Research Article
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Nutrition Education via a Mobile Application on Weight Loss and Quality of Life: A Randomized Controlled Trial

Year 2024, Volume: 14 Issue: 2, 377 - 384, 28.06.2024
https://doi.org/10.33808/clinexphealthsci.1317590

Abstract

Objective: To evaluate the effect of nutrition education supported by MOtiVE mobile application on weight loss and quality of life (QoL).
Methods: In this pilot randomized-controlled study, 79 overweight/obese patients who presented to University Hospital between March-September 2018 to consult a dietitian, were included. All the participants were provided with a weight-loss diet program. Then, participants were randomized to experimental and control groups. During the first interview, all participants completed the questionnaire and anthropometric measurements were done. BMI, the scores obtained from different QoL scales, and Healthy Eating Index (HEI) were the dependent variables. Daily messages were sent to cases for 3 months via MOtiVE mobile application. All the participants were asked to be present three months later for a follow-up appointment. Using SPSS 25.0, change in BMI, QoL scores, and other variables within both groups were assessed via Wilcoxon signed-rank test and McNemar chi-square test.
Results: 20 cases and 18 controls completed the study. The mean BMI decreased significantly in both groups being more predominant in cases (p=.001 for cases and p=.006 for controls). Waist circumference decreased (p=.029), self-esteem (p=.035) and healthy eating scores (p=.007) increased only in cases. Hence there were significant improvements in cases, in the final evaluation, there were no significant differences between the groups (p>.05).
Conclusions: Nutrition education supported by MOtiVE mobile application improved anthropometric measurements, self-esteem, quality of life, and healthy eating habits of the overweight/obese participants. Free mobile applications can be used in increasing motivation to adopt new behaviors to tackle obesity.

