Effect of web-based lifestyle modification on weight control: a meta-analysis
Objective: Web-based treatment programs are attractive in primary care because of their ability to reach numerous individuals at low cost. Our aim of this meta-analysis is to systematically review the weight loss or maintenance effect of the Internet component in obesity treatment programs. Methods:...
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| Veröffentlicht in: | International Journal of Obesity 2012-05, Vol.36 (5), p.675-685 |
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| container_issue | 5 |
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| container_title | International Journal of Obesity |
| container_volume | 36 |
| creator | Kodama, S Saito, K Tanaka, S Horikawa, C Fujiwara, K Hirasawa, R Yachi, Y Iida, K T Shimano, H Ohashi, Y Yamada, N Sone, H |
| description | Objective:
Web-based treatment programs are attractive in primary care because of their ability to reach numerous individuals at low cost. Our aim of this meta-analysis is to systematically review the weight loss or maintenance effect of the Internet component in obesity treatment programs.
Methods:
MEDLINE and EMBASE literature searches were conducted to identify studies investigating the effect of Web-based individualized advice on lifestyle modification on weight loss. Randomized controlled trials that consisted of a Web-user experimental and non-Web user control group were included. Weight changes in the experimental group in comparison with the control group were pooled with a random-effects model.
Results:
A total of 23 studies comprising 8697 participants were included. Overall, using the Internet had a modest but significant additional weight-loss effect compared with non-Web user control groups (−0.68 kg,
P
=0.03). In comparison with the control group, stratified analysis indicated that using the Internet as an adjunct to obesity care was effective (−1.00 kg,
P |
| doi_str_mv | 10.1038/ijo.2011.121 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1034818416</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A289970799</galeid><sourcerecordid>A289970799</sourcerecordid><originalsourceid>FETCH-LOGICAL-c584t-299e862fc91e915481846f86130f51b04e47acd2030bc7ebb968ce46cc2575313</originalsourceid><addsrcrecordid>eNqN0ktv1DAQAGALgehSuHFGkRCIQ7PYjp_cqqpQpFZc4Bw5znjXKycudqJq_z3e7kJb1EMVS5GSz-OZ8SD0luAlwY367DdxSTEhS0LJM7QgTIqaMy2fowVusKwxF_wIvcp5gzHmHNOX6IgSoZnQaoGuzp0DO1XRVTfQ1Z3J0FfBO8jTNkA1xN47b83k41iVdQN-tZ4qG8cpxfClMtUAk6nNaMI2-_wavXAmZHhzeB-jX1_Pf55d1Jc_vn0_O72sLVdsqqnWoAR1VhPQhDNFFBNOCdJgx0mHGTBpbE9L_p2V0HVaKAtMWEu55A1pjtGnfdzrFH_PJdd28NlCCGaEOOe2NOY2KBFPoKRAqogs9P1_dBPnVEq7VY0Qmkp6p1YmQOtHF6dk7C5oe0qV1hJLrYtaPqLK08PgS_vA-fL9wYaP9zaswYRpnWOYd53PD-HJHtoUc07g2uvkB5O2Jcld4aotE9HuJqItE1H4u0NRczdA_w__HYECPhyAydYEl8xofb5z5cY4k7i4eu9y-TWuIN3vziMH_wH1oMgH</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1013669272</pqid></control><display><type>article</type><title>Effect of web-based lifestyle modification on weight control: a meta-analysis</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>Nature Journals Online</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Kodama, S ; Saito, K ; Tanaka, S ; Horikawa, C ; Fujiwara, K ; Hirasawa, R ; Yachi, Y ; Iida, K T ; Shimano, H ; Ohashi, Y ; Yamada, N ; Sone, H</creator><creatorcontrib>Kodama, S ; Saito, K ; Tanaka, S ; Horikawa, C ; Fujiwara, K ; Hirasawa, R ; Yachi, Y ; Iida, K T ; Shimano, H ; Ohashi, Y ; Yamada, N ; Sone, H</creatorcontrib><description>Objective:
Web-based treatment programs are attractive in primary care because of their ability to reach numerous individuals at low cost. Our aim of this meta-analysis is to systematically review the weight loss or maintenance effect of the Internet component in obesity treatment programs.
