacy of mobile healthcare applications in obesity treatment.
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