Supporting Institution

Ege University Scientific Research Projects Coordination Bureau

Project Number

No: 17-SBE-004

References

  • Gómez-Donoso C, Martínez-González MA, Gea A, Murphy KJ, Parletta N, Bes-Rastrollo M. A food-based score and incidence of overweight/obesity: The Dietary Obesity-Prevention Score (DOS). Clinical Nutrition. 2019;38(6):2607-15. DOI: 10.1016/j.clnu.2018.11.003
  • Hope AA, Kumanyika SK, Shults J, Holmes WC. Changes in Health-Related Quality of Life among African-Americans in a lifestyle weight loss program. Quality of Life Research. 2010;19(7):1025-33. DOI: 10.1007/s11136-010-9669-6
  • Raaijmakers LCH, Pouwels S, Berghuis KA, Nienhuijs SW. Technology-based interventions in the treatment of overweight and obesity: A systematic review. Appetite. 2015;95:138-51. DOI: 10.1016/j.appet.2015.07.008
  • Watson S, Woodside JV, Ware LJ, Hunter SJ, McGrath A, Cardwell CR, et al. Effect of a Web-Based Behavior Change Program on Weight Loss and Cardiovascular Risk Factors in Overweight and Obese Adults at High Risk of Developing Cardiovascular Disease: Randomized Controlled Trial. J Med Internet Res. 2015;17(7):e177. DOI: 10.2196/jmir.3828
  • Block G, Azar KM, Romanelli RJ, Block TJ, Hopkins D, Carpenter HA, et al. Diabetes Prevention and Weight Loss with a Fully Automated Behavioral Intervention by Email, Web, and Mobile Phone: A Randomized Controlled Trial Among Persons with Prediabetes. J Med Internet Res. 2015;17(10):e240. DOI: 10.2196/jmir.4897
  • Flores Mateo G, Granado-Font E, Ferre-Grau C, Montana-Carreras X. Mobile Phone Apps to Promote Weight Loss and Increase Physical Activity: A Systematic Review and Meta-Analysis. J Med Internet Res. 2015;17(11):e253. DOI: 10.2196/jmir.4836
  • DiFilippo KN, Huang W-HD, Chapman-Novakofski KM. Mobile Apps for the Dietary Approaches to Stop Hypertension (DASH): App Quality Evaluation. Journal of Nutrition Education and Behavior. 2018;50(6):620-5. DOI: 10.1016/j.jneb.2018.02.002
  • Alnuaimi A, Rawaf S, Hassounah S, Chehab M. Use of mobile applications in the management of overweight and obesity in primary and secondary care. JRSM Open. 2019;10(3):2054270419843826. DOI: 10.1177/2054270419843826
  • Nikolaou CK, Lean MEJ. Mobile applications for obesity and weight management: current market characteristics. International Journal of Obesity. 2017;41(1):200-2. DOI: 10.1038/ijo.2016.186
  • Breines J, Toole A, Tu C, Chen S. Self-compassion, Body Image, and Self-reported Disordered Eating. Self and Identity. 2014;13(4):432-48. DOI: 10.1080/15298868.2013.838992
  • Kelly AC, Vimalakanthan K, Carter JC. Understanding the roles of self-esteem, self-compassion, and fear of self-compassion in eating disorder pathology: An examination of female students and eating disorder patients. Eating Behaviors. 2014;15(3):388-91. DOI: 10.1016/j.eatbeh.2014.04.008
  • Aguilar-Martínez A, Sole-Sedeno JM, Mancebo-Moreno G, Medina FX, Carreras-Collado R, Saigí-Rubió F. Use of mobile phones as a tool for weight loss: a systematic review. Journal of telemedicine and telecare. 2014;20(6):339-49. DOI: 10.1177/1357633X14537777
  • Allen JK, Stephens J, Dennison Himmelfarb CR, Stewart KJ, Hauck S. Randomized controlled pilot study testing use of smartphone technology for obesity treatment. Journal of obesity. 2013;2013. DOI: 10.1155/2013/151597
  • Meseri R, Ucku R, Unal B. Waist:height ratio: a superior index in estimating cardiovascular risks in Turkish adults. Public Health Nutr. 2014;17(10):2246-52. DOI: 10.1017/S136898001300267X
  • Clark MM, Abrams DB, Niaura RS, Eaton CA, Rossi JS. Self-efficacy in weight management. Journal of consulting and clinical psychology. 1991;59(5):739. DOI: 10.1037//0022-006x.59.5.739
