JMIR Publications

ABSTRACT

Background:

Obesity is a global pandemic. Lifestyle approaches have been shown effective for weight loss and weight loss maintenance. Central to these evidence-based approaches are increased physical activity, decreased caloric intake, and regular self-weighing, along with the tracking of these behaviors.

Objective:

This descriptive exploratory report examines accessible strategies used to track physical activity, diet, and weight among adults who are legally blind. These health behaviors are essential components to evidence-based weight loss programs.

Methods:

Participants (≥ 18 years) who self-identified as being legally blind were recruited from low vision advocacy groups. They completed a series of telephone administered surveys and an in-person visit for height and weight assessment.

Results:

The participants (N=18) had an average age of 31.2(SD=13.4) years, 50% were normal weight (BMI 18.5 to 25), 44% were female, 44% were Black, and 39% were Non-Hispanic White. Most participants (89%) used their smart phone to access the internet daily, and 67% had at least 150 mins/week of exercise. Those tracking health behaviors were using electronic notes, smart phones, and apps. Providing individuals with a talking scale was the most consistent recommendation (66%) to facilitate independence in managing weight through lifestyle changes.

Conclusions:

Greater attention is needed to ensure accessibility of weight loss programs. Further efforts are needed to provide those with low vision accessible support for lifestyle-based weight management.