Methods:
MEDLINE and EMBASE literature searches were conducted to identify studies investigating the effect of Web-based individualized advice on lifestyle modification on weight loss. Randomized controlled trials that consisted of a Web-user experimental and non-Web user control group were included. Weight changes in the experimental group in comparison with the control group were pooled with a random-effects model.
Results:
A total of 23 studies comprising 8697 participants were included. Overall, using the Internet had a modest but significant additional weight-loss effect compared with non-Web user control groups (−0.68 kg,
P
=0.03). In comparison with the control group, stratified analysis indicated that using the Internet as an adjunct to obesity care was effective (−1.00 kg,
P
<0.001), but that using it as a substitute for face-to-face support was unfavorable (+1.27 kg,
P
=0.01). An additional effect on weight control was observed when the aim of using the Internet was initial weight loss (−1.01 kg;
P
=0.03), but was not observed when the aim was weight maintenance (+0.68 kg;
P
=0.26). The relative effect was diminished with longer educational periods (
P
-trend=0.04) and was insignificant (−0.20 kg;
P
=0.75) in studies with educational periods of 12 months or more.
Conclusion:
The current meta-analysis indicates that the Internet component in obesity treatment programs has a modest effect on weight control. However, the effect was inconsistent, largely depending on the type of usage of the Internet or the period of its use.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/ijo.2011.121</identifier><identifier>PMID: 21694698</identifier><identifier>CODEN: IJOBDP</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Analysis ; Biological and medical sciences ; Body Weight ; Epidemiology ; Female ; Health Behavior ; Health Promotion ; Health Promotion and Disease Prevention ; Humans ; Internal Medicine ; Internet ; Internet - utilization ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Miscellaneous ; Obesity ; Obesity - prevention & control ; Online health care information services ; Primary Health Care ; Public Health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Randomized Controlled Trials as Topic ; review ; Risk Reduction Behavior ; Self Care ; Systematic review ; Weight Loss ; Weight loss maintenance</subject><ispartof>International Journal of Obesity, 2012-05, Vol.36 (5), p.675-685</ispartof><rights>Macmillan Publishers Limited 2012</rights><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2012 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group May 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c584t-299e862fc91e915481846f86130f51b04e47acd2030bc7ebb968ce46cc2575313</citedby><cites>FETCH-LOGICAL-c584t-299e862fc91e915481846f86130f51b04e47acd2030bc7ebb968ce46cc2575313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/ijo.2011.121$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/ijo.2011.121$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25845470$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21694698$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kodama, S</creatorcontrib><creatorcontrib>Saito, K</creatorcontrib><creatorcontrib>Tanaka, S</creatorcontrib><creatorcontrib>Horikawa, C</creatorcontrib><creatorcontrib>Fujiwara, K</creatorcontrib><creatorcontrib>Hirasawa, R</creatorcontrib><creatorcontrib>Yachi, Y</creatorcontrib><creatorcontrib>Iida, K T</creatorcontrib><creatorcontrib>Shimano, H</creatorcontrib><creatorcontrib>Ohashi, Y</creatorcontrib><creatorcontrib>Yamada, N</creatorcontrib><creatorcontrib>Sone, H</creatorcontrib><title>Effect of web-based lifestyle modification on weight control: a meta-analysis</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes (Lond)</addtitle><description>Objective:
Web-based treatment programs are attractive in primary care because of their ability to reach numerous individuals at low cost. Our aim of this meta-analysis is to systematically review the weight loss or maintenance effect of the Internet component in obesity treatment programs.
Methods:
MEDLINE and EMBASE literature searches were conducted to identify studies investigating the effect of Web-based individualized advice on lifestyle modification on weight loss. Randomized controlled trials that consisted of a Web-user experimental and non-Web user control group were included. Weight changes in the experimental group in comparison with the control group were pooled with a random-effects model.
