Efficacy of in-person versus digital enhanced lifestyle interventions in adults with overweight and obesity

Autor: Diego Anazco, Maria A. Espinosa, Lizeth Cifuentes, Blake Kassmeyer, Tara M. Schmidt, Sima Fansa, Alejandro Campos, Elif Tama, William S. Harmsen, Maria D. Hurtado, Donald D. Hensrud, Andres Acosta
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Obesity Pillars, Vol 12, Iss , Pp 100133- (2024)
Druh dokumentu: article
ISSN: 2667-3681
DOI: 10.1016/j.obpill.2024.100133
Popis: Background: Lifestyle interventions (LIs) are the cornerstone for obesity management. The Mayo Clinic Diet (MCD) offers two approaches for LIs: the In-Person LI (IPLI) and the Digital Enhanced LI (DELI). The IPLI includes a 2-day in-person program with monthly follow-ups, whereas the DELI provides on-demand digital tools. The comparative efficacy of these approaches is currently unknown. Methods: This retrospective study included two cohorts of adults with a body mass index (BMI) of ≥25 kg/m2 and weight metrics at least 3 months after starting either the IPLI or DELI program. The primary endpoint was the total body weight loss percentage (TBWL%) at 6 months. Results: The study included 133 participants in the IPLI cohort (mean age 46.3 years, 65.4 % female, BMI 36.4) and 9603 in the DELI cohort (mean age 60.1 years, 85.0 % female, BMI 33.1). The DELI group achieved superior TBWL% at 1, 3, and 6 months compared to the IPLI group (3.4 % vs. 1.5 %, 4.7 % vs. 2.4 %, 5.3 % vs. 2.9 %, respectively; p 5 % TBWL at 6 months (OR 1.66; 95 % CI [1.08, 2.55], p
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