scholarly journals Short Message Service Text Message Support for Weight Loss in Patients With Prediabetes: Pragmatic Trial (Preprint)

2018 ◽  
Author(s):  
Henry H Fischer ◽  
Michael J Durfee ◽  
Silvia G Raghunath ◽  
Natalie D Ritchie
Keyword(s):  
Weight Loss ◽  
Weight Gain ◽  
Weight Change ◽  
Low Cost ◽  
Text Message ◽  
Short Message ◽  
Spanish Speaking ◽  
Message Service ◽  
Patients At Risk ◽  
English Speaking

BACKGROUND To reach all 84.1 million US adults estimated to have prediabetes warrants need for low-cost and less burdensome alternatives to the National Diabetes Prevention Program (NDPP). In a previous randomized controlled trial, we demonstrated the efficacy of a 12-month short message service text message support program called SMS4PreDM amongst individuals with prediabetes. OBJECTIVE The study aimed to evaluate the implementation and effectiveness of SMS4PreDM in a pragmatic study following dissemination in a safety net health care system. METHODS English- and Spanish-speaking patients at risk for diabetes (eg, glycated hemoglobin 5.7-6.4) were referred by their providers and offered either NDPP classes, SMS4PreDM, or both. This analysis focuses on weight change among 285 SMS4PreDM-only participants who began the year-long intervention between October 2015 and April 2017 with accompanying pre- and postweights, as compared with 1233 usual-care control patients at risk for diabetes, who were identified from electronic health records during this time but not referred. Weight outcomes included time-related mean weight change and frequency of either ≥3% weight loss or gain. Mixed linear models adjusted for age, gender, race, ethnicity, preferred language, and baseline weight. A secondary analysis was stratified by language. We also assessed implementation factors, including retention and cost. RESULTS SMS4PreDM participants had high retention (259 of 285 patients or 91.0% completion at 12-months, ) and a time-related mean weight loss of 1.3 pounds (SE 0.74), compared with the control group’s slight mean weight gain of 0.25 pounds (SE 0.59; P=.004). Spanish-speaking SMS4PreDM participants (n=130) had a time-related mean weight loss of 1.11 pounds (SE 1.22) compared with weight gain of 0.96 pounds (SE 1.14) in Spanish-speaking controls (n=382, P<.001). English-speaking intervention participants (n=155) had a comparable time-related mean weight change (–0.89 pounds; SE 0.93) as English-speaking controls (n=828; 0.31 pounds gained; SE 0.62, P=.14). Overall, frequency of achieving ≥3% weight loss was comparable between groups (54 of 285 or 19.0% of SMS4PreDM participants [95% CI 14.8-23.9] vs 266 of 1233 or 21.6% of controls [95% CI 19.3-24.0]; P=.33). Nonetheless, more controls had ≥3% weight gain compared with intervention participants (337 of 1233 or 27.3% of controls [95% CI 24.9-29.9] vs 57 of 285 or 20.0% of SMS4PreDM participants [95% CI 16.8-25.1]; P=.01). SMS4PreDM delivery costs were US $100.92 per participant. CONCLUSIONS Although SMS4PreDM was relatively low cost to deliver and demonstrated high retention, weight loss outcomes may not be sufficient to serve as a population health strategy.

scholarly journals Short Message Service Text Message Support for Weight Loss in Patients With Prediabetes: Pragmatic Trial

JMIR Diabetes ◽  
10.2196/12985 ◽  
2019 ◽  
Vol 4 (2) ◽  
pp. e12985 ◽  
Author(s):  
Henry H Fischer ◽  
Michael J Durfee ◽  
Silvia G Raghunath ◽  
Natalie D Ritchie
Keyword(s):  
Weight Loss ◽  
Short Message Service ◽  
Pragmatic Trial ◽  
Text Message ◽  
Short Message ◽  
Message Service

scholarly journals Alat Monitoring Detak Jantung Untuk Pasien Beresiko Berbasis IoT Memanfaatkan Aplikasi OpenSID berbasis Web

