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Technology Interventions to Curb Obesity: A Systematic Review of the Current Literature

  • Obesity and Diet (G Rao, Section Editor)
  • Published:
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Abstract

Obesity is a public health crisis that has reached epidemic proportions. Although intensive behavioral interventions can produce clinically significant weight loss, their cost to implement, coupled with resource limitations, pose significant barriers to scalability. To overcome these challenges, researchers have made attempts to shift intervention content to the Internet and other mobile devices. This article systematically reviews the recent literature examining technology-supported interventions for weight loss and maintenance among overweight and obese adults. Thirteen studies were identified that satisfied our inclusion criteria (12 weight loss trials, 1 weight maintenance trial). Our findings suggest that technology interventions may be efficacious at producing weight loss. However, several studies are limited by methodologic shortcomings. There are insufficient data to evaluate their efficacy for weight maintenance. Further research is needed that employs state-of-the-art methodology, with careful attention being paid to adherence and fidelity to intervention protocols.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Obesity and Overweight Factsheet. World Health Organization Web site. http://www.who.int/mediacentre/factsheets/fs311/en/index.html. Accessed November 15, 2011.

  2. Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999–2008. JAMA. 2010;303:235–41.

    Article  PubMed  CAS  Google Scholar 

  3. Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, et al. Prevalence of obesity, diabetes, and obesity related health risk factors, 2001. JAMA. 2003;289:76.

    Article  PubMed  Google Scholar 

  4. Poirier P, Giles TD, Bray GA, Hong Y, Stern JS, Pi-Sunyer FX, et al. Obesity and cardiovascular disease: pathophysiology, evaluation, and effect on weight loss. Atheroscler Thromb Vasc Biol. 2006;26:968–76.

    Article  CAS  Google Scholar 

  5. Wadden TA, Berkowitz RI, Womble LG, et al. Randomized trial of lifestyle modification and pharmacotherapy for obesity. N Engl J Med. 2005;353:2111–20.

    Article  PubMed  CAS  Google Scholar 

  6. Alhassan S, Kim S, Bersamin A, King A, Gardner C. Dietary adherence and weight loss success among overweight women: results from the A to Z weight loss study. Int J Obes. 2008;32:985–91.

    Article  CAS  Google Scholar 

  7. Baker RC, Kirschenbaum DS. Self-monitoring may be necessary for successful weight control. Behav Ther. 1993;24:377–94.

    Article  Google Scholar 

  8. Diabetes Prevention Program Research Group. Achieving weight and activity goals among diabetes prevention program lifestyle participants. Obes Res. 2004;12(9):1426–34.

    Article  Google Scholar 

  9. Wing R, Phelan S. Long-term weight loss maintenance. Am J Clin Nutr. 2005;82:2225–55.

    Google Scholar 

  10. Rao G, Burke LE, Spring BJ, et al. New and emerging weight management strategies for busy ambulatory settings: a scientific statement from the American Heart Association. Circulation. 2010;124(10):1182–203.

    Article  Google Scholar 

  11. Bennett GG, Herring SJ, Puleo E, Stein EK, Emmons KM, Gillman MW. Web-based weight loss in primary care: a randomized controlled trial. Obesity. 2010;18:308–13.

    Article  PubMed  Google Scholar 

  12. McDoniel SO, Wolskee P, Shen J. Treating obesity with a novel hand-held device, computer software program, and Internet technology in primary care: The SMART motivational trial. Patient Educ Couns. 2010;79:185–91.

    Article  PubMed  Google Scholar 

  13. • Morgan PJ, Collins CE, Plotnikoff RC, et al. Efficacy of a workplace-based weight loss program for overweight male shift workers: the workplace POWER (Preventing Obesity Without Eating like a Rabbit) randomized controlled trial. Prev Med. 2011;52:317–25. This trial established the efficacy of an online weight loss program (Calorie King), which contains self-monitoring tools for diet, physical activity, and weight, and an online social network. The Calorie Kingprogram is available to the public.

