A2 Review article, Literature review, Systematic review
The Effectiveness of Physical Activity-Promoting Web- and Mobile-Based Distance Weight Loss Interventions on Body Composition in Rehabilitation Settings : Systematic Review, Meta-analysis, and Meta-Regression Analysis (2022)


Lahtio, H., Rintala, A., Immonen, J., & Sjögren, T. (2022). The Effectiveness of Physical Activity-Promoting Web- and Mobile-Based Distance Weight Loss Interventions on Body Composition in Rehabilitation Settings : Systematic Review, Meta-analysis, and Meta-Regression Analysis. Journal of Medical Internet Research, 24(3), Article e25906. https://doi.org/10.2196/25906


JYU authors or editors


Publication details

All authors or editorsLahtio, Heli; Rintala, Aki; Immonen, Jaakko; Sjögren, Tuulikki

Journal or seriesJournal of Medical Internet Research

ISSN1439-4456

eISSN1438-8871

Publication year2022

Publication date24/03/2022

Volume24

Issue number3

Article numbere25906

PublisherJMIR Publications Inc.

Publication countryGermany

Publication languageEnglish

DOIhttps://doi.org/10.2196/25906

Publication open accessOpenly available

Publication channel open accessPartially open access channel

Publication is parallel published (JYX)https://jyx.jyu.fi/handle/123456789/81082


Abstract

Background:
Overweight and obesity are major problems worldwide, and they lead to an increased risk for several diseases. The use of technology in the treatment of obesity is promising, but in the existing literature, there is considerable uncertainty regarding its efficacy. In this review, we included web- and mobile-based weight loss interventions that were implemented remotely in rehabilitation settings.

Objective:
The aim of this systematic review is to study the effectiveness of physical activity-promoting web- and mobile-based distance weight loss interventions in rehabilitation settings on body composition in comparison with control groups that did not use technology.

Methods:
Studies were searched from 9 databases. The inclusion criteria were as follows: population: age 18-65 years; intervention: physical activity-promoting web- and mobile-based distance weight loss interventions; comparison: control groups without the use of technology; outcome: changes in BMI, waist circumference, or body fat percentage; study design: randomized controlled trial. The quality of the studies was assessed by 2 researchers. Meta-analysis was performed, and we also conducted a meta-regression analysis to evaluate the factors associated with the changes in body composition outcomes if statistical heterogeneity was observed.

Results:
The meta-analysis included 30 studies. The mean quality of the studies was 7 of 13 (SD 1.9; range 3-10). A statistically significant difference was observed in BMI (mean difference [MD] 0.83, 95% CI 0.51-1.15 kg/m2; P<.001), waist circumference (MD 2.45, 95% CI 1.83-3.07 cm; P<.001), and body fat percentage (MD 1.07%, 95% CI 0.74%-1.41%; P<.001) in favor of the weight loss groups using web- or mobile-based interventions. Meta-regression analyses found an association between personal feedback and BMI (P=.04), but other factors did not play a role in explaining statistical heterogeneity.

Conclusions:
Web- and mobile-based distance weight loss interventions significantly reduced BMI, waist circumference, and body fat percentage. Future studies should focus on the comparability of the intervention content. Future studies are needed to better understand weight loss and identify which components are essential in achieving it.

Trial Registration:
PROSPERO CRD42016035831; https://tinyurl.com/7c93tvd4


Keywordsobesityoverweightweight controlbody mass indexfat percentageweight lossrehabilitationphysical trainingphysical activityhealth effectshealth promotiontechnologyonline servicesmobile servicesglobal problems

Free keywordstechnology; weight loss; rehabilitation; overweight; obesity; body mass index; waist circumference; body fat percentage; mobile phone


Contributing organizations


Ministry reportingYes

Reporting Year2022

JUFO rating2


Last updated on 2024-26-03 at 09:21