Effectiveness of cell application on changing weight

 

Effectiveness of cell application on changing weight, wholesome consuming conduct, and high-quality of lifestyles in kids and teens with obesity: a randomized controlled trial

BMC Pediatrics quantity 21, Article wide variety: 499 (2021) Cite this article

Abstract

Background

A era-based intervention, together with a cellular utility, became a growing interest and doubtlessly effective modality for treating obesity. The observe aimed to evaluate the effectiveness of the OBEST, a new cellular/tablet-primarily based application in decreasing weight and inspiring healthful eating behaviors and first-class of lifestyles in youngsters with obesity. The application should help healthcare experts to deal with children and kids with weight problems.

Methods

A randomized controlled trial become performed inside the infirmary and school settings in Chiang Mai, Thailand. Seventy-seven children and teenagers with obesity had been randomized into  businesses; one obtained preferred care blended with the OBEST utility, and the alternative acquired handiest fashionable care. The results had been changes in weight, healthful ingesting behaviors, and satisfactory of life assessed by the Pediatric Quality of Life Inventory (PedsQL) from baseline to six-month follow-up between the 2 groups.

Results

The outcomes showed that the intervention group decreased more frame mass index (BMI) and had a higher range of members engaging in wholesome ingesting behaviors than the same old care institution but did no longer reach a statistically massive degree, except for less common intake of fast food. The individuals in the intervention institution had four.Five times higher odds of decreased undertaking rapid-food consumption than the usual care organization at 6 months observe-up (odds ratio, 4.5 [95% CI, 1.41 to 14.35]). There have been no statistically substantial adjustments in PedsQL scores over 6 months in between corporations.

Conclusions

The contemporary study turned into not able to detect a good sized effect of the OBEST application as an adjunct device to the standard remedy on decreasing weight in overweight children and teens. However, the cellular utility may assist to growth accomplishing healthful ingesting behaviors. Further research with a larger pattern are had to confirm our findings.

Trial registration

The trial changed into retrospectively registered on the Thai Clinical Trials Registry (trial registration range: TCTR20200604008, on June four, 2020).

Background

Childhood weight problems is a major problem global. The global prevalence of obesity in kids and teens aged five-19 has exceedingly increased in more or less forty years. It was determined that accelerated occurrence all through 1975 to 2016 became from zero.9 to 7.8% amongst boys and from 0.7 to 5.6% in ladies, respectively [1, 2]. The aggregate of negative vitamins, extra calorie consumption, and shortage of physical interest have contributed to weight benefit . Apart from the biological and genetic factors, the socio-cultural, monetary, and bodily environmental elements strongly put human beings prone to being overweight . Many overweight kids grow into obese youth and obesity in person existence until they're correctly treated . Serious consequences consisting of diabetes, cardiovascular sicknesses, and different non-communicable illnesses have arisen at more youthful ages in youngsters and adolescents with weight problems . Obesity does now not most effective have an effect on physical health however many kids and youth with obesity also suffer from psychological troubles and feature a negative satisfactory of existence. Many mental ailments including melancholy, anxiety, substance use, and eating issues, are also considered destructive effects of weight problems . Wallander et al. Said that kids with obesity had a decrease fitness-associated exceptional of lifestyles than non-overweight/non-obese kids, especially in psychosocial functioning .@ Raed More webtechnologymedia

Therapeutic interventions for adolescence weight problems encompass dietary remedy, increasing bodily pastime, decreasing sedentary behaviors, psychological intervention, medicine, and surgical treatment . A multimodal approach regarding way of life interventions including dietary changes, physical interest, and behavioral interventions changed into endorsed as a mainstay of treatment and important for lengthy-time period upkeep of weight reduction [9, 10]. However, it become difficult to efficiently deal with children and youth with obesity, as visible in a systematic evaluation providing the small impact of non-pharmacological weight-loss remedy . The proof of no longer reaching conduct changes has also been reported in previous research [12,13,14]. Failure of weight reduction and remaining bad behaviors will be from a loss of motivation and negative adherence to remedy [15, 16]. Therefore, it is vital to find new adjunctive gear to build motivation and improve adherence amongst the ones overweight sufferers.

