Comparing Outcomes of a Digital Commercial Weight Loss Program in Adult Cancer Survivors and Matched Controls with Overweight or Obesity: Retrospective Analysis
Maintaining a healthy weight is beneficial for cancer survivors. However, weight loss program effectiveness studies have primarily been in highly controlled settings. This is a retrospective study exploring real-world outcomes (weight loss and program engagement) after use of a digital commercial we...
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| Veröffentlicht in: | Nutrients 2021-08, Vol.13 (9), p.2908 |
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| creator | May, Christine N Ho, Annabell Suh Yang, Qiuchen McCallum, Meaghan Iyengar, Neil M Comander, Amy Mitchell, Ellen Siobhan Michaelides, Andreas |
| description | Maintaining a healthy weight is beneficial for cancer survivors. However, weight loss program effectiveness studies have primarily been in highly controlled settings. This is a retrospective study exploring real-world outcomes (weight loss and program engagement) after use of a digital commercial weight loss program (Noom) in cancer survivors and matched controls. All participants had voluntarily self-enrolled in Noom. Weight and engagement data were extracted from the program. Cancer-related quality of life was secondarily assessed in a one-time cross-sectional survey for survivors. Controls were a sample of Noom users with overweight/obesity who had no history of cancer but 0-1 chronic conditions. Primary outcomes were weight change at 16 weeks and program engagement over 16 weeks. Engagement included frequency of weight, food, and physical activity logging, as well as number of coach messages. Multiple regression controlling for baseline age, gender, engagement, and BMI showed that survivors lost less weight than controls (B = -2.40, s.e. = 0.97,
= 0.01). Survivors also weighed in less (survivors: 5.4 [2.3]; controls: 5.7 [2.1],
= 0.01) and exercised less (survivors: 1.8 [3.2]; controls: 3.2 [4.1],
< 0.001) than controls. However, survivors sent more coach messages (survivors: 2.1 [2.4]; controls: 1.7 [2.0],
< 0.001). Despite controls losing more weight than cancer survivors (-7.0 kg vs. -5.3 kg), survivors lost significant weight in 4 months (M = -6.2%). Cancer survivors can have success on digital commercial programs available outside of a clinical trial. However, they may require additional support to engage in weight management behaviors. |
| doi_str_mv | 10.3390/nu13092908 |
| format | Article |
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= 0.01). Survivors also weighed in less (survivors: 5.4 [2.3]; controls: 5.7 [2.1],
= 0.01) and exercised less (survivors: 1.8 [3.2]; controls: 3.2 [4.1],
< 0.001) than controls. However, survivors sent more coach messages (survivors: 2.1 [2.4]; controls: 1.7 [2.0],
< 0.001). Despite controls losing more weight than cancer survivors (-7.0 kg vs. -5.3 kg), survivors lost significant weight in 4 months (M = -6.2%). Cancer survivors can have success on digital commercial programs available outside of a clinical trial. However, they may require additional support to engage in weight management behaviors.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu13092908</identifier><identifier>PMID: 34578787</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adult ; Aged ; Behavior ; Body mass index ; Body weight ; Body weight loss ; Breast cancer ; Breast Neoplasms - epidemiology ; Cancer ; Cancer Survivors ; Cancer therapies ; Chronic conditions ; Cross-Sectional Studies ; Demographics ; Exercise ; Female ; Health care ; Humans ; Male ; Middle Aged ; Neoplasms - epidemiology ; Obesity ; Obesity - epidemiology ; Obesity - therapy ; Overweight ; Overweight - epidemiology ; Overweight - therapy ; Physical activity ; Physical fitness ; Quality of Life ; Retrospective Studies ; Smartphones ; Standard deviation ; Surveys and Questionnaires ; Survival ; Treatment Outcome ; Weight control ; Weight Loss ; Weight Reduction Programs - methods</subject><ispartof>Nutrients, 2021-08, Vol.13 (9), p.2908</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-ba1a2020b78b89784a8969c246f1d1388963bdd66c11cb959a0b981f1ddb82e43</citedby><cites>FETCH-LOGICAL-c406t-ba1a2020b78b89784a8969c246f1d1388963bdd66c11cb959a0b981f1ddb82e43</cites><orcidid>0000-0002-4367-5310 ; 0000-0001-7851-6283</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8470305/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8470305/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34578787$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>May, Christine N</creatorcontrib><creatorcontrib>Ho, Annabell Suh</creatorcontrib><creatorcontrib>Yang, Qiuchen</creatorcontrib><creatorcontrib>McCallum, Meaghan</creatorcontrib><creatorcontrib>Iyengar, Neil