Effective weight-loss using an e-health delivered physical activity and dietary intervention: A federal credit union pilot study

Work ◽  
2016 ◽  
Vol 54 (1) ◽  
pp. 127-134 ◽  
Author(s):  
Mathew J. Gregoski ◽  
Janis Newton ◽  
Catherine G. Ling ◽  
Kathleen Blaylock ◽  
Sheila A.O. Smith ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Pilot Study ◽  
Dietary Intervention ◽  
Credit Union

scholarly journals A pilot study of acceptance-based behavioural weight loss for adolescents with obesity

2019 ◽  
Vol 47 (6) ◽  
pp. 686-696 ◽  
Author(s):  
Jena Shaw Tronieri ◽  
Thomas A. Wadden ◽  
Sharon M. Leonard ◽  
Robert I. Berkowitz
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Pilot Study ◽  
Lifestyle Modification ◽  
Psychological Treatment ◽  
Psychosocial Outcomes ◽  
Cognitive Restraint ◽  
Acceptance And Commitment ◽  
Medium Increase

AbstractBackground:Acceptance and commitment therapy (ACT) is a psychological treatment that has been found to increase weight loss in adults when combined with lifestyle modification, compared with the latter treatment alone. However, an ACT-based treatment for weight loss has never been tested in adolescents.Methods:The present pilot study assessed the feasibility and acceptability of a 16-week, group ACT-based lifestyle modification treatment for adolescents and their parents/guardians. The co-primary outcomes were: (1) mean acceptability scores from up to 8 biweekly ratings; and (2) the percentage reduction in body mass index (BMI) from baseline to week 16. The effect size for changes in cardiometabolic and psychosocial outcomes from baseline to week 16 also was examined.Results:Seven families enrolled and six completed treatment (14.3% attrition). The mean acceptability score was 8.8 for adolescents and 9.0 for parents (on a 1–10 scale), indicating high acceptability. The six adolescents who completed treatment experienced a 1.3% reduction in BMI (SD = 2.3, d = 0.54). They reported a medium increase in cognitive restraint, a small reduction in hunger, and a small increase in physical activity. They experienced small improvements in most quality of life domains and a large reduction in depression.Conclusions:These preliminary findings indicate that ACT plus lifestyle modification was a highly acceptable treatment that improved weight, cognitive restraint, hunger, physical activity, and psychosocial outcomes in adolescents with obesity.

Biochemical, Anthropometric and Lifestyle Factors Related with Weight Maintenance after Weight Loss Secondary to a Hypocaloric Mediterranean Diet

2017 ◽  
Vol 71 (3-4) ◽  
pp. 217-223 ◽  
Author(s):  
Daniel Antonio de Luis ◽  
Olatz Izaola ◽  
David Primo ◽  
Hilda F. Ovalle ◽  
Juan Jose Lopez ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Mediterranean Diet ◽  
Dietary Intervention ◽  
Weight Maintenance ◽  
Initial Response ◽  
Serum Levels ◽  
Lifestyle Factors ◽  
Model Assessment ◽  
Positive Weight

Background/Aims: The aim of our study was to evaluate the influence of lifestyle factors and molecular biomarkers on the maintenance of the weight lost after a hypocaloric Mediterranean diet. Design: After 3 months on a diet, patients (n = 335) remained with no controlled diet during 3 years and they were revaluated. Results: Using linear regression, in the group of responders, we detected that a positive weight loss at 3 months, serum levels of leptin at 3 months, and each 30 min per week of physical activity were associated with weight loss maintenance. In the model with reduced weight (RW) as dependent variable, a positive weight loss at 3 months was associated with 2.4% RW (95% CI 1.31–8.11; p = 0.015), each unit of serum leptin levels at 3 months with –0.44% RW (95% CI –0.59 to –0.020; p = 0.007), each basal unit homeostasis model assessment for insulin resistance (HOMA-IR) level with –2.32% (95% CI –13.01 to –0.17; p = 0.040), and each 30 min per week of physical activity with 1.58% RW (95% CI 1.08–2.94; p = 0.020). Conclusion: Obese subjects who are on maintenance weight loss after a dietary intervention appear to have a better initial response during the 3 months intervention, more physical activity at 3 years, and lower basal HOMA-IR and leptin after weight loss than those who regain weight.

scholarly journals Building on Lessons Learned in a Mobile Intervention to Reduce Pain and Improve Health (MORPH): Protocol for the MORPH-II Trial (Preprint)

2021 ◽  
Author(s):  
Jason Fanning ◽  
Amber K Brooks ◽  
Katherine L Hsieh ◽  
Kyle Kershner ◽  
Joy Furlipa ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Chronic Pain ◽  
Weight Loss ◽  
Pilot Study ◽  
Cognitive Theory ◽  
Lessons Learned ◽  
Control Group ◽  
Intervention Package ◽  
Improve Health

