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A Randomized Controlled Trial of a Commercial Internet Weight Loss Program
Open accessAbstract
Objective: To assess, in a 1‐year randomized controlled trial, the efficacy of eDiets.com (a commercial Internet weight loss program) in improving weight, cardiovascular health, and quality of life. Research Methods and Procedures: Participants were 47 women with a mean age of 43.7 ± 10.2 (SD) years and a mean BMI of 33.5 ± 3.1 kg/m 2. They were randomly assigned to either: 1) eDiets.com, a commercial Internet‐based program available to the public; or 2) a weight loss manual (i.e., LEARN Program for Weight Control 2000). At baseline, participants in both groups met briefly with a psychologist who instructed them to follow the components of their program as closely as possible. Additional brief visits were provided at weeks 8, 16, 26, and 52 to review their progress. Change in weight was the main outcome measure. Results: At week 16, participants in eDiets.com lost 0.9 ± 3.2% of initial weight compared with 3.6 ± 4.0% for women assigned to the weight loss manual. At week 52, losses increased to 1.1 ± 4.0% and 4.0 ± 5.1%, respectively. Results of a last‐observation‐carried‐forward analysis found that women in the manual group lost significantly (p < 0.05) more weight (at both times) than those treated by eDiets.com. (Results, however, of baseline‐carried‐forward and completers analyses did not reach statistical significance.) There were no significant differences between groups in changes in cardiovascular risk factors or quality of life. Discussion: This study provides consumers with important information about the probable benefits they can expect from participating in a popular Internet‐based weight loss program.
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“Many have used email or telephone to support a web-based programme with weekly assignments. They have mostly been labour-intensive, requiring considerable counselling input from health-care professionals.”
From Weight loss by mobile phone: a 1-year effectiveness study (2009) · cites this paper as [6]
In the citing paper
“Previous research into the effectiveness of Internet-based weight-loss programmes (4-7) has presented short- to medium-term results indicating slightly better performance or no difference when compared with traditional programmes.”
From Weight loss by mobile phone: a 1-year effectiveness study (2009) · cites this paper as [6]
In the citing paper
“Long-term (12-month) reductions in weight and waist circumference in the experimental group were equal to or greater than those previously reported from minimalcontact or minimal-advice programmes (15-19) and from more labour-intensive Internet-based programmes (1,3-7) .”
From Weight loss by mobile phone: a 1-year effectiveness study (2009) · cites this paper as [6]
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“Web-based programs containing questionable information or lacking accepted theoretical foundations are unlikely to be effective [28,29].”
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Metadata
- Authors
- Womble, L. G., Wadden, T. A., McGuckin, B. G., Sargent, S. L., Rothman, R. A., & Krauthamer‐Ewing, E. S.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Womble, Leslie G.
- ORCID
- Wadden, Thomas A.
- Venue
- Obesity Research
- Publisher
- Wiley
- Published
- 2004-06
- Volume
- 12
- Issue
- 6
- Pages
- 1011-1018
- ISSN
- 1071-7323 (ISSN-L)
- 1550-8528
- OpenAlex
- W1973371137
- Cited by
- 247
- References
- 27
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 9 · 2020: 13 · 2019: 2 · 2018: 5 · 2017: 7 · 2016: 12 · 2015: 13 · 2014: 20 · 2013: 21 · 2012: 9
- FWCI
- 13.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Obesity Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute of Diabetes and Digestive and Kidney Diseases (K24-DK-065)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Pharmacology (medical) › Pharmacology and Obesity Treatment
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- weight loss efficacy, overweight women, cardiovascular risk factors, quality of life
- MeSH terms
- Adolescent, Adult, Aged, Blood Glucose, Blood Pressure, Cholesterol, Diet, Reducing, Feeding Behavior, Female, Humans, Life Style, Lipids, Middle Aged, Obesity, Quality of Life, Weight Loss, Internet
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