  • Bozan N, Bas, M., Cigerim, N. Relationship between eating self-efficacy and abnormal eating behaviors among adolescent girls. V. International Nutrition and Dietetic Congress. Ankara, 2006.
  • T Kennedy E, Ohls J, Carlson S, Fleming K. The healthy eating index: design and applications. Journal of the American Dietetic Association. 1995;95(10):1103-8. DOI: 10.1016/S0002-8223(95)00300-2
  • Krebs-Smith SM, Pannucci TE, Subar AF, Kirkpatrick SI, Lerman JL, Tooze JA, et al. Update of the healthy eating index: HEI-2015. Journal of the Academy of Nutrition and Dietetics. 2018;118(9):1591-602. DOI: 10.1016/j.jand.2018.05.021
  • Rosenberg M. Rosenberg self-esteem scale (RSE). Acceptance and commitment therapy Measures package. 1965;61:52. DOI: 10.1037/t01038-000
  • Sevincer GM, Kaya A, Bozkurt S, Akin E, Kose S. Reliability, validity, and factorial structure of the Turkish version of the Weight Self-Stigma Questionnaire (Turkish WSSQ). Psychiatry and Clinical Psychopharmacology. 2017;27(4):386-92. DOI: 10.1080/24750573.2017.1379717
  • Sousa P, Gaspar P, Vaz DC, Gonzaga S, Dixe MA. Measuring Health-Promoting Behaviors. International Journal of Nursing Knowledge. 2015;26:54-61. DOI: 10.1111/2047-3095.12065
  • Bahar Z, Beser A, Gordes N, Ersin F, Kıssal A. Healthy life style behavior scale II: A reliability and validity study. Journal of Cumhuriyet University School of Nursing. 2008;12(1):1-13.
  • Patrick DL, Bushnell DM, Rothman M. Performance of two self‐report measures for evaluating obesity and weight loss. Obesity research. 2004;12(1):48-57. DOI: 10.1038/oby.2004.8
  • Gündüzoğlu NÇ, Fadıloğlu Ç, Yılmaz C. The examination of validity and reliability for obese individuals specific quality of life scale. Anatolian Journal of Psychiatry. 2014;15(1):63-8. DOI: 10.5455/apd.35950
  • TC Sağlık Bakanlığı. Diyetisyenler için Hasta İzlem Rehberi Ağırlık Yönetimi El Kitabı. Ankara 2017.
  • TC Sağlık Bakanlığı. Türkiye Sağlıklı Beslenme ve Hareketli Hayat Programı 2014-2017. Ankara 2013.
  • Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Beslenme ve Diyetetik Bölümü. Türkiye'ye Özgü Besin ve Beslenme Rehberi. Ankara 2015
  • Safran Naimark J, Madar Z, R Shahar D. The Impact of a Web-Based App (eBalance) in Promoting Healthy Lifestyles: Randomized Controlled Trial. J Med Internet Res. 2015;17(3):e56. DOI: 10.2196/jmir.3682
  • Patrick K, Raab F, Adams MA, Dillon L, Zabinski M, Rock CL, et al. A Text Message–Based Intervention for Weight Loss: Randomized Controlled Trial. J Med Internet Res. 2009;11(1):e1. DOI: 10.2196/jmir.1100
  • Wang E, Abrahamson K, Liu PJ, Ahmed A. Can mobile technology improve weight loss in overweight adults? A systematic review. Western Journal of Nursing Research. 2020;42(9):747-59. DOI: 10.1177/0193945919888224
  • Samoocha D, Bruinvels DJ, Elbers NA, Anema JR, van der Beek AJ. Effectiveness of Web-based Interventions on Patient Empowerment: A Systematic Review and Meta-analysis. J Med Internet Res. 2010;12(2):e23. DOI: 10.2196/jmir.1286
  • West JH, Belvedere LM, Andreasen R, Frandsen C, Hall PC, Crookston BT. Controlling Your “App”etite: How Diet and Nutrition-Related Mobile Apps Lead to Behavior Change. JMIR Mhealth Uhealth. 2017;5(7):e95. DOI: 10.2196/mhealth.7410
  • Jacobs S, Radnitz C, Hildebrandt T. Adherence as a predictor of weight loss in a commonly used smartphone application. Obesity research & clinical practice. 2017;11(2):206-14. DOI: 10.1016/j.orcp.2016.05.001
Year 2024, Volume: 14 Issue: 2, 377 - 384, 28.06.2024
https://doi.org/10.33808/clinexphealthsci.1317590

