Use of a mobile lifestyle intervention application as a waitlist intervention for adolescents with obesity: single arm feasibility study (Preprint)

2020 ◽  
Author(s):  
Chu Shan Elaine Chew ◽  
Eric Andrew Finkelstein ◽  
Courtney Davis
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Lifestyle Intervention ◽  
Intervention Program ◽  
Clinical Care ◽  
Mobile App ◽  
Z Score ◽  
Fat Percentage ◽  
Lifestyle Intervention Program

BACKGROUND Use of a mobile health tool as a waitlist intervention combined with in-person weight management clinic visits may increase participant engagement and be an effective treatment strategy for adolescent obesity. OBJECTIVE The aim of this study was to assess the effectiveness of and adolescent engagement with a mobile application-based lifestyle intervention program as a waitlist intervention prior to their engagement with a multidisciplinary weight management clinic METHODS This single-arm feasibility study recruited adolescents with obesity, aged 10-16 year old, to a waitlist intervention using a mobile app-based lifestyle intervention program with routine clinical care. Primary outcomes were adolescents’ engagement with the mobile application and BMI z-score at 6 months. Secondary outcomes included health behaviours, physical activity levels , quality of life and disordered eating behaviours. RESULTS We enrolled 40 adolescents with mean age of 13.8 ± 1.7 years and BMI z-score of 2.07 ± 0.30. Participants were ethnically diverse with 45% Chinese, 33% Malay, 15% Indians and 10% of other ethnicity. 83% of the participants had a household income level that was below the national median levels. 83% of the participants engaged with the mobile app-based lifestyle intervention program. There was no significant differences in the BMI z-score and disordered eating behaviours of the participants at 6 months. Participants had significant improvement in quality of life (P=0.044) and physical activity level (P=0.026) with reduction of total caloric intake (P=0.018) and fat percentage (P=0.018) at 6 months. CONCLUSIONS Use of a mobile app-based lifestyle intervention program combined with multidisciplinary clinical care is feasible strategy to provide obesity management services to a low-income and racially diverse Asian population and improves quality of life, physical activity levels and reduces fat percentage and total caloric intake. CLINICALTRIAL ClinicalTrials.gov NCT03561597

scholarly journals Effectiveness of a 6-Month Lifestyle Intervention on Diet, Physical Activity, Quality of Life, and Markers of Cardiometabolic Health in Women with PCOS and Obesity and Non-PCOS Obese Controls: One Size Fits All?

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3425
Author(s):  
Zheng Wang ◽  
Henk Groen ◽  
Astrid E. P. Cantineau ◽  
Tessa M. van Elten ◽  
Matty D. A. Karsten ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Lifestyle Intervention ◽  
Intervention Program ◽  
Controlled Trial ◽  
Dropout Rate ◽  
Cardiometabolic Health ◽  
Infertile Women ◽  
The Difference

Little is known about the difference in effectiveness of lifestyle intervention between women with PCOS and non-PCOS women. In a post hoc longitudinal analysis of a randomized, controlled trial, we aimed to investigate whether infertile women with PCOS and obesity (N = 87) responded differently to a 6-month lifestyle intervention program than infertile non-PCOS obese controls (N = 172). We evaluated several aspects of the intervention such as changes in diet, physical activity, and dropout rate, as well as the effect on weight, quality of life (QoL), and cardiometabolic outcomes. Multilevel analyses were used, and analyses were adjusted for baseline characteristics such as age, education, and smoking. Although BMI in both groups significantly decreased at 3 months and 6 months, there were no significant differences between the groups at 3 months (adjusted B: −0.3, 95% CI: −0.9 to 0.3, p = 0.35) and 6 months (adjusted B: 0.5, 95% CI: −0.4 to 1.4, p = 0.29). Women with PCOS and non-PCOS women had similar compliance with the lifestyle intervention in terms of actual change in diet and physical activity. Mental QoL scores were not different at either 3 or 6 months. Physical QoL scores were lower in women with PCOS compared with non-PCOS women at 3 months (adjusted B: −2.4, 95% CI: −4.8 to −0.06, p = 0.045) but not at 6 months. Cardiometabolic parameters did not differ between the groups. Our results showed that infertile women with PCOS and obesity and non-PCOS obese controls responded largely similarly to our lifestyle intervention and achieved the same level of improvement in markers of cardiometabolic health.

scholarly journals Community-Based Healthy Lifestyle Intervention Program (Co-HELP) Modification Meningkatkan Kualitas Hidup Pasien DM

