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Telemedical Coaching Improves Long-Term Weight Loss in Overweight Persons: A Randomized Controlled Trial
Joint Authors
Röhling, Martin
Stichert, Monika
Fischer, Gabriele
Boschem, Elke
Könner, Jürgen
Martin, Stephan
Kempf, Kerstin
Source
International Journal of Telemedicine and Applications
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-09
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Lifestyle interventions have shown to be effective when continuous personal support was provided.
However, there is lack of knowledge whether a telemedical-approach with personal coaching contributes to long-term weight losses in overweight employees.
We, therefore, tested the hypothesis that telemedical-based lifestyle interventions accompanied with telemedical coaching lead to larger weight losses in overweight persons in an occupational health care setting.
Methods.
Overweight employees (n=180) with a body mass index (BMI) of >27 kg/m2 were randomized into either a telemedical (TM) group (n=61), a telemedical coaching (TMC) group (n=58), or a control group (n=61).
Both intervention groups were equipped with scales and pedometers automatically transferring the data into a personalized online portal, which could be monitored from participants and coaches.
Participants of the TMC group received additionally one motivational care call per week by mental coaches to discuss the current data (current weight and steps) and achieving goals such as a healthy lifestyle or weight reduction.
The control group remained in routine care.
Clinical and anthropometric data were determined after the 12-week intervention.
Additionally, weight change was followed up after 12 months.
Results.
Participants of TMC (-3.1 ± 4.8 kg, p<0.0001) and TM group (-1.9 ± 4.0 kg; p=0.0012) significantly reduced weight and sustained it during the 1-year follow-up, while the control group showed no change.
Compared to the control group only weight loss in the TMC group was significantly different (p<0.001) after 12 months.
TMC and TM group also reduced BMI, waist circumference, and LDL cholesterol.
Moreover, TMC group improved additionally systolic and diastolic blood pressure, total cholesterol, HDL cholesterol, and HbA1c.
Conclusions.
Telemedical devices in combination with telemedical coaching lead to significant long-term weight reductions in overweight persons in an occupational health care setting.
This study is registered with NCT01868763, ClinicalTrials.gov.
American Psychological Association (APA)
Kempf, Kerstin& Röhling, Martin& Stichert, Monika& Fischer, Gabriele& Boschem, Elke& Könner, Jürgen…[et al.]. 2018. Telemedical Coaching Improves Long-Term Weight Loss in Overweight Persons: A Randomized Controlled Trial. International Journal of Telemedicine and Applications،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1175729
Modern Language Association (MLA)
Kempf, Kerstin…[et al.]. Telemedical Coaching Improves Long-Term Weight Loss in Overweight Persons: A Randomized Controlled Trial. International Journal of Telemedicine and Applications No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1175729
American Medical Association (AMA)
Kempf, Kerstin& Röhling, Martin& Stichert, Monika& Fischer, Gabriele& Boschem, Elke& Könner, Jürgen…[et al.]. Telemedical Coaching Improves Long-Term Weight Loss in Overweight Persons: A Randomized Controlled Trial. International Journal of Telemedicine and Applications. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1175729
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1175729