Results:
A total of 23 studies comprising 8697 participants were included. Overall, using the Internet had a modest but significant additional weight-loss effect compared with non-Web user control groups (−0.68 kg,
P
=0.03). In comparison with the control group, stratified analysis indicated that using the Internet as an adjunct to obesity care was effective (−1.00 kg,
P
<0.001), but that using it as a substitute for face-to-face support was unfavorable (+1.27 kg,
P
=0.01). An additional effect on weight control was observed when the aim of using the Internet was initial weight loss (−1.01 kg;
P
=0.03), but was not observed when the aim was weight maintenance (+0.68 kg;
P
=0.26). The relative effect was diminished with longer educational periods (
P
-trend=0.04) and was insignificant (−0.20 kg;
P
=0.75) in studies with educational periods of 12 months or more.
Conclusion:
The current meta-analysis indicates that the Internet component in obesity treatment programs has a modest effect on weight control. However, the effect was inconsistent, largely depending on the type of usage of the Internet or the period of its use.</description><subject>Analysis</subject><subject>Biological and medical sciences</subject><subject>Body Weight</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health Behavior</subject><subject>Health Promotion</subject><subject>Health Promotion and Disease Prevention</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Internet</subject><subject>Internet - utilization</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Miscellaneous</subject><subject>Obesity</subject><subject>Obesity - prevention & control</subject><subject>Online health care information services</subject><subject>Primary Health Care</subject><subject>Public Health</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Randomized Controlled Trials as Topic</subject><subject>review</subject><subject>Risk Reduction Behavior</subject><subject>Self Care</subject><subject>Systematic review</subject><subject>Weight Loss</subject><subject>Weight loss maintenance</subject><issn>0307-0565</issn><issn>1476-5497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqN0ktv1DAQAGALgehSuHFGkRCIQ7PYjp_cqqpQpFZc4Bw5znjXKycudqJq_z3e7kJb1EMVS5GSz-OZ8SD0luAlwY367DdxSTEhS0LJM7QgTIqaMy2fowVusKwxF_wIvcp5gzHmHNOX6IgSoZnQaoGuzp0DO1XRVTfQ1Z3J0FfBO8jTNkA1xN47b83k41iVdQN-tZ4qG8cpxfClMtUAk6nNaMI2-_wavXAmZHhzeB-jX1_Pf55d1Jc_vn0_O72sLVdsqqnWoAR1VhPQhDNFFBNOCdJgx0mHGTBpbE9L_p2V0HVaKAtMWEu55A1pjtGnfdzrFH_PJdd28NlCCGaEOOe2NOY2KBFPoKRAqogs9P1_dBPnVEq7VY0Qmkp6p1YmQOtHF6dk7C5oe0qV1hJLrYtaPqLK08PgS_vA-fL9wYaP9zaswYRpnWOYd53PD-HJHtoUc07g2uvkB5O2Jcld4aotE9HuJqItE1H4u0NRczdA_w__HYECPhyAydYEl8xofb5z5cY4k7i4eu9y-TWuIN3vziMH_wH1oMgH</recordid><startdate>20120501</startdate><enddate>20120501</enddate><creator>Kodama, S</creator><creator>Saito, K</creator><creator>Tanaka, S</creator><creator>Horikawa, C</creator><creator>Fujiwara, K</creator><creator>Hirasawa, R</creator><creator>Yachi, Y</creator><creator>Iida, K T</creator><creator>Shimano, H</creator><creator>Ohashi, Y</creator><creator>Yamada, N</creator><creator>Sone, H</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7TK</scope><scope>7TS</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20120501</creationdate><title>Effect of web-based lifestyle modification on weight control: a meta-analysis</title><author>Kodama, S ; Saito, K ; Tanaka, S ; Horikawa, C ; Fujiwara, K ; Hirasawa, R ; Yachi, Y ; Iida, K T ; Shimano, H ; Ohashi, Y ; Yamada, N ; Sone, H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c584t-299e862fc91e915481846f86130f51b04e47acd2030bc7ebb968ce46cc2575313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Analysis</topic><topic>Biological and medical sciences</topic><topic>Body Weight</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health Behavior</topic><topic>Health Promotion</topic><topic>Health Promotion and Disease Prevention</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Internet</topic><topic>Internet - utilization</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Miscellaneous</topic><topic>Obesity</topic><topic>Obesity - prevention & control</topic><topic>Online health care information services</topic><topic>Primary Health Care</topic><topic>Public Health</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Randomized Controlled Trials as Topic</topic><topic>review</topic><topic>Risk Reduction Behavior</topic><topic>Self Care</topic><topic>Systematic