BACKGROUND Engaging in sufficient levels of physical activity, guarding against sustained sitting, and maintaining a healthy body weight represent important lifestyle strategies for managing older adults’ chronic pain. Our first Mobile Health Intervention to Reduce Pain and Improve Health (MORPH) randomized pilot study demonstrated that a partially remote group-mediated diet and daylong activity intervention (ie, a focus on moving often throughout the day) can lead to improved physical function, weight loss, less pain intensity, and fewer minutes of sedentary time. We also identified unique delivery challenges that limited the program’s scalability and potential efficacy. OBJECTIVE The purpose of the MORPH-II randomized pilot study is to refine the MORPH intervention package based on feedback from MORPH and evaluate the feasibility, acceptability, and preliminary efficacy of this revised package prior to conducting a larger clinical trial. METHODS The MORPH-II study is an iteration on MORPH designed to pilot a refined framework, enhance scalability through fully remote delivery, and increase uptake of the daylong movement protocol through revised education content and additional personalized remote coaching. Older, obese, and low-active adults with chronic multisite pain (n=30) will be randomly assigned to receive a 12-week remote group-mediated physical activity and dietary weight loss intervention followed by a 12-week maintenance period or a control condition. Those in the intervention condition will partake in weekly social cognitive theory–based group meetings via teleconference software plus one-on-one support calls on a tapered schedule. They will also engage with a tablet application paired with a wearable activity monitor and smart scale designed to provide ongoing social and behavioral support throughout the week. Those in the control group will receive only the self-monitoring tools. RESULTS Recruitment is ongoing as of January 2021. CONCLUSIONS Findings from MORPH-II will help guide other researchers working to intervene on sedentary behavior through frequent movement in older adults with chronic pain. CLINICALTRIAL ClinicalTrials.gov NCT04655001; https://clinicaltrials.gov/ct2/show/NCT04655001 INTERNATIONAL REGISTERED REPORT PRR1-10.2196/29013

scholarly journals The effect of weight loss on quality of life in obese adults: A study using physical activity and dietary intervention

2012 ◽  
Vol 26 (S1) ◽  
Author(s):  
Yi Yi Lee ◽  
WM Wan Abdul Manan ◽  
A.J. Rohana ◽  
W.B. Wan Mohamad ◽  
H. Ruhani ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Weight Loss ◽  
Dietary Intervention ◽  
Obese Adults

Training overweight/obese older women at high risk for breast cancer to use web-based weight loss tools: The HELP pilot study.

2011 ◽  
Vol 29 (27_suppl) ◽  
pp. 233-233 ◽  
Author(s):  
L. A. Cadmus Bertram ◽  
J. P. Pierce ◽  
R. E. Patterson ◽  
H. Ojeda-Fournier ◽  
V. A. Newman ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Weight Loss ◽  
Pilot Study ◽  
Comparison Group ◽  
Intervention Group ◽  
Initial Weight ◽  
Web Based ◽  
Internet Users

233 Background: Excess weight is one of the few modifiable risk factors for incident breast cancer. Many programs can achieve a 7% weight loss but few can maintain it over time. Training women to use self-help resources over the internet has potential for reducing intervention costs and ensuring program maintenance. Methods: 50 overweight/obese (BMI≥27.5 kg/m2) women at increased risk of breast cancer (Gail score≥1.7) were identified from a mammography registry and enrolled in the HELP pilot study and randomized with 2:1 probability to a 12-week lifestyle intervention or a comparison group. Twelve telephone-based coaching calls trained participants to use a free, publicly available website to set goals and track performance for dietary intake and physical activity. The comparison group received information but no training. At baseline and 12 weeks, participants were weighed, fitted with an accelerometer for physical activity pattern, and completed questionnaires. Results: At baseline, participants were 60.9±0.79 years of age with a BMI of 33.1±0.60 kg/m2; 39% were daily internet users. Thirty-three were randomized to the intervention group with 91% completing follow-up. Fifty-four percent were able to use the website reliably and found it to be helpful, including 44% of previously nondaily internet users. At 12 weeks, intervention group participants who found the website helpful had lost 5.6±0.7 kg, or 6.7% of initial weight, intervention participants who did not find it helpful lost 0.8±0.9kg or 1.1% of initial weight and the comparison group gained 1.0±0.94 kg (89% follow-up) The between-group difference weight change was 4.2 kg (p<.0001). 74% of intervention group participants lost weight, compared to only 34% of women assigned to the comparison group. Conclusions: A 12-session telephone coaching program to train women to use publicly available web-based weight loss programs effectively achieved a large short-term weight loss among the majority of participants. Further follow-up is needed to identify how well the initial weight loss is maintained without further intervention assistance.

scholarly journals Assessing the feasibility and acceptability of Changing Health for the management of prediabetes: protocol for a pilot study of a digital behavioural intervention

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Sophie Cassidy ◽  
Nduka Okwose ◽  
Jadine Scragg ◽  
David Houghton ◽  
Kirsten Ashley ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Pilot Study ◽  
Clinical Outcome ◽  
Outcome Measures ◽  
Behaviour Change ◽  
Lifestyle Behaviour ◽  
Structured Education ◽  
Digital Intervention ◽  
Maintain Weight Loss