2019 ◽  
Vol 3 (2) ◽  
pp. 265-270
Author(s):  
Y Yuhefizar ◽  
Anggara Nasution ◽  
Roni Putra ◽  
Ervan Asri ◽  
Deni Satria
Keyword(s):  
Heart Rate ◽  
Healthy Lifestyle ◽  
Low Cost ◽  
Short Message ◽  
Monitoring Tool ◽  
Alert System ◽  
Pulse Sensor ◽  
Message Service ◽  
Patients At Risk ◽  
Risk Patients

Patients with arrhythmia symptoms must undergo a healthy lifestyle and routinely conduct consultations and heart rate control with the doctor. The most important thing about this is the integrated health monitoring tool. In this study a portable heart rate monitoring tool is proposed for patients at risk of low-cost IoT-based with SMS alert system utilizing the OpenSID database. . Module ESP8266 Wi-Fi is used to communicate the web server gateway and pulse sensor to detect the heart rate which converted to Bit per Minute  (BPM). Heart rate data is saved to the database server using TCP IP communications. Patients and doctors can see heart rate information trough the website in real-time. Alert system will send notification information via short message service  (SMS ) to doctors, person in charge and family if heart rate below 60 BPM and above 100 BPM. the time needed for sending SMS is about 7 to 8 seconds. Test results show the whole system is running well. This tool is expected can accompany the risk patients do their activities safely and both doctors and families easier to supervise the patients.

scholarly journals Depression-related weight change and incident diabetes in a community sample

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Eva Graham ◽  
Tristan Watson ◽  
Sonya S. Deschênes ◽  
Kristian B. Filion ◽  
Mélanie Henderson ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Weight Loss ◽  
Weight Gain ◽  
Weight Change ◽  
Short Form ◽  
Community Sample ◽  
Overweight And Obesity ◽  
Community Dwelling ◽  
Increased Risk

AbstractThis cohort study aimed to compare the incidence of type 2 diabetes in adults with depression-related weight gain, depression-related weight loss, depression with no weight change, and no depression. The study sample included 59,315 community-dwelling adults in Ontario, Canada. Depression-related weight change in the past 12 months was measured using the Composite International Diagnostic Interview—Short Form. Participants were followed for up to 20 years using administrative health data. Cox proportional hazards models compared the incidence of type 2 diabetes in adults with depression-related weight change and in adults with no depression. Adults with depression-related weight gain had an increased risk of type 2 diabetes compared to adults no depression (HR 1.70, 95% CI 1.32–2.20), adults with depression-related weight loss (HR 1.62, 95% CI 1.09–2.42), and adults with depression with no weight change (HR 1.39, 95% CI 1.03–1.86). Adults with depression with no weight change also had an increased risk of type 2 diabetes compared to those with no depression (HR 1.23, 95% CI 1.04–1.45). Associations were stronger among women and persisted after adjusting for attained overweight and obesity. Identifying symptoms of weight change in depression may aid in identifying adults at higher risk of type 2 diabetes and in developing tailored prevention strategies.

scholarly journals The Feasibility of a Using a Smart Button Mobile Health System to Self-Track Medication Adherence and Deliver Tailored Short Message Service Text Message Feedback

10.2196/13558 ◽  
2019 ◽  
Vol 3 (2) ◽  
pp. e13558
Author(s):  
Rebecca J Bartlett Ellis ◽  
James H Hill ◽  
K Denise Kerley ◽  
Arjun Sinha ◽  
Aaron Ganci ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Health System ◽  
Mobile Health ◽  
Short Message Service ◽  
Text Message ◽  
Short Message ◽  
Message Service

Abstract 44: Cardiometabolic Responses to Weight Change are Different between Obese and Normal Weight Adults Who are Metabolically Healthy: The Atherosclerosis Risk in Communities Study

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Zhaohui Cui ◽  
Kimberly P Truesdale ◽  
Patrick T Bradshaw ◽  
Jianwen Cai ◽  
June Stevens
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Weight Loss ◽  
Weight Gain ◽  
Weight Change ◽  
Weight Maintenance ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Obese Adults ◽  
Metabolically Healthy