    Article  PubMed  Google Scholar 

  14. Morgan PJ, Lubans DR, Collins CE, Warren JM, Callister R. 12-month outcomes and process evaluation of the SHED-IT RCT: an internet-based weight loss program targeting men. Obesity. 2011;19:142–51.

    Article  PubMed  Google Scholar 

  15. Shuger SL, Barry VW, Sui X, et al. Electronic feedback in a diet- and physical activity-based lifestyle intervention for weight loss: a randomized controlled trial. Int J Behav Nutr Phys Act. 2010;8:41.

    Article  Google Scholar 

  16. Touger-Decker R, Denmark R, Bruno M, O’Sullivan-Maillet J, Lasser N. Workplace weight loss program; comparing live and internet methods. J Occup Environ Med. 2010;52(11):1112–8.

    Article  PubMed  Google Scholar 

  17. van Wier MF, Dekkers JC, Hendriksen IJM, et al. Effectiveness of phone and e-mail lifestyle counseling for long term weight control among overweight employees. J Occup Environ Med. 2011;53(6):680–6.

    Article  PubMed  Google Scholar 

  18. • Burke LE, Conroy MB, Sereika SM, et al. The effect of electronic self-monitoring on weight loss and dietary intake: a randomized behavioral weight loss trial. Obesity. 2011;19:338–44. This well-designed and well-implemented clinical trial established the efficacy of a behavioral weight loss intervention using a handheld device.

    Article  PubMed  Google Scholar 

  19. Wing RR, Crane MM, Thomas JG, Kumar J, Weinberg B. Improving weight loss outcomes of community interventions by incorporating behavioral strategies. Am J Public Health. 2010;e1–7.

  20. Maruyama C, Kimura M, Okumura H, Hayashi K, Arao T. Effect of a worksite-based intervention program on metabolic parameters in middle-aged male white-collar workers: a randomized controlled trial. Prev Med. 2010;51:11–7.

    Article  PubMed  Google Scholar 

  21. Thomas D, Vydelingum V, Lawrence J. E-mail contact as an effective strategy in the maintenance of weight loss in adults. J Hum Nutr Diet. 2010;24:32–8.

    Article  PubMed  Google Scholar 

  22. Bennett GG, Broome KM, Schwab-Pilley A, Gilmore P. A web-based approach to address cardiovascular risks in managers. J Occup Environ Med. 2011;53(8):911–8.

    Article  PubMed  Google Scholar 

  23. Harvey-Berino J, West D, Krukowski R, et al. Internet delivered behavioral obesity treatment. Prev Med. 2010;51:123–8.

    Article  PubMed  Google Scholar 

  24. Stone AA, Shiffman S, Schwartz JE, Broderick JE, Hufforz MR. Patient compliance with paper and electronic diaries. Control Clin Trials. 2003;24:182–99.

    Article  PubMed  Google Scholar 

  25. Livingstone MBE, Black AE. Markers of the validity of reported energy intake. J Nutr. 2003;133(3 suppl):895S–920S.

    PubMed  CAS  Google Scholar 

  26. Prince SA, Adamo KB, Hamel ME, et al. A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act. 2008;5:56.

    Article  PubMed  Google Scholar 

  27. Carver C, Scheier M. On the self-regulation of behavior. New York: Cambridge University Press; 1998.

    Google Scholar 

  28. Christakis N, Fowler J. The spread of obesity in a large social network over 32 years. N Engl J Med. 2007;357:370–9.

    Article  PubMed  CAS  Google Scholar 

  29. Smartphone Adoption and Usage Report. PEW Research Center Web site. http://pewinternet.org/Reports/2011/Smartphones.aspx. Accessed November 15, 2011.

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Coons, M.J., DeMott, A., Buscemi, J. et al. Technology Interventions to Curb Obesity: A Systematic Review of the Current Literature. Curr Cardiovasc Risk Rep 6, 120–134 (2012). https://doi.org/10.1007/s12170-012-0222-8

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