scholarly journals A web-based intervention is feasible for supporting weight loss and increased activity in rural women with arthritis

2021 ◽  
Author(s):  
Patricia A. Hageman ◽  
Christine Eisenhauer ◽  
Joseph E. Mroz ◽  
Rebecca Johnson Beller
Keyword(s):  
Weight Loss ◽  
Rural Women ◽  
Repeated Measures ◽  
Chronic Conditions ◽  
Underserved Population ◽  
Web Based ◽  
Lower Weight ◽  
Prevalence Of Obesity ◽  
Recorded Data ◽  
Increased Activity

Rural women have well documented health disparities, with higher prevalence of obesity and chronic conditions, including arthritis. Change in weight and actigraph-recorded data were examined in a subset of 63 of 82 women with physician-diagnosed arthritis who completed a 30-month web-based clinical trial. Repeated measures analyses showed women lost weight from baseline to six months, slowly regained at 18 and 30 months, ending with a lower weight than baseline F(1,62)=40.89, p < .001, η2p =.40. Of 53 women with complete data, activity increased at six months, decreased at 18 months, and increased at 30 months F(1,52)=4.14, p =.04, η2p=.07. Women showed improved change in weight and activity from baseline at six, 18 and 30 months. This study adds support that web-based programs may promote weight loss and activity in a hard-to-reach, underserved population of midlife and older rural women with arthritis.  

scholarly journals General Public’s Information-Seeking Patterns of Topics Related to Obesity: Google Trends Analysis (Preprint)

2020 ◽  
Author(s):  
Aditya S Pawar ◽  
Sajan Nagpal ◽  
Neha Pawar ◽  
Lilach O Lerman ◽  
Alfonso Eirin
Keyword(s):  
Weight Loss ◽  
Information Seeking ◽  
Google Trends ◽  
Search Term ◽  
Web Based ◽  
Entire Study ◽  
Awareness Campaigns ◽  
Prevalence Of Obesity ◽  
The Mean ◽  
Over Time

BACKGROUND Obesity is a major public health challenge, and recent literature sheds light on the concept of “normalization” of obesity. OBJECTIVE We aimed to study the worldwide pattern of web-based information seeking by public on obesity and on its related terms and topics using Google Trends. METHODS We compared the relative frequency of obesity-related search terms and topics between 2004 and 2019 on Google Trends. The mean relative interest scores for these terms over the 4-year quartiles were compared. RESULTS The mean relative interest score of the search term “obesity” consistently decreased with time in all four quartiles (2004-2019), whereas the relative interest scores of the search topics “weight loss” and “abdominal obesity” increased. The topic “weight loss” was popular during the month of January, and its median relative interest score for January was higher than that for other months for the entire study period (<i>P</i>&lt;.001). The relative interest score for the search term “obese” decreased over time, whereas those scores for the terms “body positivity” and “self-love” increased after 2013. CONCLUSIONS Despite a worldwide increase in the prevalence of obesity, its popularity as an internet search term diminished over time. The reason for peaks in months should be explored and applied to the awareness campaigns for better effectiveness. These patterns suggest normalization of obesity in society and a rise of public curiosity about image-related obesity rather than its medical implications and harm.

DO WEB-BASED INTERVENTIONS FOR WEIGHT-LOSS INFLUENCE CHANGE IN PHYSICAL ACTIVITY IN OVERWEIGHT AND OBESE RURAL WOMEN?

2014 ◽  
Vol 25 (4) ◽  
pp. 116-117
Author(s):  
Patricia A. Hageman ◽  
Carol H. Pullen ◽  
Melody Hertzog ◽  
Bunny Pozehl ◽  
Linda S. Boeckner
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Rural Women ◽  
Web Based

scholarly journals User Engagement Associated with Web-Intervention Features to Attain Clinically Meaningful Weight Loss and Weight Maintenance in Rural Women

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Patricia A. Hageman ◽  
Joseph E. Mroz ◽  
Michael A. Yoerger ◽  
Carol H. Pullen
Keyword(s):  
Weight Loss ◽  
Rural Women ◽  
Weight Maintenance ◽  
Intervention Group ◽  
Secondary Analysis ◽  
Clinical Trial Data ◽  
Weight Loss Maintenance ◽  
User Engagement ◽  
Bodyweight Loss ◽  
Web Based