Introduction: The 2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults recommended weight loss for obese adults in order to reduce their cardiovascular disease (CVD) risk. However, not all obese adults develop CVD and approximately 17% of obese Americans in the 1999-2004 NHANES were metabolically healthy. The absence of abnormal CVD risk factors in this subgroup of obese adults indicates that some individuals are resistant to excess adiposity and positive energy balance, and raises the question of whether all obese adults should be recommended for weight loss treatment. We know of no study that has examined whether metabolically healthy obese (MHO) adults respond to weight changes the same way as metabolically healthy normal weight adults (MHNW). Also, no study has compared the effects of weight loss, weight maintenance and weight gain on CVD risk factors in MHO adults. Hypothesis: We hypothesized that the effects of weight change would be different in MHNW and MHO adults, with MHO adults having less stable risk factors, and that weight loss has a protective effect on CVD risk factors in the MHO compared to weight maintenance and weight gain. Methods: Data were from 2,710 MHO and MHNW participants in the Atherosclerosis Risk in Communities (ARIC) study. Four examinations yielded 4,541 observations over sequential 3-year intervals. Metabolically healthy was defined as absence of all components of metabolic syndrome, excluding waist circumference, at the beginning of a 3-year interval. Mixed effect models were applied to individually compare changes in five CVD risk factors (systolic blood pressure, diastolic blood pressure, triglycerides, high-density lipoprotein cholesterol and glucose) in MHO and MHNW adults within 3 weight change categories (<3% weight loss, weight maintenance (±3%) and >3% weight gain). Results: Weight loss was associated with small or no changes in the five CVD risk factors in both MHO and MHNW adults. Weight maintenance was associated with larger increases in MHO compared to MHNW adults in triglycerides (mean ± standard error: 10.0±1.7 vs. 6.5±1.0 mg/dL) and glucose (1.7±0.4 vs. 0.9±0.2 mg/dL). Weight gain was associated with larger increases in systolic (8.6±0.6 vs. 6.2±0.4 mmHg) and diastolic (3.9±0.4 vs. 2.5±0.3 mmHg) blood pressure, triglycerides (22.0±1.8 vs. 16.0±1.1 mg/dL) and glucose (4.9±0.4 vs. 1.9±0.3 mg/dL) among the MHO compared to the MHNW. MHO weight losers experienced more favorable changes in the five CVD risk factors compared to MHO weight maintainers (p<0.04) or gainers (p<0.0001). Conclusions: We showed that compared to MHNW, MHO adults experienced similar changes in CVD risk factors with weight loss and larger increases with weight maintenance and gain. Our study supports the 2013 Guideline that primary health care providers should recommend weight loss treatment for MHO patients.

O-159 Prediction of weight loss and drop-out in a lifestyle intervention in women with pcos: A randomized controlled trial

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
G Jiskoot ◽  
A Dietz de Loos ◽  
R Timman ◽  
A Beerthuizen ◽  
J Busschbach ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Image ◽  
Lifestyle Intervention ◽  
Drop Out ◽  
Short Message ◽  
Obese Women ◽  
Lifestyle Program ◽  
Message Service ◽  
Lifestyle Treatment

Abstract Study question Which patient related determinants contribute to a ≥ 5% weight loss and drop-out? Summary answer Participating in the lifestyle treatment and a worse body image at baseline were significantly associated with ≥5% weight loss. What is known already In general, three-component interventions including diet, exercise, and cognitive behavioral therapy have shown to be effective at the long-term to achieve weight loss. In a lifestyle program for infertile women, higher external eating behavior scores and not receiving previous support by a dietician were associated with weight loss. In a short term lifestyle program for women with PCOS, weight loss was associated with better quality of life scores and attendance of study appointments. Little has been published about the potential role of PCOS characteristics, psychological and behavioral variables on the ability to achieve weight loss in this group of women. Study design, size, duration The present study is a longitudinal RCT to study the effectiveness of a three component 1-year cognitive-behavioural lifestyle intervention on weight loss in overweight/obese women with PCOS. A total of 183 participants were randomly assigned to three groups: 1) CBT provided by the multidisciplinary team or; 2) CBT provided by the multidisciplinary team and Short Message Service (SMS) or; 3) usual care: women are encouraged to lose weight through publicly available services (control group). Participants/materials, setting, methods Women with menstrual cycle disorders are systematically screened using a standardised protocol. Data of 183 women diagnosed with PCOS according to the Rotterdam criteria, a Body Mass Index above 25 kg/m² were included. All variables were measured at start and at three, six, nine and twelve months. Main results and the role of chance The multivariable mixed-effect logistic regression model showed that participation in the lifestyle treatment (HR 2.3, P = 0.012) and a worse body image (FNAE) (HR 0.95, P = 0.023) at baseline were significantly associated with ≥5% weight loss. Drop-out was predicted by participation in the lifestyle treatment (OR 0.2 P = 0.003), additional short message service (OR 3.7, P = 0.008), smoking (OR 0.3, P = 0.22), drinking alcohol (OR 2.4, P = 0.04), higher levels of androstenedione (OR 1.2, P = 0.047). Also, women who achieved spontaneous pregnancies were more likely to drop-out (OR 0.09, P = 0.002). Limitations, reasons for caution A limitation of our study is the high discontinuation rate we observed especially after 3 months of the intervention. Therefore a statistical method was chosen that included all available data even if participants dropped out during the study period. Wider implications of the findings A three-component lifestyle intervention program for obese women with PCOS is effective for weight loss. The group of women with a more negative body image should receive additional treatment before entering such a lifestyle intervention to achieve better results. Trial registration number Registered at the Netherlands National Trial Register with number NTR2450 on August 2nd, 2010.

