Telemedicine-Based Health Coaching Is Effective for Inducing Weight Loss and Improving Metabolic Markers

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Kelly JohnsonAnn L Gibson

Abstract

To assess the efficacy of health coaching (HC) delivered through videoconferencing (VC) to favorably change physical activity (PA), weight, and metabolic markers in adults with high body mass index (BMI). Thirty adults (BMI ≥30 kg/m2) were randomly assigned to one of three groups: VC, in-person (IP), or control group (CG). Participants received wireless watches and weight scales to sync with their personal smartphones; recorded data were wirelessly uploaded to a secure database. Participants assigned to VC and IP received individualized HC by a multidisciplinary team (registered dietitian, exercise physiologist, and medical doctor) based on data uploaded over the 12-week intervention. Steps/day and weight loss were analyzed through analyses of covariance. Within- and between-group changes in weight (kg), glucose, insulin, hemoglobin A1c (HbA1c), and Homeostasis Model Assessment estimate of insulin resistance (HOMA-IR) were analyzed through analyses of variance. Weight loss was greater (p < 0.05) for VC (8.23 ± 4.5 kg; 7.7%) than IP (3.2 ± 2.6 kg; 3.4%) and CG (2.9 ± 3.9 kg; 3.3%), respectively. Steps/day were significantly higher in VC than IP at week 4 and VC was significantly higher than the CG at weeks 6, 8, 9, and 11 (p ≤ 0...Continue Reading

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Citations

Jul 10, 2020·Social Work in Health Care·Patrick Sullivan, Zoraida Kincaid
Apr 18, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Michelle AlencarPatricia Dionico
Jul 28, 2020·American Journal of Health Promotion : AJHP·Kelly E JohnsonPatricia Dionicio
Dec 19, 2020·Advances in Nutrition·Sofia Mendes SieczkowskaBruno Gualano
Jul 27, 2021·Current Cardiovascular Risk Reports·Kelsey Ufholz, Daksh Bhargava
Oct 19, 2020·Journal of the Academy of Nutrition and Dietetics·Feon W ChengDeepa Handu
Dec 14, 2021·Frontiers in Digital Health·Kimberly R AzeltonMatthew J Landry

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Software Mentioned

Withings
MyFitnessPal
Healow
eClinicalWorks

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