Technology-based modalities are aimed to decorate the efficacy of obesity remedy, together with web-based totally, interactive, and smartphone application interventions. To date, a mobile utility has been a growing hobby and promising device in treating obesity . Although numerous mobile application research focused on weight loss, most evolved mobile packages did not display a substantial lower in weight and frame mass index (BMI) . While a few preceding research proved the cellular applications ought to decorate lifestyle changes, like eating behaviors in youngsters and kids with weight problems [19,20,21], the consequences reflecting the effectiveness of cellular applications in enhancing wholesome eating behavior had been mixed and inconclusive.

This study aimed to evaluate the OBEST software’s effectiveness in reducing weight (primary final results) and enhancing eating conduct and first-class of existence (secondary consequences) in obese children and young people. We hypothesized that the kids and young people with obesity could lose weight, trade to healthier eating habits, and improve their great of life after receiving the utility introduced to the usual care at a six-month follow-up.

Methods

Study layout

This observe become a -arm parallel layout randomized managed trial comparing the effectiveness of the OBEST utility in reducing weight and enhancing healthy consuming behaviors and best of life in children and teens with weight problems. The study become carried out among May 2018 and December 2019. The participants have been randomized into the organization receiving the intervention (OBEST application added to the same old care) and receiving general care in a 1:1 ratio using a block mass of four randomization from a web-based totally randomization gadget. The random allocation series was furnished through a research assistant. The allocation concealment changed into controlled through using opaque envelopes. The outcome assessors have been blinded to the treatment allocation. Ethical approval for this examine turned into acquired from the Research Ethics Committee of the Faculty of Medicine at Chiang Mai University (180/2561). The take a look at protocol changed into registered with the Thai Clinical Trials Registry (trial registration number: TCTR20200604008). Written knowledgeable consent/knowledgeable assent become acquired from all dad and mom and contributors in the examine.

Participants

The participants have been recruited from the sanatorium and college-based totally settings. For the health center-primarily based putting, the stroll-in patients with minor contamination have been invited from the Pediatric Outpatient Department in Chiang Mai University Hospital. The school-primarily based samples had been students enrolled from a private college placed within the same district because the hospital. One hundred thirty-five participants who met the inclusion criteria: age 10-15 years and obese (having BMI at or above the ninety fifth percentile for kids and young people of the equal age and intercourse) were knowledgeable about the study by the research assistant. If kids and their parents had been inquisitive about collaborating in the examine, the studies assistant would determine for eligibility primarily based on the inclusion and exclusion standards. The exclusion criteria consisted of one) non-android tool customers; 2) having a chronic medical illness; three) no longer residing in Chiang Mai; 4) having an intellectual incapacity or requiring special educational wishes; five) not being ethnically Thai; and six) being morbidly obese as they could usually require, sooner or later in time, additional treatments, in depth care, and hospitalization because of their comorbidities and complications for the duration of the look at period , which could have an effect on the number one and secondary effects measured inside the take a look at. After the exclusion, a total of 77 members were requested to signal the knowledgeable consent and randomly allocated to the intervention or general care organization, as proven in the Consolidated Standards of Reporting Trials (CONSORT) drift diagram in Fig. 1.@ Read More foxconnblog

Intervention institution

The individuals inside the intervention organization were given the OBEST software, a newly evolved cellular/pill software as an extra device for popular care, innovated by the studies team. The strategic method of the use of this software became to improve adherence and promote motivation on lowering weight and changing consuming behaviors to a more healthy way. There have been 4 capabilities in this software: 1) Goal and Rewards, 2) Daily Dietary Record, three) Tips and News, and four) Messaging. Before using the utility, the contributors in this organization have been furnished a -hour workshop to examine the application’s instructions, the advocated eating regimen, energy, component sizes of food, and dietary information. Additional data shows the OBEST utility in extra detail (see Additional record 1).

