Does using the Internet facilitate the maintenance of weight loss? (original) (raw)

International Journal of Obesity volume 26, pages 1254–1260 (2002)Cite this article

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/m2, 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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References

  1. Perri MG, Fuller PR . Success and failure in the treatment of obesity: where do we go from here? Med Exercise, Nutr Health 1995 4: 255–272.
    Google Scholar
  2. Kramer FM, Jeffery RW, Forster JL, Snell MK . Long-term follow-up of behavioral treatment for obesity: patterns of weight regain among men and women Int J Obes 1989 13: 123–136.
    CAS PubMed Google Scholar
  3. Jeffery RW, Drewnowski A, Epstein LH, Stunkard AJ, Wilson GT, Wing RR, Hill DR . Long-term maintenance of weight loss: current status Health Psychol 2000 19: 5–16.
    Article CAS Google Scholar
  4. Perri MG . The maintenance of treatment effects in the long-term management of obesity Clin Psychol Sci and Pract 1998 5: 526–543.
    Article Google Scholar
  5. Bjorvell H, Rossner S . Long-term treatment of severe obesity: four-year follow-up of results of combined behavior modification programme Br Med J 1985 291: 379–382.
    Article CAS Google Scholar
  6. Jeffery RW, Wing RR, Thorsen C, Burton LR, Raether C, Harvey J, Mullen M . Strengthening behavioral interventions for weight loss: a randomized trial for food provision and monetary incentives J Consult Clin Psychol 1993 61: 1038–1045.
    Article CAS Google Scholar
  7. Wing RR, Venditti EV, Jakicic JM, Polley BA, Lang W . Lifestyle intervention in overweight individuals with a family history of diabetes Diabetes Care 1998 21: 350–358.
    Article CAS Google Scholar
  8. Perri MG, Nezu AM, Patti ET, McCann KL . Effect of length of treatment on weight loss J Consult Clin Psychol 1989 57: 450–452.
    Article CAS Google Scholar
  9. Glasgow RE, Anderson BJ . Future direction for research on pediatric chronic disease management: lessons from diabetes J Pediatr Psychol 1995 20: 389–402.
    Article CAS Google Scholar
  10. Berland GK, Elliott MN, Morales LS, Algazy JI, Kravitz RL, Broder MS, Kanouse DE, Munoz JA, Puyol J-A, Lara M, Watkins KE, Yang H, McGlynn EA . Health information on the Internet JAMA 2001 285: 2612–2621.
    Article CAS Google Scholar
  11. Davison K . The quality of dietary information on the World Wide Web Clin Perform Qual Health Care 1997 5: 64–66.
    CAS PubMed Google Scholar
  12. Miles J, Petrie C, Steel M . Slimming on the Internet J R Soc Med 2000 93: 254–257.
    Article CAS Google Scholar
  13. Tate DF, Wing RR, Winett RA . Using Internet technology to deliver a behavioral weight loss program JAMA 2001 285: 1172–1177.
    Article CAS Google Scholar
  14. Harvey-Berino J, Pintauro SJ, Gold BC . The feasibility of using Internet support for the maintenance of weight loss Behav Mod 2002 26: 103–116.
    Article Google Scholar
  15. Nutrition and Your Health. Dietary guidelines for Americans 4th edn. Home and Garden Bulletin no. 232 USDA, DHHS: Hyattsville, MD 1995.
  16. Block G, Hartman AM, Dresser CM, Carroll MD, Gannon J, Gardner L . A data-based approach to diet questionnaire design and testing Am J Epidemiol 1986 124: 453–469.
    Article CAS Google Scholar
  17. Paffenbarger RS, Wing AL, Hyde RT . Physical activity as an indicator of heart attack risk in college alumni Am J Epidemiol 1978 108: 161–175.
    Article Google Scholar
  18. Wadden TA . The treatment of obesity: an overview In: Stunkard AJ Wadden TA (eds) Obesity: theory and therapy Raven Press: New York 1993 pp 197–218.
    Google Scholar
  19. Perri MG, Shapiro RM, Ludwig WW, Twentyman CT, McAdoo WG . Maintenance strategies for the treatment of obesity: an evaluation of relapse prevention training and posttreatment contact by mail and telephone J Consult Clin Psychol 1984 52: 404–413.
    Article CAS Google Scholar
  20. Perri MG, McAllister DA, Gange JJ, Jordan RC, McAdoo WG, Nezu AM . Effects of four maintenance programs on the long-term management of obesity J Clin Consult Psychol 1988 56: 529–534.
    Article CAS Google Scholar
  21. Jeffery RW, Bjornson-Benson WM, Rosenthal BS, Lindquist RA, Kurth CL, Johnson SL . Correlates of weight loss and its maintenance over two years of follow-up among middle-aged men Preve Med 1984 13: 155–168.
    Article CAS Google Scholar
  22. Wadden TA, Letizia KA . Predictors of attrition and weight loss in patients treated by moderate and severe caloric restriction In: Wadden TA, VanItallie TB (eds) Treatment of the seriously obese patient The Guilford Press: New York 1992 pp 383–410.
    Google Scholar
  23. Buhl KM, Gallagher D, Hoy K, Matthews DE, Heymsfield SB . Unexplained disturbance in body weight regulation: diagnostic outcome assessed by doubly labeled water and body composition analyses in obese patients reporting low energy intakes J Am Diet Assoc 1995 95: 1393–1400.
    Article CAS Google Scholar
  24. Buchowski MS, Townsend KM, Chen KY, Acra SA, Sun M . Energy expenditure determined by self-reported physical activity is related to body fatness Obes Res 1999 7: 23–33.
    Article CAS Google Scholar
  25. Krishna S, Balas EA, Spencer DC, Griffin JZ, Boren SA . Clinical trials of interactive computerized patient education: implications for family practice J Fam Pract 1997 45: 25–33.
    CAS PubMed Google Scholar

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Acknowledgements

This study was supported by USDA Hatch Act Funds (HA 593) awarded to Drs Harvey-Berino and Pintauro.

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Authors and Affiliations

  1. Department of Nutrition and Food Sciences, The University of Vermont, Burlington, Vermont, USA
    J Harvey-Berino, S Pintauro, P Buzzell, M DiGiulio, B Casey Gold, C Moldovan & E Ramirez

Authors

  1. J Harvey-Berino
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  2. S Pintauro
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  3. P Buzzell
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  4. M DiGiulio
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  5. B Casey Gold
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  6. C Moldovan
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  7. E Ramirez
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Correspondence toJ Harvey-Berino.

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Harvey-Berino, J., Pintauro, S., Buzzell, P. et al. Does using the Internet facilitate the maintenance of weight loss?.Int J Obes 26, 1254–1260 (2002). https://doi.org/10.1038/sj.ijo.0802051

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