Probabilistic Evaluation of SMS Messages as Forensic Evidence

2013 ◽  
pp. 138-149
Author(s):  
Shunichi Ishihara
Keyword(s):  
Likelihood Ratio ◽  
Low Cost ◽  
Scientific Evidence ◽  
Short Message ◽  
Likelihood Ratios ◽  
Forensic Evidence ◽  
Probabilistic Evaluation ◽  
Popular Medium ◽  
Log Likelihood ◽  
Message Service

This study is one of the first likelihood ratio-based forensic text comparison studies in forensic authorship analysis. The likelihood-ratio-based evaluation of scientific evidence has started being adopted in many disciplines of forensic evidence comparison sciences, such as DNA, handwriting, fingerprints, footwear, voice recording, etc., and it is largely accepted that this is the way to ensure the maximum accountability and transparency of the process. Due to its convenience and low cost, short message service (SMS) has been a very popular medium of communication for quite some time. Unfortunately, however, SMS messages are sometimes used for reprehensible purposes, e.g., communication between drug dealers and buyers, or in illicit acts such as extortion, fraud, scams, hoaxes, and false reports of terrorist threats. In this study, the author performs a likelihood-ratio-based forensic text comparison of SMS messages focusing on lexical features. The likelihood ratios (LRs) are calculated in Aitken and Lucy’s (2004) multivariate kernel density procedure, and are calibrated. The validity of the system is assessed based on the magnitude of the LRs using the log-likelihood-ratio cost (Cllr). The strength of the derived LRs is graphically presented in Tippett plots. The results of the current study are compared with those of previous studies.

The weight change impact on metabolic syndrome: a 17-year follow-up study

Open Medicine ◽  
2011 ◽  
Vol 6 (6) ◽  
pp. 788-794 ◽  
Author(s):  
Magdalena Kwaśniewska ◽  
Dorota Kaleta ◽  
Anna Jegier ◽  
Tomasz Kostka ◽  
Elżbieta Dziankowska-Zaborszczyk ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Weight Loss ◽  
Weight Gain ◽  
Weight Change ◽  
Metabolic Risk ◽  
Adjusted Relative Risk ◽  
Prospective Longitudinal ◽  
The Impact

AbstractIntroduction: Data on long-term patterns of weight change in relation to the development of metabolic syndrome (MetS) are scarce. The aim of the study was to evaluate the impact of weight change on the risk of MetS in men. Material and Methods: Prospective longitudinal observation (17.9 ± 8.1 years) of apparently healthy 324 men aged 18–64 years. Metabolic risk was assessed in weight gain (⩾ 2.5 kg), stable weight (> −2.5 kg and < 2.5 kg) and weight loss (⩽ −2.5 kg) groups. Adjusted relative risk (RR) of MetS was analyzed using multivariate logistic regression. Results: The prevalence of MetS over follow-up was 22.5%. There was a strong relationship between weight gain and worsening of MetS components among baseline overweight men. Long-term increase in weight was most strongly related with the risk of abdominal obesity (RR=7.26; 95% CI 2.98–18.98), regardless of baseline body mass index (BMI). Weight loss was protective against most metabolic disorders. Leisure-time physical activity (LTPA) with energy expenditure > 2000 metabolic equivalent/min/week was associated with a significantly lower risk of MetS. Conclusions: Reducing weight among overweight and maintaining stable weight among normal-weight men lower the risk of MetS. High LTPA level may additionally decrease the metabolic risk regardless of BMI.

