| Autor: |
David E. St-Jules, Lu Hu, Kathleen Woolf, Chan Wang, David S. Goldfarb, Stuart D. Katz, Collin Popp, Stephen K. Williams, Huilin Li, Ram Jagannathan, Olugbenga Ogedegbe, Anna Y. Kharmats, Mary Ann Sevick |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation. |
| ISSN: |
1532-8503 |
| Popis: |
Although technology-supported interventions are effective for reducing chronic disease risk, little is known about the relative and combined efficacy of mobile health strategies aimed at multiple lifestyle factors. The purpose of this clinical trial is to evaluate the efficacy of technology-supported behavioral intervention strategies for managing multiple lifestyle-related health outcomes in overweight adults with type 2 diabetes (T2D) and chronic kidney disease (CKD).Using a 2 × 2 factorial design, adults with excess body weight (body mass index ≥27 kg/mOf 256 randomized participants, 186 (73%) completed 6-month assessments. Compared to the ADVICE group, mHealth interventions did not result in significant changes in weight loss, or urinary sodium and phosphorus excretion. In aggregate analyses, groups receiving mobile self-monitoring had greater weight loss at 3 months (P = .02), but between 3 and 6 months, weight losses plateaued, and by 6 months, the differences were no longer statistically significant.When engaging patients with T2D and CKD in multiple behavior changes, self-monitoring diet and physical activity demonstrated significantly larger short-term weight losses. Theory-based behavioral counseling alone was no better than baseline advice and demonstrated no interaction effect with self-monitoring. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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