Self-Monitoring via Digital Health in Weight Loss Interventions: A Systematic Review Among Adults with Overweight or Obesity.

Obesity (Silver Spring)

Department of Psychology and Neuroscience, Duke University, Durham, North Carolina, USA.

Published: March 2021

AI Article Synopsis

  • This systematic review explores how digital tools are used for self-monitoring in weight loss interventions for adults with obesity or overweight.
  • Of the 39 studies analyzed, most utilized websites and mobile apps for tracking weight, diet, and physical activity.
  • Higher engagement rates were seen in digital self-monitoring compared to paper methods, and increased use of digital tracking was associated with weight loss in a majority of cases.

Article Abstract

Objective: Self-monitoring is a core component of behavioral obesity treatment, but it is unknown how digital health has been used for self-monitoring, what engagement rates are achieved in these interventions, and how self-monitoring and weight loss are related.

Methods: This systematic review examined digital self-monitoring in behavioral weight loss interventions among adults with overweight or obesity. Six databases (PubMed, Embase, Scopus, PsycInfo, CINAHL, and ProQuest Dissertations & Theses) were searched for randomized controlled trials with interventions ≥ 12 weeks, weight outcomes ≥ 6 months, and outcomes on self-monitoring engagement and their relationship to weight loss.

Results: Thirty-nine studies from 2009 to 2019 met inclusion criteria. Among the 67 interventions with digital self-monitoring, weight was tracked in 72% of them, diet in 81%, and physical activity in 82%. Websites were the most common self-monitoring modality, followed by mobile applications, wearables, electronic scales, and, finally, text messaging. Few interventions had digital self-monitoring engagement rates ≥ 75% of days. Rates were higher in digital- than in paper-based arms in 21 out of 34 comparisons and lower in just 2. Interventions with counseling had similar rates to standalone interventions. Greater digital self-monitoring was linked to weight loss in 74% of occurrences.

Conclusions: Self-monitoring via digital health is consistently associated with weight loss in behavioral obesity treatment.

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Source
http://dx.doi.org/10.1002/oby.23088DOI Listing

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