The SHED-IT randomized controlled trial: evaluation of an Internet-based weight-loss program for men

Morgan, Philip J.; Lubans, David R.; Collins, Clare E.; Warren, Janet M.; Callister, Robin

doi:10.1038/oby.2009.85

Cited by 156Mobile Health and mHealth ApplicationsObesity, Physical Activity, DietPhysical Activity and Health

The SHED-IT randomized controlled trial: evaluation of an Internet-based weight-loss program for men

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Morgan, Philip J., Lubans, David R., Collins, Clare E., Warren, Janet M., Callister, Robin·2009·Obesity

DOI 10.1038/oby.2009.85

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Abstract

The aim of this study was to evaluate the efficacy of an Internet-based weight-loss program for men in an assessor blinded randomized controlled trial. In total, 65 overweight/obese male staff and students at the University of Newcastle (mean (s.d.) age = 35.9 (11.1) years; BMI = 30.6 (2.8)) were randomly assigned to either (i) Internet group (n = 34) or (ii) control group (information only) (n = 31). Both groups received one face-to-face information session and a program booklet. Internet group participants used the study website to self-monitor diet and activity with feedback provided based on participants' online entries on seven occasions over 3 months. Participants were assessed at baseline, 3-, and 6-month follow-up for weight, waist circumference, BMI, blood pressure, resting heart rate, objectively measured physical activity, and self-reported total daily kilojoules. Intention-to-treat analysis revealed significant weight loss of 5.3 kg (95% confidence interval (CI): -7.3, -3.3) at 6 months for the Internet group and 3.5 kg (95% CI: -5.5, -1.4) for the control group. A significant time effect was found for all outcomes but no between-group differences. Per-protocol analysis revealed a significant group-by-time interaction (P < 0.001), with compliers losing more weight at 6 months (-9.1 kg; 95% CI -11.8, -6.5) than noncompliers (-2.7 kg; 95% CI -5.3, -0.01) and the control group (-4.2 kg; 95% CI -6.2, -2.2). Simple weight-loss interventions can be effective in achieving statistically and clinically significant weight loss in men. The Internet is a feasible and effective medium for weight loss in men but strategies need to be explored to improve engagement in online programs.

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The Morgan 2009 trial reported that participants were blind to group allocation at baseline assessment and that assessors were blinded to treatment allocation at all points.
“The Morgan 2009 trial reported that participants were blind to group allocation at baseline assessment and that assessors were blinded to treatment allocation at all points.”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Morgan 2009
Morgan 2009 used linear mixed models to assess the primary analysis of effects of losses to follow-up.
“Morgan 2009 used linear mixed models to assess the primary analysis of effects of losses to follow-up.”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Morgan 2009
After 10 to 14 weeks of treatment, the five individual trials with weight loss measurements at three months showed that participants in the computer-based intervention groups lost more weight than participants in the minimal intervention control groups (MD -2.5 kg, 95% CI -3.4 to -1.6, P < 0.00001; 430 participants; five trials).
“After 10 to 14 weeks of treatment, the five individual trials with weight loss measurements at three months (Bennett 2010; Morgan 2009; Morgan 2011; Schroder 2010; Threlfall 1984) showed that participants in the computer-based intervention groups lost more weight than participants in the minimal intervention control groups (mean difference (MD) −2.5 kg (95% confidence interval (CI) −3.4 to −1.6),”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Morgan 2009
Several trials (Bennett 2010; Hunter 2008; Morgan 2009; Morgan 2011; Wylie-Rosett 2001) tested for and demonstrated statistically significant positive associations between amount of computer use and amount of weight loss in the intervention group.
“Several trials (Bennett 2010; Hunter 2008; Morgan 2009; Morgan 2011; Wylie-Rosett 2001) tested for and demonstrated statistically significant positive associations between amount of computer use, measured in a variety of ways, and amount of weight loss in the intervention group.”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Morgan 2009
After six months of treatment, participants in the computer-based intervention lost more weight than participants in the control intervention (MD -1.5 kg, 95% CI -2.1 to -0.9, P < 0.00001; 511 participants; two trials).
“After six months of treatment, participants in the computer-based intervention lost more weight than participants in the control intervention (MD −1.5 kg (95% CI −2.1 to −0.9); P < 0.00001; 511 participants; two trials; Analysis 1.2) (Figure 4).”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Morgan 2009

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The SHED-IT Community Trial: A Randomized Controlled Trial of Internet- and Paper-Based Weight Loss Programs Tailored for Overweight and Obese Men
Morgan, P. J., Callister, R., Collins, C. E., Plotnikoff, R. C., Young, M. D., Berry, N. J., McElduff, P., Burrows, T. L., Aguiar, E. J., & Saunders, K. L. (2012) · Annals of Behavioral Medicine · doi:10.1007/s12160-012-9424-z · Cited by 131 · see citing works
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The SHED-IT community trial study protocol: a randomised controlled trial of weight loss programs for overweight and obese men
Morgan, P. J., Collins, C. E., Plotnikoff, R. C., McElduff, P., Burrows, T. L., Warren, J. M., Young, M. D., Berry, N. J., Saunders, K. L., Aguiar, E. J., et al. (2010) · BMC Public Health · doi:10.1186/1471-2458-10-701 · Cited by 36 · see citing works
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Authors: Morgan, P. J., Lubans, D. R., Collins, C. E., Warren, J. M., & Callister, R.
Affiliations: University of Newcastle Australia (AU)
Danone (United Kingdom) (GB)
Corresponding author: Callister, Robin
ORCID: Morgan, Philip J.
Lubans, David R.
Collins, Clare E.
Warren, Janet M.
Callister, Robin
Venue: Obesity
Publisher: Wiley
Published: 2009-11
Volume: 17
Issue: 11
Pages: 2025-2032
ISSN: 1930-7381 (ISSN-L)
1930-739X
DOI: 10.1038/oby.2009.85
OpenAlex: W2052004812
Cited by: 156
References: 23
Citations by year: 2025: 4 · 2024: 3 · 2023: 2 · 2022: 10 · 2021: 13 · 2020: 6 · 2019: 7 · 2018: 8 · 2017: 5 · 2016: 5 · 2015: 16 · 2014: 17 · 2013: 18 · 2012: 11
FWCI: 25.42
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1044 d)
Locations: Obesity (publishedVersion)
PubMed (publishedVersion)
Figshare (submittedVersion)
NOVA (University of Newcastle Australia) (submittedVersion)
Funders: University of Newcastle Australia
Topics: Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords: men, overweight, self-monitoring, weight loss, online health interventions, program adherence, waist circumference, blood pressure, resting heart rate, physical activity
MeSH terms: Adolescent, Adult, Blood Pressure, Energy Intake, Diet, Reducing, Feasibility Studies, Humans, Male, Middle Aged, Motor Activity, Obesity, Patient Compliance, Time Factors, Diet Records, Body Mass Index, Treatment Outcome, Internet, Overweight, Waist Circumference, Young Adult

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The SHED-IT randomized controlled trial: evaluation of an Internet-based weight-loss program for men

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