2020 ◽  
Vol 10 (01) ◽  
pp. 26-31
Author(s):  
Syulce Luselya Tubalawony ◽  
Fransiska Dewi Prabawati
Keyword(s):  
Quality Of Life ◽  
Lifestyle Intervention ◽  
Fast Food ◽  
Intervention Program ◽  
Healthy Lifestyle ◽  
Community Based ◽  
Purposive Sampling ◽  
Lifestyle Intervention Program ◽  
Diabetes Melitus

Pendahuluan: Era modern yang terjadi menyebabkan perubahan gaya hidup seperti tingginya pola konsumsi fast food dan kurangnya aktivitas fisik menyebabkan peningkatan penyakit kronis salah satunya Diabetes Melitus (DM). Tujuan penelitian ini adalah untuk menganalisis efektivitas Community-Based Healthy Lifestyle Intervention Program (Co-HELP) Modification terhadap kualitas hidup, kadar gula darah puasa dan tekanan darah pasien DM. Metode: Rancangan quasy experiment digunakan dengan melibatkan 76 responden yang terbagi atas 51 responden kelompok intervensi dan 25 responden kelompok kontrol yang dipilih dengan teknik purposive sampling. Kualitas Hidup responden diukur menggunakan kuesioner diabetes quality of life. Analisa hasil penelitian dengan uji Wilcoxon dan uji Mann-Whitney Hasil: Mayoritas responden kategori dewasa madya, perempuan (77,6%), lama menderita DM >5 tahun (67,1%), pekerjaan ringan (82,9%). Setelah 6 minggu diberikan intervensi Co-HELP Modification didapatkan hasil menujukan ada perbedaan yang signifikan pada kualitas hidup (p=0,000), kadar gula darah puasa (p=0,000), namun hasil uji untuk tekanan sistole dan tekanan diastole tidak ada perbedaan. Hasil uji regresi logistik ordinal menunjukkan bahwa intervensi Co-HELP Modification, umur, jenis kelamin, lama menderita/sakit DM dan pekerjaan secara simultan berpengaruh terhadap kualitas hidup (p= 1,000), kadar gula darah puasa (p=0,975), tekanan sistole (p=1,000) dan tekanan diastole (p=0,315). Kesimpulan :Penelitian ini merekomendasikan perlunya menerapkan Co-HELP Modification sebagai langkah mencegah komplikasi sehingga kualitas hidup pasien meningkat.

An Integrated Clinic-Community Partnership for Child Obesity Treatment: A Randomized Pilot Trial

2018 ◽  
pp. 103-116
Author(s):  
Jessica Hoffman ◽  
Leah Frerichs ◽  
Mary Story ◽  
Jason Jones ◽  
Kiah Gaskin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Clinical Care ◽  
Child Obesity ◽  
Integrated Model ◽  
Obesity Treatment ◽  
Z Score ◽  
Parks And Recreation ◽  
Child Bmi

BACKGROUND AND OBJECTIVES Effective treatment of childhood obesity remains elusive. Integration of clinical and community systems may achieve effective and sustainable treatment. However, the feasibility and effectiveness of this integrated model are unknown. METHODS We conducted a randomized clinical trial among children aged 5 to 11 presenting for obesity treatment. We randomized participants to clinical care or clinical care plus community-based programming at a local parks and recreation facility. Primary outcomes were the change in child BMI at 6 months and the intensity of the program in treatment hours. Secondary outcomes included health behaviors, fitness, attrition, and quality of life. RESULTS We enrolled 97 children with obesity, and retention at 6 months was 70%. Participants had a mean age of 9.1 years and a mean baseline BMI z score of 2.28, and 70% were living in poverty. Intervention participants achieved more treatment hours than controls (11.4 vs 4.4, SD: 15.3 and 1.6, respectively). We did not observe differences in child BMI z score or percent of the 95th percentile at 6 months. Intervention participants had significantly greater improvements in physical activity (P = .010) and quality of life (P = .008). CONCLUSIONS An integrated clinic-community model of child obesity treatment is feasible to deliver in a low-income and racially diverse population. As compared with multidisciplinary treatment, the integrated model provides more treatment hours, improves physical activity, and increases quality of life. Parks and recreation departments hold significant promise as a partner agency to deliver child obesity treatment.

scholarly journals Impact of a community-based lifestyle intervention program on health-related quality of life

2016 ◽  
Vol 25 (8) ◽  
pp. 1903-1912 ◽  
Author(s):  
Yvonne L. Eaglehouse ◽  
Gerald L. Schafer ◽  
Vincent C. Arena ◽  
M. Kaye Kramer ◽  
Rachel G. Miller ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lifestyle Intervention ◽  
Intervention Program ◽  
Health Related Quality ◽  
Community Based ◽  
Related Quality ◽  
Health Related ◽  
Lifestyle Intervention Program
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