Does using the Internet facilitate the maintenance of weight loss?
Abstract
Objective The purpose of this study was to investigate the effectiveness of a weight maintenance program conducted over the Internet. Design Longitudinal, clinical behavioral weight loss trial with 6-month in-person behavioral obesity treatment followed by a 12-month maintenance program conducted both in-person (frequent in-person support; F-IPS, minimal in-person support; M-IPS) and over the Internet (Internet support; IS). Subjects A total of 122 healthy, overweight adults (age=48.4+/-9.6, BMI=32.2+/-4.5 kg/m(2), 18 male) Measurements Body weight, dietary intake, energy expended in physical activity, attendance, self-monitoring, comfort with technology. Results Results (n=101) showed that weight loss did not differ by condition during treatment (8.0+/-5 vs 11+/-6.5 vs 9.8+/-5.9 kg, P=0.27 for IS, M-IPS and F-IPS, respectively). The IS condition gained significantly more weight than the F-IPS group during the first 6 months of weight maintenance (+2.2+/-3.8 vs 0+/-4 kg, P<0.05) and sustained a significantly smaller weight loss than both in-person support groups at the 1 y follow-up (-5.7+/-5.9 vs -10.4+/-9.3 vs -10.4+/-6.3 kg, P<0.05 for IS, M-IPS and F-IPS, respectively). Attendance at maintenance meetings was greater for the F-IPS than the IS condition over the 1 y maintenance program (54 vs 39%, P=0.04). Acceptability of assigned condition was higher for subjects in the F-IPS than IS condition. Conclusion The results of this study suggest that Internet support does not appear to be as effective as minimal or frequent intensive in-person therapist support for facilitating the long-term maintenance of weight loss.
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Internet-based weight-loss programmes have mostly been labour-intensive, requiring considerable counselling input from health-care professionals.
“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 [5]
Long-term (12-month) reductions in weight and waist circumference in the experimental group were equal to or greater than those previously reported from minimal-contact or minimal-advice programmes and from more labour-intensive Internet-based programmes.
“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 [5]
Previous research into the effectiveness of Internet-based weight-loss programmes has presented short- to medium-term results indicating slightly better performance or no difference when compared with traditional programmes.
“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 [5]
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- Authors
- Harvey-Berino, J., Pintauro, S., Buzzell, P., DiGiulio, M., Casey Gold, B., Moldovan, C., & Ramirez, E.
- Affiliations
- University of Vermont (US)
- Venue
- International Journal of Obesity
- Published
- 2002-08-21
- Volume
- 26
- Issue
- 9
- Pages
- 1254-1260
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- OpenAlex
- W2158259761
- Cited by
- 197
- References
- 25
- Citations by year
- 2025: 1 · 2023: 3 · 2022: 4 · 2021: 6 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 4 · 2016: 6 · 2015: 6 · 2014: 6 · 2013: 12 · 2012: 14
- FWCI
- 20.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Journal of Obesity (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Agriculture
- 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 › Pharmacology › Pharmacology and Obesity Treatment
- Keywords
- weight loss maintenance, obesity treatment, behavioral weight loss, overweight adults, treatment attendance, treatment acceptability, self-monitoring, technology comfort
- MeSH terms
- Analysis of Variance, Behavior Therapy, Body Weight, Female, Humans, Interpersonal Relations, Longitudinal Studies, Male, Middle Aged, Obesity, Self-Help Groups, Social Support, Time Factors, Weight Loss, Internet
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