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Self-Monitoring via Digital Health in Weight Loss Interventions: A Systematic Review Among Adults with Overweight or Obesity.

Publication ,  Journal Article
Patel, ML; Wakayama, LN; Bennett, GG
Published in: Obesity (Silver Spring, Md.)
March 2021

Self-monitoring is a core component of behavioral obesity treatment, but it is unknown how digital health has been used for self-monitoring, what engagement rates are achieved in these interventions, and how self-monitoring and weight loss are related.This systematic review examined digital self-monitoring in behavioral weight loss interventions among adults with overweight or obesity. Six databases (PubMed, Embase, Scopus, PsycInfo, CINAHL, and ProQuest Dissertations & Theses) were searched for randomized controlled trials with interventions ≥ 12 weeks, weight outcomes ≥ 6 months, and outcomes on self-monitoring engagement and their relationship to weight loss.Thirty-nine studies from 2009 to 2019 met inclusion criteria. Among the 67 interventions with digital self-monitoring, weight was tracked in 72% of them, diet in 81%, and physical activity in 82%. Websites were the most common self-monitoring modality, followed by mobile applications, wearables, electronic scales, and, finally, text messaging. Few interventions had digital self-monitoring engagement rates ≥ 75% of days. Rates were higher in digital- than in paper-based arms in 21 out of 34 comparisons and lower in just 2. Interventions with counseling had similar rates to standalone interventions. Greater digital self-monitoring was linked to weight loss in 74% of occurrences.Self-monitoring via digital health is consistently associated with weight loss in behavioral obesity treatment.

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Published In

Obesity (Silver Spring, Md.)

DOI

EISSN

1930-739X

ISSN

1930-7381

Publication Date

March 2021

Volume

29

Issue

3

Start / End Page

478 / 499

Related Subject Headings

  • Weight Reduction Programs
  • Weight Loss
  • Telemedicine
  • Self-Management
  • Randomized Controlled Trials as Topic
  • Overweight
  • Obesity
  • Monitoring, Physiologic
  • Mobile Applications
  • Male
 

Citation

APA
Chicago
ICMJE
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Patel, M. L., Wakayama, L. N., & Bennett, G. G. (2021). Self-Monitoring via Digital Health in Weight Loss Interventions: A Systematic Review Among Adults with Overweight or Obesity. Obesity (Silver Spring, Md.), 29(3), 478–499. https://doi.org/10.1002/oby.23088
Patel, Michele L., Lindsay N. Wakayama, and Gary G. Bennett. “Self-Monitoring via Digital Health in Weight Loss Interventions: A Systematic Review Among Adults with Overweight or Obesity.Obesity (Silver Spring, Md.) 29, no. 3 (March 2021): 478–99. https://doi.org/10.1002/oby.23088.
Patel ML, Wakayama LN, Bennett GG. Self-Monitoring via Digital Health in Weight Loss Interventions: A Systematic Review Among Adults with Overweight or Obesity. Obesity (Silver Spring, Md). 2021 Mar;29(3):478–99.
Patel, Michele L., et al. “Self-Monitoring via Digital Health in Weight Loss Interventions: A Systematic Review Among Adults with Overweight or Obesity.Obesity (Silver Spring, Md.), vol. 29, no. 3, Mar. 2021, pp. 478–99. Epmc, doi:10.1002/oby.23088.
Patel ML, Wakayama LN, Bennett GG. Self-Monitoring via Digital Health in Weight Loss Interventions: A Systematic Review Among Adults with Overweight or Obesity. Obesity (Silver Spring, Md). 2021 Mar;29(3):478–499.
Journal cover image

Published In

Obesity (Silver Spring, Md.)

DOI

EISSN

1930-739X

ISSN

1930-7381

Publication Date

March 2021

Volume

29

Issue

3

Start / End Page

478 / 499

Related Subject Headings

  • Weight Reduction Programs
  • Weight Loss
  • Telemedicine
  • Self-Management
  • Randomized Controlled Trials as Topic
  • Overweight
  • Obesity
  • Monitoring, Physiologic
  • Mobile Applications
  • Male