Water content, weight change, and activity of apterous and alate virginoparous Acyrthosiphon pisum (Harris) (Homoptera: Aphididae)

1979 ◽  
Vol 57 (2) ◽  
pp. 363-367 ◽  
Author(s):  
P. A. MacKay ◽  
R. G. H. Downer
Keyword(s):  
Weight Loss ◽  
Weight Gain ◽  
Water Content ◽  
Water Loss ◽  
Weight Change ◽  
Acyrthosiphon Pisum ◽  
Live Weight ◽  
Mature Adults ◽  
Final Moult ◽  
Third Instar Larvae

Changes in weight, water content, and activity of alate and apterous virginoparous Acyrthosiphon pisum (Harris) were observed during development from third instar larvae to mature adults. Apterous aphids gained weight steadily until the 4th day of adulthood, and showed no dramatic changes in activity during this period. The live weights of alate aphids decreased during the 24 h immediately following the final moult, but increased gradually after this lime. The onset of weight loss occurred before the active nonfeeding period during which dispersal would normally lake place. Recommencement of weight gain followed the resumption of feeding. After the adult moult, the water content of alatae expressed as a percentage of live weight decreased for 24 h. whereas that of apterae remained constant. During the next 24 h, the water content of alatae increased to a level slightly below that of apterae. Thereafter, both morphs maintained a constant water content until about the 5th day, when a slight increase was evident. Eighty-five percent of the weight loss of adult alatae is attributable to water loss. It is suggested that dehydration of newly moulted adult alatae is an adaptation to facilitate dispersive flight.

scholarly journals Age-associated changes in hypothalamic–pituitary–testicular function in middle-aged and older men are modified by weight change and lifestyle factors: longitudinal results from the European Male Ageing Study

2013 ◽  
Vol 168 (3) ◽  
pp. 445-455 ◽  
Author(s):  
E M Camacho ◽  
I T Huhtaniemi ◽  
T W O'Neill ◽  
J D Finn ◽  
S R Pye ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Gain ◽  
Weight Change ◽  
Lifestyle Factors ◽  
Community Dwelling ◽  
Sex Hormone Binding Globulin ◽  
Curvilinear Relationship ◽  
Lifestyle Modifications ◽  
Age Related ◽  
Hpt Axis

ObjectiveHealth and lifestyle factors are associated with variations in serum testosterone levels in ageing men. However, it remains unclear how age-related changes in testosterone may be attenuated by lifestyle modifications. The objective was to investigate the longitudinal relationships between changes in health and lifestyle factors with changes in hormones of the reproductive endocrine axis in ageing men.DesignA longitudinal survey of 2736 community-dwelling men aged 40–79 years at baseline recruited from eight centres across Europe. Follow-up assessment occurred mean (±s.d.) 4.4±0.3 years later.ResultsPaired testosterone results were available for 2395 men. Mean (±s.d.) annualised hormone changes were as follows: testosterone −0.1±0.95 nmol/l; free testosterone (FT) −3.83±16.8 pmol/l; sex hormone-binding globulin (SHBG) 0.56±2.5 nmol/l and LH 0.08±0.57 U/l. Weight loss was associated with a proportional increase, and weight gain a proportional decrease, in testosterone and SHBG. FT showed a curvilinear relationship to weight change; only those who gained or lost ≥15% of weight showed a significant change (in the same direction as testosterone). Smoking cessation was associated with a greater decline in testosterone than being a non-smoker, which was unrelated to weight change. Changes in number of comorbid conditions or physical activity were not associated with significant alterations in hypothalamic–pituitary–testicular (HPT) axis function.ConclusionsBody weight and lifestyle factors influence HPT axis function in ageing. Weight loss was associated with a rise, and weight gain a fall, in testosterone, FT and SHBG. Weight management appears to be important in maintaining circulating testosterone in ageing men, and obesity-associated changes in HPT axis hormones are reversible following weight reduction.

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