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Website usage and weight loss in a free commercial online weight loss program: retrospective cohort study.

作者信息

Hwang Kevin O, Ning Jing, Trickey Amber W, Sciamanna Christopher N

机构信息

Department of Internal Medicine, The University of Texas Medical School at Houston, Houston, TX, United States.

出版信息

J Med Internet Res. 2013 Jan 15;15(1):e11. doi: 10.2196/jmir.2195.


DOI:10.2196/jmir.2195
PMID:23322819
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3636231/
Abstract

BACKGROUND: Online weight loss programs are increasingly popular. However, little is known about outcomes and associations with website usage among members of free online weight loss programs. OBJECTIVE: This retrospective cohort study examined the association between website usage and weight loss among members of a free commercial online weight loss program (SparkPeople). METHODS: We conducted a retrospective analysis of a systematic random sample of members who joined the program during February 1 to April 30, 2008, and included follow-up data through May 10, 2010. The main outcome was net weight change based on self-reported weight. Measures of website usage included log-ins, self-monitoring entries (weight, food, exercise), and use of social support tools (discussion forums, friendships). RESULTS: The main sample included 1258 members with at least 2 weight entries. They were 90.7% female, with mean (SD) age 33.6 (11.0) and mean (SD) BMI 31.6 (7.7). Members with at least one forum post lost an additional 1.55 kg (95% CI 0.55 kg to 2.55 kg) relative to those with no forum posts. Having at least 4 log-in days, weight entry days, or food entry days per 30 days was significantly associated with weight loss. In the multiple regression analysis, members with at least 4 weight entry days per 30 days reported 5.09 kg (95% CI 3.29 kg to 6.88 kg) more weight loss per 30 days than those with fewer weight entry days. After controlling for weight entry days, the other website usage variables were not associated with weight change. CONCLUSIONS: Weekly or more frequent self-monitoring of weight is associated with greater weight loss among members of this free online weight loss program.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30c9/3636231/7458e7a0a31e/jmir_v15i1e11_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30c9/3636231/7458e7a0a31e/jmir_v15i1e11_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30c9/3636231/7458e7a0a31e/jmir_v15i1e11_fig1.jpg

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[10]
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本文引用的文献

[1]
Primary care providers' perspectives on online weight-loss programs: a big wish list.

J Med Internet Res. 2012-1-19

[2]
Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010.

JAMA. 2012-1-17

[3]
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Health Expect. 2014-6

[4]
Weight change in a commercial web-based weight loss program and its association with website use: cohort study.

J Med Internet Res. 2011-10-12

[5]
The accuracy of weight reported in a web-based obesity treatment program.

Telemed J E Health. 2011-9-1

[6]
The association between weight loss and engagement with a web-based food and exercise diary in a commercial weight loss programme: a retrospective analysis.

Int J Behav Nutr Phys Act. 2011-8-2

[7]
Self-monitoring in weight loss: a systematic review of the literature.

J Am Diet Assoc. 2011-1

[8]
Measuring social support for weight loss in an internet weight loss community.

J Health Commun. 2011-2

[9]
Associations of internet website use with weight change in a long-term weight loss maintenance program.

J Med Internet Res. 2010-7-27

[10]
12-month outcomes and process evaluation of the SHED-IT RCT: an internet-based weight loss program targeting men.

Obesity (Silver Spring). 2010-6-3

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