Standard care institution

The members acquired the same old treatment of obesity, observed through the Thai medical practice tenet for early life obesity remedy and prevention . Participants from each the medical institution and college-based settings were given the equal fashionable of care by the healthcare carriers.

Outcome measurements

Anthropometric measurements

Bodyweight, peak, BMI, BMI z-score, and waist circumference had been measured three instances in a row, and the imply of every dimension became calculated on the baseline and 6-month observe-up. The bodyweight and peak had been measured the use of the NAGATA BW-110H virtual weighing scale and the NAGATA BW-110H stadiometer. The non-stretch measuring tape measured the waist circumference. The individuals might acquire measurements at both sanatorium or college concerning the place in their first enrollment. The anthropometric parameters from the clinic and faculty settings have been measured by the equal nurse and the identical wellknown measuring gear by every assessment time.

Healthy consuming behaviors

The wholesome consuming behaviors have been assessed using the healthy eating conduct questionnaire advanced by using the studies team. This self-report questionnaire consisted of six consuming habit items: 1) How many food do you devour a day? 2) How often do you eat fruits and veggies? 3) How regularly do you drink milk? Four) How frequently do you consume snacks? Five) How frequently do you drink sugar-sweetened beverages? And six) How often do you consume fast meals for the duration of every week? The 3 answers for each object have been classified into healthy and dangerous behavior. The solution ‘have 3 meals an afternoon’ of item 1; ‘consume fruits and veggies each day’ of object 2; ‘drink milk every day’ of object three; ‘consume snacks much less than 3 days a week’ of item four; ‘drink sugar-sweetened drinks much less than 3 days every week’ of object five; and ‘devour rapid food much less than 3 days every week’ of object 6 have been defined as having healthful ingesting behavior. Apart from the above solutions for every object mentioned unhealthy consuming behavior.@ Read More informationtechweb           

Quality of lifestyles

The nice of life become assessed through the pediatric first-rate of existence inventory™ version 4.Zero accepted core scales (PedsQL™). This is the popular device for assessing the health-associated exceptional of life in youngsters . The Thai model self-document questionnaire consists of 23 items that degree four-feature domain names: bodily, emotional, social, and faculty. The psychosocial health summary scores had been derived from blended suggest ratings of emotional, social, and faculty functioning domains. The imply rankings of all functioning domains make contributions to the overall precis score. The higher mean ratings suggest a better fine of existence. The preceding Thai research evaluated the psychometric residences of PedsQL four.0 Generic Core Scales - Thai. Most of the domain names in this tool had an appropriate level of inner consistency with Cronbach’s α of ≥zero.65 .

Sample size and strength calculation

At least 24 youngsters had been wanted in every organization to locate a distinction of 2.Five kg of body weight between intervention and control groups as supplied within the preceding have a look at , with an alpha of zero.05 and energy of 0.Eight. Due to the high attrition fee from weight management applications inside the pediatric population, as visible in the previous study , we anticipated to sign up the pattern size of 77 participants (with anticipation for the drop-out price of fifty - 60%).

Statistical analysis

We used the SPSS software version 25.Zero (IBM Corp, Armonk, NY) for statistical evaluation. The impartial samples t-test became used to test the statistical significance of modifications of anthropometric measurements and PedsQL ratings in six-month among-organization variations. Odds ratios with 95% self belief c programming language had been expected to compare the quantity of individuals engaging with wholesome ingesting behaviors among the two corporations. Intention-to-treat evaluation changed into performed to research the difference in remedy consequences on anthropometric measurements, healthful ingesting behaviors, and excellent of life ratings at six-month follow-up. The p-values of < zero.05 have been considered statistically full-size.@  Raed More clubhitech