Objective. Purely web-based weight loss and weight-loss maintenance interventions show promise to influence behavior change. Yet, little is known about user engagement with features of web-based interventions that predict clinically meaningful weight loss (≥5% bodyweight loss). This study examines level of website feature engagement with the likelihood of attaining ≥5% bodyweight loss after 6 and 18 months participation in a web-based intervention, among rural women at high risk of obesity-related diseases and disability. Methods. In this secondary analysis of clinical trial data of 201 rural women, we examined weight change and user engagement, measured as clicks on specific web-based intervention features (messaging and self-tracking), as associated with clinically meaningful weight loss (baseline to 6 months) and weight-loss maintenance (6 to 18 months). Results. Generalized estimating equations, adjusted for age, intervention group, and intervention phase, revealed high engagement with messaging predicted whether women achieved ≥5% weight loss at 6 months and at 18 months. There was no effect of self-tracking. Conclusions. Being engaged with messages was associated with attaining clinically meaningful short-term and longer-term weight loss. This trial is registered with NCT01307644.

scholarly journals COMPARISON OF WEB-BASED INTERVENTIONS FOR WEIGHT LOSS AND WEIGHT MAINTENANCE IN RURAL WOMEN

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 217-217
Author(s):  
P.A. Hageman ◽  
C.H. Pullen ◽  
M. Hertzog ◽  
B. Pozehl ◽  
C. Eisenhauer ◽  
...  
Keyword(s):  
Weight Loss ◽  
Rural Women ◽  
Weight Maintenance ◽  
Web Based

scholarly journals Weight loss is associated with improved quality of life among rural women completers of a web-based lifestyle intervention

PLoS ONE ◽  
2019 ◽  
Vol 14 (11) ◽  
pp. e0225446 ◽  
Author(s):  
Patricia A. Hageman ◽  
Joseph E. Mroz ◽  
Michael A. Yoerger ◽  
Carol H. Pullen
Keyword(s):  
Quality Of Life ◽  
Weight Loss ◽  
Lifestyle Intervention ◽  
Rural Women ◽  
Web Based

scholarly journals General Public’s Information-Seeking Patterns of Topics Related to Obesity: Google Trends Analysis

10.2196/20923 ◽  
2020 ◽  
Vol 6 (3) ◽  
pp. e20923 ◽  
Author(s):  
Aditya S Pawar ◽  
Sajan Nagpal ◽  
Neha Pawar ◽  
Lilach O Lerman ◽  
Alfonso Eirin
Keyword(s):  
Weight Loss ◽  
Information Seeking ◽  
Google Trends ◽  
Search Term ◽  
Web Based ◽  
Entire Study ◽  
Awareness Campaigns ◽  
Prevalence Of Obesity ◽  
The Mean ◽  
Over Time

Background Obesity is a major public health challenge, and recent literature sheds light on the concept of “normalization” of obesity. Objective We aimed to study the worldwide pattern of web-based information seeking by public on obesity and on its related terms and topics using Google Trends. Methods We compared the relative frequency of obesity-related search terms and topics between 2004 and 2019 on Google Trends. The mean relative interest scores for these terms over the 4-year quartiles were compared. Results The mean relative interest score of the search term “obesity” consistently decreased with time in all four quartiles (2004-2019), whereas the relative interest scores of the search topics “weight loss” and “abdominal obesity” increased. The topic “weight loss” was popular during the month of January, and its median relative interest score for January was higher than that for other months for the entire study period (P<.001). The relative interest score for the search term “obese” decreased over time, whereas those scores for the terms “body positivity” and “self-love” increased after 2013. Conclusions Despite a worldwide increase in the prevalence of obesity, its popularity as an internet search term diminished over time. The reason for peaks in months should be explored and applied to the awareness campaigns for better effectiveness. These patterns suggest normalization of obesity in society and a rise of public curiosity about image-related obesity rather than its medical implications and harm.

