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KMID : 1100520190250010012
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Healthcare Informatics Research
2019 Volume.25 No. 1 p.12 ~ p.26
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Effect of Mobile Health on Obese Adults: A Systematic Review and Meta-Analysis
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Park Seong-Hi
Hwang Jeong-Hae
Choi Yun-Kyoung
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Abstract
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Objectives: This study was conducted to examine the effects of mobile health (mHealth), using mobile phones as an intervention for weight loss in obese adults.
Methods: An electronic search was carried out using multiple databases. A meta-analysis of selected studies was performed. The effects of mHealth were analyzed using changes in body weight and body mass index (BMI).
Results: We identified 20 randomized controlled trials (RCTs) involving 2,318 participants who fit our inclusion criteria. The meta-analysis showed that body weight was reduced with a weighted mean difference (WMD) of ?2.35 kg (95% confidence interval [CI], ?2.84 to ?1.87). An examination of the impact of duration of intervention showed that weight loss was greater after 6 months of mHealth (WMD = ?2.66 kg) than between three and four months (WMD = ?2.25 kg); it was maintained for up to 9 months (WMD = ?2.62 kg). At 12 months, weight loss was reduced to a WMD of ?1.23 kg. BMI decreased with a WMD of ?0.77 kg/m2 (95% CI, ?1.01 to ?0.52). BMI changes were not statistically significant at 3 months (WMD = ?1.10 kg/m2), but they were statistically significant at 6 months (WMD = ?0.67 kg/m2).
Conclusions: The use of mHealth for obese adults showed a modest short-term effect on body weight and BMI. Although the weight loss associated with mHealth did not meet the recommendation of the Scottish Intercollegiate Guideline Network, which considers a reduction of approximately 5 to 10 kg of the initial body weight as a successful intervention. Well-designed RCTs are needed to reveal the effects of mHealth interventions.
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KEYWORD
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Adult, Obesity, Cell Phone, Mobile Applications, Meta-analysis
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