Utility of a Web-Based Weight Loss Program with Auto-Extraction of Behavioural Objectives and Recording of Daily Weight and Steps in Pre-Obese Outpatients

Yoshinari Matsumoto ； Sawako Yoshiuchi ； Takumi Miyauchi ； Humikazu Hayashi ； Daiki Habu ； Yutaka Kimura

《Asia Pacific Journal of Clinical Nutrition》 預刊文章 Pp. 1-15

https://doi.org/10.6133/apjcn.2014.23.3.17

並列摘要

The epidemic of obesity is now a major public health concern in many parts of the world. Face-to-face tailored lifestyle modification therapy is one of the major approaches used for weight loss. However, the lack of time for multiple visits and the lack of resources for administering therapy hinder its implementation. We administered a web-based weight loss program for obese patients from July 2010 to January 2012 that required only 2 personal interviews over 6 months. The program used a system of auto-extraction of behavioural objectives and auto-recording of daily weight and number of steps taken. The subjects included 3 obese men (mean age, 35.7 ± 2.3 years; mean body mass index (BMI), 30.4 ± 0.8 kg/m^2) and 17 obese women (mean age, 39.3 ± 9.5 years; mean BMI, 28.1 ± 1.8 kg/m^2) who volunteered to participate in this weight loss program. Weight loss achieved through this program was significant (mean, 2.7%, p = 0.047). Abdominal visceral fat area (VFA) decreased significantly (mean, 12.6%, p = 0.017), and the serum cholinesterase and alanine aminotransferase levels improved (mean, 33 U/L, p = 0.003, mean, 7 IU/L, p = 0.033 respectively). Metabolic syndrome criteria number had a tendency to decrease. Dietary and nutrient intake levels on the food frequency questionnaire improved. Weight loss ratio after 6 months and initial weight loss ratio were strongly significantly correlated. A web-based weight loss program with auto-extraction of behavioural objectives and recording of daily weight and steps can achieve weight loss, as determined by VFA reduction, on low manpower.

並列關鍵字

web-based ； weight loss ； weight loss program ； visceral fat area ； obese

參考文獻

James PT, Rigby N, Leach R. The obesity epidemic, metabolic syndrome and future prevention strategies. Eur J Cardiovasc Prev Rehabil. 2004;11:3-8. doi: 10.1097/01.hjr. 000 0114707.27531.48.

Seino S, Shibasaki T, Minami K. Dynamics of insulin secretion and the clinical implications for obesity and diabetes. J Clin Invest. 2011;121:2118-25. doi: 10.1172/JCI45680.

Hubert HB, Feinleib M, McNamara PM, Castelli WP. Obesity as an independent risk factor for cardiovascular disease: a 26-year follow-up of participants in the Framingham Heart Study. Circulation. 1983;67:968-77. doi: 10.1161/01.CIR. 67.5.968.

Rexrode KM, Hennekens CH, Willett WC, Colditz GA, Stampfer MJ, Rich-Edwards JW et al. A prospective study of body mass index, weight change, and risk of stroke in women. JAMA. 1997;277:1539-45. doi:10.1001/jama. 1997. 03540430051032.

Clement K, Vaisse C, Manning BS, Basdevant A, Guy- Grand B, Ruiz J et al. Genetic variation in the beta 3- adrenergic receptor and an increased capacity to gain weight in patients with morbid obesity. N Engl J Med. 1995;333: 352-4. doi: 10.1056/NEJM199508103330605.