Abstract

Project Number

No: 17-SBE-004

References

  • Gómez-Donoso C, Martínez-González MA, Gea A, Murphy KJ, Parletta N, Bes-Rastrollo M. A food-based score and incidence of overweight/obesity: The Dietary Obesity-Prevention Score (DOS). Clinical Nutrition. 2019;38(6):2607-15. DOI: 10.1016/j.clnu.2018.11.003
  • Hope AA, Kumanyika SK, Shults J, Holmes WC. Changes in Health-Related Quality of Life among African-Americans in a lifestyle weight loss program. Quality of Life Research. 2010;19(7):1025-33. DOI: 10.1007/s11136-010-9669-6
  • Raaijmakers LCH, Pouwels S, Berghuis KA, Nienhuijs SW. Technology-based interventions in the treatment of overweight and obesity: A systematic review. Appetite. 2015;95:138-51. DOI: 10.1016/j.appet.2015.07.008
  • Watson S, Woodside JV, Ware LJ, Hunter SJ, McGrath A, Cardwell CR, et al. Effect of a Web-Based Behavior Change Program on Weight Loss and Cardiovascular Risk Factors in Overweight and Obese Adults at High Risk of Developing Cardiovascular Disease: Randomized Controlled Trial. J Med Internet Res. 2015;17(7):e177. DOI: 10.2196/jmir.3828
  • Block G, Azar KM, Romanelli RJ, Block TJ, Hopkins D, Carpenter HA, et al. Diabetes Prevention and Weight Loss with a Fully Automated Behavioral Intervention by Email, Web, and Mobile Phone: A Randomized Controlled Trial Among Persons with Prediabetes. J Med Internet Res. 2015;17(10):e240. DOI: 10.2196/jmir.4897
  • Flores Mateo G, Granado-Font E, Ferre-Grau C, Montana-Carreras X. Mobile Phone Apps to Promote Weight Loss and Increase Physical Activity: A Systematic Review and Meta-Analysis. J Med Internet Res. 2015;17(11):e253. DOI: 10.2196/jmir.4836
  • DiFilippo KN, Huang W-HD, Chapman-Novakofski KM. Mobile Apps for the Dietary Approaches to Stop Hypertension (DASH): App Quality Evaluation. Journal of Nutrition Education and Behavior. 2018;50(6):620-5. DOI: 10.1016/j.jneb.2018.02.002
  • Alnuaimi A, Rawaf S, Hassounah S, Chehab M. Use of mobile applications in the management of overweight and obesity in primary and secondary care. JRSM Open. 2019;10(3):2054270419843826. DOI: 10.1177/2054270419843826
  • Nikolaou CK, Lean MEJ. Mobile applications for obesity and weight management: current market characteristics. International Journal of Obesity. 2017;41(1):200-2. DOI: 10.1038/ijo.2016.186
  • Breines J, Toole A, Tu C, Chen S. Self-compassion, Body Image, and Self-reported Disordered Eating. Self and Identity. 2014;13(4):432-48. DOI: 10.1080/15298868.2013.838992
  • Kelly AC, Vimalakanthan K, Carter JC. Understanding the roles of self-esteem, self-compassion, and fear of self-compassion in eating disorder pathology: An examination of female students and eating disorder patients. Eating Behaviors. 2014;15(3):388-91. DOI: 10.1016/j.eatbeh.2014.04.008
  • Aguilar-Martínez A, Sole-Sedeno JM, Mancebo-Moreno G, Medina FX, Carreras-Collado R, Saigí-Rubió F. Use of mobile phones as a tool for weight loss: a systematic review. Journal of telemedicine and telecare. 2014;20(6):339-49. DOI: 10.1177/1357633X14537777
  • Allen JK, Stephens J, Dennison Himmelfarb CR, Stewart KJ, Hauck S. Randomized controlled pilot study testing use of smartphone technology for obesity treatment. Journal of obesity. 2013;2013. DOI: 10.1155/2013/151597
  • Meseri R, Ucku R, Unal B. Waist:height ratio: a superior index in estimating cardiovascular risks in Turkish adults. Public Health Nutr. 2014;17(10):2246-52. DOI: 10.1017/S136898001300267X
  • Clark MM, Abrams DB, Niaura RS, Eaton CA, Rossi JS. Self-efficacy in weight management. Journal of consulting and clinical psychology. 1991;59(5):739. DOI: 10.1037//0022-006x.59.5.739
  • Bozan N, Bas, M., Cigerim, N. Relationship between eating self-efficacy and abnormal eating behaviors among adolescent girls. V. International Nutrition and Dietetic Congress. Ankara, 2006.
  • T Kennedy E, Ohls J, Carlson S, Fleming K. The healthy eating index: design and applications. Journal of the American Dietetic Association. 1995;95(10):1103-8. DOI: 10.1016/S0002-8223(95)00300-2
  • Krebs-Smith SM, Pannucci TE, Subar AF, Kirkpatrick SI, Lerman JL, Tooze JA, et al. Update of the healthy eating index: HEI-2015. Journal of the Academy of Nutrition and Dietetics. 2018;118(9):1591-602. DOI: 10.1016/j.jand.2018.05.021
  • Rosenberg M. Rosenberg self-esteem scale (RSE). Acceptance and commitment therapy Measures package. 1965;61:52. DOI: 10.1037/t01038-000
  • Sevincer GM, Kaya A, Bozkurt S, Akin E, Kose S. Reliability, validity, and factorial structure of the Turkish version of the Weight Self-Stigma Questionnaire (Turkish WSSQ). Psychiatry and Clinical Psychopharmacology. 2017;27(4):386-92. DOI: 10.1080/24750573.2017.1379717
  • Sousa P, Gaspar P, Vaz DC, Gonzaga S, Dixe MA. Measuring Health-Promoting Behaviors. International Journal of Nursing Knowledge. 2015;26:54-61. DOI: 10.1111/2047-3095.12065
  • Bahar Z, Beser A, Gordes N, Ersin F, Kıssal A. Healthy life style behavior scale II: A reliability and validity study. Journal of Cumhuriyet University School of Nursing. 2008;12(1):1-13.
  • Patrick DL, Bushnell DM, Rothman M. Performance of two self‐report measures for evaluating obesity and weight loss. Obesity research. 2004;12(1):48-57. DOI: 10.1038/oby.2004.8
  • Gündüzoğlu NÇ, Fadıloğlu Ç, Yılmaz C. The examination of validity and reliability for obese individuals specific quality of life scale. Anatolian Journal of Psychiatry. 2014;15(1):63-8. DOI: 10.5455/apd.35950
  • TC Sağlık Bakanlığı. Diyetisyenler için Hasta İzlem Rehberi Ağırlık Yönetimi El Kitabı. Ankara 2017.
  • TC Sağlık Bakanlığı. Türkiye Sağlıklı Beslenme ve Hareketli Hayat Programı 2014-2017. Ankara 2013.
  • Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Beslenme ve Diyetetik Bölümü. Türkiye'ye Özgü Besin ve Beslenme Rehberi. Ankara 2015
  • Safran Naimark J, Madar Z, R Shahar D. The Impact of a Web-Based App (eBalance) in Promoting Healthy Lifestyles: Randomized Controlled Trial. J Med Internet Res. 2015;17(3):e56. DOI: 10.2196/jmir.3682
  • Patrick K, Raab F, Adams MA, Dillon L, Zabinski M, Rock CL, et al. A Text Message–Based Intervention for Weight Loss: Randomized Controlled Trial. J Med Internet Res. 2009;11(1):e1. DOI: 10.2196/jmir.1100
  • Wang E, Abrahamson K, Liu PJ, Ahmed A. Can mobile technology improve weight loss in overweight adults? A systematic review. Western Journal of Nursing Research. 2020;42(9):747-59. DOI: 10.1177/0193945919888224
  • Samoocha D, Bruinvels DJ, Elbers NA, Anema JR, van der Beek AJ. Effectiveness of Web-based Interventions on Patient Empowerment: A Systematic Review and Meta-analysis. J Med Internet Res. 2010;12(2):e23. DOI: 10.2196/jmir.1286
  • West JH, Belvedere LM, Andreasen R, Frandsen C, Hall PC, Crookston BT. Controlling Your “App”etite: How Diet and Nutrition-Related Mobile Apps Lead to Behavior Change. JMIR Mhealth Uhealth. 2017;5(7):e95. DOI: 10.2196/mhealth.7410
  • Jacobs S, Radnitz C, Hildebrandt T. Adherence as a predictor of weight loss in a commonly used smartphone application. Obesity research & clinical practice. 2017;11(2):206-14. DOI: 10.1016/j.orcp.2016.05.001
There are 33 citations in total.