review</topic><topic>Weight Loss</topic><topic>Weight loss maintenance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kodama, S</creatorcontrib><creatorcontrib>Saito, K</creatorcontrib><creatorcontrib>Tanaka, S</creatorcontrib><creatorcontrib>Horikawa, C</creatorcontrib><creatorcontrib>Fujiwara, K</creatorcontrib><creatorcontrib>Hirasawa, R</creatorcontrib><creatorcontrib>Yachi, Y</creatorcontrib><creatorcontrib>Iida, K T</creatorcontrib><creatorcontrib>Shimano, H</creatorcontrib><creatorcontrib>Ohashi, Y</creatorcontrib><creatorcontrib>Yamada, N</creatorcontrib><creatorcontrib>Sone, H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>International Journal of Obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kodama, S</au><au>Saito, K</au><au>Tanaka, S</au><au>Horikawa, C</au><au>Fujiwara, K</au><au>Hirasawa, R</au><au>Yachi, Y</au><au>Iida, K T</au><au>Shimano, H</au><au>Ohashi, Y</au><au>Yamada, N</au><au>Sone, H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of web-based lifestyle modification on weight control: a meta-analysis</atitle><jtitle>International Journal of Obesity</jtitle><stitle>Int J Obes</stitle><addtitle>Int J Obes (Lond)</addtitle><date>2012-05-01</date><risdate>2012</risdate><volume>36</volume><issue>5</issue><spage>675</spage><epage>685</epage><pages>675-685</pages><issn>0307-0565</issn><eissn>1476-5497</eissn><coden>IJOBDP</coden><abstract>Objective:
Web-based treatment programs are attractive in primary care because of their ability to reach numerous individuals at low cost. Our aim of this meta-analysis is to systematically review the weight loss or maintenance effect of the Internet component in obesity treatment programs.
Methods:
MEDLINE and EMBASE literature searches were conducted to identify studies investigating the effect of Web-based individualized advice on lifestyle modification on weight loss. Randomized controlled trials that consisted of a Web-user experimental and non-Web user control group were included. Weight changes in the experimental group in comparison with the control group were pooled with a random-effects model.
Results:
A total of 23 studies comprising 8697 participants were included. Overall, using the Internet had a modest but significant additional weight-loss effect compared with non-Web user control groups (−0.68 kg,
P
=0.03). In comparison with the control group, stratified analysis indicated that using the Internet as an adjunct to obesity care was effective (−1.00 kg,
P
<0.001), but that using it as a substitute for face-to-face support was unfavorable (+1.27 kg,
P
=0.01). An additional effect on weight control was observed when the aim of using the Internet was initial weight loss (−1.01 kg;
P
=0.03), but was not observed when the aim was weight maintenance (+0.68 kg;
P
=0.26). The relative effect was diminished with longer educational periods (
P
-trend=0.04) and was insignificant (−0.20 kg;
P
=0.75) in studies with educational periods of 12 months or more.
Conclusion:
The current meta-analysis indicates that the Internet component in obesity treatment programs has a modest effect on weight control. However, the effect was inconsistent, largely depending on the type of usage of the Internet or the period of its use.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>21694698</pmid><doi>10.1038/ijo.2011.121</doi><tpages>11</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0307-0565 |
| ispartof | International Journal of Obesity, 2012-05, Vol.36 (5), p.675-685 |
| issn | 0307-0565 1476-5497 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1034818416 |
| source | MEDLINE; Springer Nature - Complete Springer Journals; Nature Journals Online; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Analysis Biological and medical sciences Body Weight Epidemiology Female Health Behavior Health Promotion Health Promotion and Disease Prevention Humans Internal Medicine Internet Internet - utilization Male Medical sciences Medicine Medicine & Public Health Metabolic Diseases Miscellaneous Obesity Obesity - prevention & control Online health care information services Primary Health Care Public Health Public health. Hygiene Public health. Hygiene-occupational medicine Randomized Controlled Trials as Topic review Risk Reduction Behavior Self Care Systematic review Weight Loss Weight loss maintenance |
| title | Effect of web-based lifestyle modification on weight control: a meta-analysis |
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