Journal
OBESITY REVIEWS
Volume 23, Issue 9, Pages -Publisher
WILEY
DOI: 10.1111/obr.13483
Keywords
digital health; electronic health; weight loss; weight management; weight regain
Categories
Funding
- European Union's Horizon 2020 Research and Innovation Programme through NUTRISHIELD project [818110]
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This study systematically reviewed and meta-analyzed randomized controlled trials on the effects of technology-based interventions for weight loss maintenance. The results showed that technology-based interventions had similar weight regain compared to minimum interventions, but led to significantly higher weight regain compared to in-person interventions.
Objective To systematically review and meta-analyze randomized controlled trials on the effects of technology-based interventions for maintenance of lost weight. Methods A systematic literature search was performed to identify randomized controlled trials with at least one intervention arm delivered through the internet or mobile application, published in English until September 2021. Weight change at the end of the weight loss maintenance phase was considered the primary outcome. Results Twelve manuscripts with 2941 adults were included in the review; 10 studies were meta-analyzed. Included interventions had a duration of 3-30 months and were tested compared with minimum interventions (no contact with the study staff or intervention with only a limited number of features) or in-person groups. Technology-based interventions resulted in similar weight regain when compared with minimum interventions (ES = -0.07 kg; 95% CI = [-0.57, 0.42]; p = 0.770). However, when compared with in-person interventions, technology-based interventions were found to lead in significantly higher weight regain (ES = 1.36 kg; 95% CI = [0.29, 2.43]; p = 0.010). Conclusion Web- and app-based interventions for weight loss maintenance produced similar results with minimum interventions and resulted in greater weight regain compared with in-person interventions. Appropriate interventions for weight loss maintenance provide benefits against weight regain, only when provided in-person.
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