The Effectiveness of Physical Activity-Promoting Web- and Mobile-Based Distance Weight Loss Interventions on Body Composition in Rehabilitation Settings : Systematic Review, Meta-analysis, and Meta-Regression Analysis
Lahtio, H., Rintala, A., Immonen, J., & Sjögren, T. (2022). The Effectiveness of Physical Activity-Promoting Web- and Mobile-Based Distance Weight Loss Interventions on Body Composition in Rehabilitation Settings : Systematic Review, Meta-analysis, and Meta-Regression Analysis. Journal of Medical Internet Research, 24(3), Article e25906. https://doi.org/10.2196/25906
Julkaistu sarjassa
Journal of Medical Internet ResearchPäivämäärä
2022Tekijänoikeudet
©Heli Lahtio, Aki Rintala, Jaakko Immonen, Tuulikki Sjögren. Originally published in the Journal of Medical Internet Research
(https://www.jmir.org), 24.03.2022.
Background:
Overweight and obesity are major problems worldwide, and they lead to an increased risk for several diseases. The use of technology in the treatment of obesity is promising, but in the existing literature, there is considerable uncertainty regarding its efficacy. In this review, we included web- and mobile-based weight loss interventions that were implemented remotely in rehabilitation settings.
Objective:
The aim of this systematic review is to study the effectiveness of physical activity-promoting web- and mobile-based distance weight loss interventions in rehabilitation settings on body composition in comparison with control groups that did not use technology.
Methods:
Studies were searched from 9 databases. The inclusion criteria were as follows: population: age 18-65 years; intervention: physical activity-promoting web- and mobile-based distance weight loss interventions; comparison: control groups without the use of technology; outcome: changes in BMI, waist circumference, or body fat percentage; study design: randomized controlled trial. The quality of the studies was assessed by 2 researchers. Meta-analysis was performed, and we also conducted a meta-regression analysis to evaluate the factors associated with the changes in body composition outcomes if statistical heterogeneity was observed.
Results:
The meta-analysis included 30 studies. The mean quality of the studies was 7 of 13 (SD 1.9; range 3-10). A statistically significant difference was observed in BMI (mean difference [MD] 0.83, 95% CI 0.51-1.15 kg/m2; P<.001), waist circumference (MD 2.45, 95% CI 1.83-3.07 cm; P<.001), and body fat percentage (MD 1.07%, 95% CI 0.74%-1.41%; P<.001) in favor of the weight loss groups using web- or mobile-based interventions. Meta-regression analyses found an association between personal feedback and BMI (P=.04), but other factors did not play a role in explaining statistical heterogeneity.
Conclusions:
Web- and mobile-based distance weight loss interventions significantly reduced BMI, waist circumference, and body fat percentage. Future studies should focus on the comparability of the intervention content. Future studies are needed to better understand weight loss and identify which components are essential in achieving it.
Trial Registration:
PROSPERO CRD42016035831; https://tinyurl.com/7c93tvd4
...
Julkaisija
JMIR Publications Inc.ISSN Hae Julkaisufoorumista
1439-4456Asiasanat
technology weight loss rehabilitation overweight obesity body mass index waist circumference body fat percentage mobile phone terveysvaikutukset verkkopalvelut ylipaino mobiilipalvelut maailmanlaajuiset ongelmat rasvaprosentti terveyden edistäminen kuntoutus painoindeksi painonhallinta teknologia fyysinen aktiivisuus laihdutus liikunta lihavuus
Julkaisu tutkimustietojärjestelmässä
https://converis.jyu.fi/converis/portal/detail/Publication/144260401
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