Abstract Background The prevalence of prediabetes is rapidly rising in the UK, largely associated with an increase in obesity. Lifestyle programmes that provide support to make and sustain dietary and physical activity behavioural changes are necessary to initiate and maintain weight loss. However, these programmes are often intensive and time consuming. Given the magnitude of the problem, there is a need for behavioural interventions that can be delivered at scale. Digital interventions can address some of the aforementioned issues. The primary aim of the present study is to assess the feasibility and acceptability of a digital intervention called Changing Health that provides structured education and lifestyle behaviour change support to adults with prediabetes. Methods A single-group pilot study will be undertaken. We aim to recruit 40 participants with prediabetes defined by HbA1c or fasting plasma glucose (FPG), aged between 18 and 75 years with a BMI ≥ 25. Participants will receive the digital intervention (a mobile phone app incorporating structured education and behavioural tools to support lifestyle behaviour change) with the aim of losing and maintaining 5–6% of their baseline body weight. Each participant will receive 100 min of lifestyle coaching over the 9-month intervention period and will have continued access to the digital intervention. Clinical outcome measures will be collected during four visits to our clinical research facility: two visits at baseline, one visit at month 3, and one visit at month 9. These secondary outcome measures will include diet, physical activity, sleep, metabolic control, body composition, cardiorespiratory fitness, and cardiovascular function. To measure primary outcomes, an embedded qualitative study will be conducted to obtain data on feasibility and acceptability of the intervention. Discussion This pilot study will establish whether Changing Health is feasible and acceptable to adults with prediabetes. Clinical outcome measures will provide estimates of variability to inform sample size calculations, and qualitative data generated will inform any necessary refinements to the intervention. This will provide a platform for a larger evaluation to assess the effectiveness of Changing Health for changing diet and physical activity to initiate and maintain weight loss in adults with prediabetes. Trial registration ISRCTN Registry: ISRCTN69270299.

Structured dietary intervention to facilitate weight loss after bariatric surgery: A randomized, controlled pilot study

Obesity ◽  
2016 ◽  
Vol 24 (9) ◽  
pp. 1906-1912 ◽  
Author(s):  
Melissa A. Kalarchian ◽  
Marsha D. Marcus ◽  
Anita P. Courcoulas ◽  
Calvin Lutz ◽  
Yu Cheng ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Pilot Study ◽  
Dietary Intervention ◽  
Randomized Controlled

scholarly journals Time-Limited Eating and Continuous Glucose Monitoring in Adolescents with Obesity: A Pilot Study

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3697
Author(s):  
Alaina P. Vidmar ◽  
Monica Naguib ◽  
Jennifer K. Raymond ◽  
Sarah Jeanne Salvy ◽  
Elizabeth Hegedus ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Weight Loss ◽  
Pilot Study ◽  
Continuous Glucose Monitoring ◽  
Eating Behaviors ◽  
Negative Impact ◽  
Glucose Monitoring

Due to its simplicity, time-limited eating (TLE) may represent a more feasible approach for treating adolescents with obesity compared to other caloric restriction regimens. This pilot study examines the feasibility and safety of TLE combined with continuous glucose monitoring (CGM) in adolescents. Fifty adolescents with BMI ≥95th percentile were recruited to complete a 12-week study. All received standard nutritional counseling, wore a CGM daily, and were randomized to: (1) Prolonged eating window: 12 h eating/12 h fasting + blinded CGM; (2) TLE (8 h eating/16 h fasting, 5 days per week) + blinded CGM; (3) TLE + real-time CGM feedback. Recruitment, retention, and adherence were recorded as indicators of feasibility. Weight loss, dietary intake, physical activity, eating behaviors, and quality of life over the course of the intervention were explored as secondary outcomes. Forty-five participants completed the study (16.4 ± 1.3 years, 64% female, 49% Hispanic, 75% public insurance). There was high adherence to prescribed eating windows (TLE 5.2 d/wk [SD 1.1]; control 6.1 d/wk [SD 1.4]) and daily CGM wear (5.85 d/wk [SD 4.8]). Most of the adolescents (90%) assigned to TLE reported that limiting their eating window and wearing a CGM was feasible without negative impact on daily functioning or adverse events. There were no between-group difference in terms of weight loss, energy intake, quality of life, physical activity, or eating behaviors. TLE combined with CGM appears feasible and safe among adolescents with obesity. Further investigation in larger samples, with a longer intervention duration and follow-up assessments are needed.

scholarly journals Comparative effectiveness of guided weight loss and physical activity monitoring for weight loss and metabolic risks: A pilot study

2017 ◽  
Vol 6 ◽  
pp. 271-277
Author(s):  
Karissa L. Peyer ◽  
Laura D. Ellingson ◽  
Kathryn Bus ◽  
Sarah A. Walsh ◽  
Warren D. Franke ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Pilot Study ◽  
Comparative Effectiveness ◽  
Activity Monitoring ◽  
Physical Activity Monitoring
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