Outcomes of a 12-month technology-based intervention to promote weight loss in adolescents at risk for type 2 diabetes.
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Date
2013-06-13
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Abstract
BACKGROUND Obese adolescents are at risk for type 2 diabetes mellitus T2DM Obesity interventions delivered through media such as the web and text messages short message service SMS may be beneficial when targeting obese adolescents METHODS A randomized controlled trial Pace Internet for Diabetes Prevention Intervention PACEi DP compared three forms of an obesity intervention to usual care UC a website only W b website monthly group sessions and follow up calls WG and c website and SMS WSMS Participants were overweight or obese adolescents at risk for T2DM n 101 age 12 16 years mean body mass index BMI percentile 97 6 74 3 Hispanic In addition to the website WSMS participants received SMS supporting intervention goals and behavioral strategies and communicated via SMS with a case manager WG participants had additional group activities related to weight loss and received follow up calls from a health coach UC participants were given printed materials and encouraged to attend three initial group sessions Repeated measures mixed model regression analyses tested treatment effects for anthropometric behavioral and behavioral change strategy outcomes RESULTS There were no treatment effects for BMI adiposity physical activity or diet at 12 months Treatment effects were observed for sedentary behavior with the W arm having a greater decrease in sedentary behavior 4 9 to 2 8 h day than the UC arm p 006 CONCLUSION Although not sufficient to produce weight loss the combination of web intervention and group sessions with telephone follow up yielded improvements in sedentary behavior and in the use of behavior change strategies expected to lead to behavior change
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Keywords
Young people (10-24 years), Client, Nutrition, Obesity, Diabetes, Social and behavior change communication, Health education or promotion, Text, Internet