The putative effects of green tea on body fat: an evaluation of the evidence and a review of the potential mechanisms

2011 ◽  
Vol 106 (9) ◽  
pp. 1297-1309 ◽  
Author(s):  
Navamayooran Thavanesan
Keyword(s):  
Weight Loss ◽  
Green Tea ◽  
Body Fat ◽  
Fatty Acid Synthase ◽  
The Body ◽  
Alternative Methods ◽  
Future Research ◽  
Prevalence Of Obesity ◽  
Simultaneous Inhibition

The increase in the prevalence of obesity in recent years has prompted research into alternative methods of modulating body weight and body fat. The last decade has reflected this with a surge in studies investigating the potential of green tea as a natural agent of weight loss, with a view to confirming and elucidating the mechanisms underlying its effect on the body. Currently, it is widely believed that the polyphenolic components present in green tea have an anti-obesogenic effect on fat homeostasis, by increasing thermogenesis or reducing fat absorption among other ways. The data published to date, however, are inconsistent, with numerous putative modes of action suggested therein. While several unimodal mechanisms have been postulated, a more plausible explanation of the observed results might involve a multimodal approach. Such a mechanism is suggested here, involving simultaneous inhibition of the enzymes catechol-O-methyltransferase, acetyl-CoA carboxylase, fatty acid synthase and impeding absorption of fat via the gut. An evaluation of the available evidence supports a role of green tea in weight loss; however the extent of the effects obtained is still subject to debate, and requires more objective quantification in future research.

EVALUATING THE EFFECTIVENESS OF A WEB-BASED WEIGHT LOSS PROGRAM AMONG CANADIAN MILITARY PERSONNEL

2014 ◽  
Vol 30 (10) ◽  
pp. S179-S180 ◽  
Author(s):  
S. Grover ◽  
I. Lowensteyn ◽  
D. Shipley ◽  
E. Skene ◽  
S. Dancausse ◽  
...  
Keyword(s):  
Weight Loss ◽  
Military Personnel ◽  
Weight Loss Program ◽  
Web Based ◽  
Canadian Military

Abstract P297: Reduced Fat Mass and Improved Insulin Sensitivity in Overweight Black Women after Completion of 6-month Worksite Weight Loss Program

Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Benjamin M Leon ◽  
Bernard V Miller ◽  
Gloria Zalos ◽  
Kong Y Chen ◽  
Anne E Sumner ◽  
...  
Keyword(s):  
Weight Loss ◽  
Black Women ◽  
Insulin Sensitivity ◽  
Fat Mass ◽  
Caloric Intake ◽  
Mass Gain ◽  
The United States ◽  
Sensitivity Index ◽  
Web Based ◽  
Total Fat

Background: As the epidemic of obesity in the United States steadily worsens, black women are disproportionately affected. Diminished insulin sensitivity has been linked with obesity and heightened risk of subsequent type 2 diabetes (T2D) and cardiovascular disease (CVD). Hypothesis: We propose that a decrease in fat mass achievable by weight loss intervention at the worksite improves insulin sensitivity in overweight black women. Methods: Fifty-four overweight black women [age 45±10 years (mean±SD), BMI range 25.9 to 54.7 kg/m 2 ] completed a 6-month program that included web-based nutrition information and/or dietitian counseling and access to exercise rooms near their work areas. All participants were advised to reduce daily caloric intake by 500 kcal and instructed to increase daily activity by 5,000 steps, measured by pedometer, above baseline readings. The following measurements were performed: weight, total fat mass by dual-energy X-ray absorptiometry, and insulin sensitivity index (S I ) calculated from the minimal model. Repeat of all measurements was performed at 6 months. Results: Baseline S I (median 3.0 liter/mU -1 •min -1 , range 0.74 to 7.58 liter/mU -1 •min -1 , with lower values signifying insulin resistance) was negatively associated with fat mass (r= -0.584, P<0.001) independent of age. Significant reductions in weight (92.6±18.1 to 91.1±18.9 kg, P<0.01) and fat mass (40.8±12.4 to 39.4±12.6 kg, P<0.01) were determined for subjects completing the program. Reduction in fat mass following completion of the program was associated with an increase in S I (r= -0.293, P=0.032). When analyzed by tertiles of fat mass change (Figure), compared to the tertile with net fat mass gain (far left bar), the two tertiles with net fat mass loss had significantly improved insulin sensitivity (higher S I ). Conclusions: Even modest fat mass reduction in overweight non-diabetic black women with a combination of diet and exercise can improve insulin sensitivity, which has the potential to reduce or delay the onset of T2D and CVD.

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