M</creatorcontrib><creatorcontrib>Comander, Amy</creatorcontrib><creatorcontrib>Mitchell, Ellen Siobhan</creatorcontrib><creatorcontrib>Michaelides, Andreas</creatorcontrib><title>Comparing Outcomes of a Digital Commercial Weight Loss Program in Adult Cancer Survivors and Matched Controls with Overweight or Obesity: Retrospective Analysis</title><title>Nutrients</title><addtitle>Nutrients</addtitle><description>Maintaining a healthy weight is beneficial for cancer survivors. However, weight loss program effectiveness studies have primarily been in highly controlled settings. This is a retrospective study exploring real-world outcomes (weight loss and program engagement) after use of a digital commercial weight loss program (Noom) in cancer survivors and matched controls. All participants had voluntarily self-enrolled in Noom. Weight and engagement data were extracted from the program. Cancer-related quality of life was secondarily assessed in a one-time cross-sectional survey for survivors. Controls were a sample of Noom users with overweight/obesity who had no history of cancer but 0-1 chronic conditions. Primary outcomes were weight change at 16 weeks and program engagement over 16 weeks. Engagement included frequency of weight, food, and physical activity logging, as well as number of coach messages. Multiple regression controlling for baseline age, gender, engagement, and BMI showed that survivors lost less weight than controls (B = -2.40, s.e. = 0.97,
= 0.01). Survivors also weighed in less (survivors: 5.4 [2.3]; controls: 5.7 [2.1],
= 0.01) and exercised less (survivors: 1.8 [3.2]; controls: 3.2 [4.1],
< 0.001) than controls. However, survivors sent more coach messages (survivors: 2.1 [2.4]; controls: 1.7 [2.0],
< 0.001). Despite controls losing more weight than cancer survivors (-7.0 kg vs. -5.3 kg), survivors lost significant weight in 4 months (M = -6.2%). Cancer survivors can have success on digital commercial programs available outside of a clinical trial. 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However, weight loss program effectiveness studies have primarily been in highly controlled settings. This is a retrospective study exploring real-world outcomes (weight loss and program engagement) after use of a digital commercial weight loss program (Noom) in cancer survivors and matched controls. All participants had voluntarily self-enrolled in Noom. Weight and engagement data were extracted from the program. Cancer-related quality of life was secondarily assessed in a one-time cross-sectional survey for survivors. Controls were a sample of Noom users with overweight/obesity who had no history of cancer but 0-1 chronic conditions. Primary outcomes were weight change at 16 weeks and program engagement over 16 weeks. Engagement included frequency of weight, food, and physical activity logging, as well as number of coach messages. Multiple regression controlling for baseline age, gender, engagement, and BMI showed that survivors lost less weight than controls (B = -2.40, s.e. = 0.97,
= 0.01). Survivors also weighed in less (survivors: 5.4 [2.3]; controls: 5.7 [2.1],
= 0.01) and exercised less (survivors: 1.8 [3.2]; controls: 3.2 [4.1],
< 0.001) than controls. However, survivors sent more coach messages (survivors: 2.1 [2.4]; controls: 1.7 [2.0],
< 0.001). Despite controls losing more weight than cancer survivors (-7.0 kg vs. -5.3 kg), survivors lost significant weight in 4 months (M = -6.2%). Cancer survivors can have success on digital commercial programs available outside of a clinical trial. However, they may require additional support to engage in weight management behaviors.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>34578787</pmid><doi>10.3390/nu13092908</doi><orcidid>https://orcid.org/0000-0002-4367-5310</orcidid><orcidid>https://orcid.org/0000-0001-7851-6283</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Nutrients, 2021-08, Vol.13 (9), p.2908 |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Adult Aged Behavior Body mass index Body weight Body weight loss Breast cancer Breast Neoplasms - epidemiology Cancer Cancer Survivors Cancer therapies Chronic conditions Cross-Sectional Studies Demographics Exercise Female Health care Humans Male Middle Aged Neoplasms - epidemiology Obesity Obesity - epidemiology Obesity - therapy Overweight Overweight - epidemiology Overweight - therapy Physical activity Physical fitness Quality of Life Retrospective Studies Smartphones Standard deviation Surveys and Questionnaires Survival Treatment Outcome Weight control Weight Loss Weight Reduction Programs - methods |
| title | Comparing Outcomes of a Digital Commercial Weight Loss Program in Adult Cancer Survivors and Matched Controls with Overweight or Obesity: Retrospective Analysis |
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