Details

Primary Language English
Subjects Clinical Nutrition
Journal Section Articles
Authors

Doğa Peksever 0000-0003-2719-2412

Selda Seçkiner 0000-0002-5899-4998

Reci Meseri 0000-0002-2482-3066

Project Number No: 17-SBE-004
Publication Date June 28, 2024
Submission Date June 23, 2023
Published in Issue Year 2024 Volume: 14 Issue: 2

Cite

APA Peksever, D., Seçkiner, S., & Meseri, R. (2024). Nutrition Education via a Mobile Application on Weight Loss and Quality of Life: A Randomized Controlled Trial. Clinical and Experimental Health Sciences, 14(2), 377-384. https://doi.org/10.33808/clinexphealthsci.1317590
AMA Peksever D, Seçkiner S, Meseri R. Nutrition Education via a Mobile Application on Weight Loss and Quality of Life: A Randomized Controlled Trial. Clinical and Experimental Health Sciences. June 2024;14(2):377-384. doi:10.33808/clinexphealthsci.1317590
Chicago Peksever, Doğa, Selda Seçkiner, and Reci Meseri. “Nutrition Education via a Mobile Application on Weight Loss and Quality of Life: A Randomized Controlled Trial”. Clinical and Experimental Health Sciences 14, no. 2 (June 2024): 377-84. https://doi.org/10.33808/clinexphealthsci.1317590.
EndNote Peksever D, Seçkiner S, Meseri R (June 1, 2024) Nutrition Education via a Mobile Application on Weight Loss and Quality of Life: A Randomized Controlled Trial. Clinical and Experimental Health Sciences 14 2 377–384.
IEEE D. Peksever, S. Seçkiner, and R. Meseri, “Nutrition Education via a Mobile Application on Weight Loss and Quality of Life: A Randomized Controlled Trial”, Clinical and Experimental Health Sciences, vol. 14, no. 2, pp. 377–384, 2024, doi: 10.33808/clinexphealthsci.1317590.
ISNAD Peksever, Doğa et al. “Nutrition Education via a Mobile Application on Weight Loss and Quality of Life: A Randomized Controlled Trial”. Clinical and Experimental Health Sciences 14/2 (June 2024), 377-384. https://doi.org/10.33808/clinexphealthsci.1317590.
JAMA Peksever D, Seçkiner S, Meseri R. Nutrition Education via a Mobile Application on Weight Loss and Quality of Life: A Randomized Controlled Trial. Clinical and Experimental Health Sciences. 2024;14:377–384.
MLA Peksever, Doğa et al. “Nutrition Education via a Mobile Application on Weight Loss and Quality of Life: A Randomized Controlled Trial”. Clinical and Experimental Health Sciences, vol. 14, no. 2, 2024, pp. 377-84, doi:10.33808/clinexphealthsci.1317590.
Vancouver Peksever D, Seçkiner S, Meseri R. Nutrition Education via a Mobile Application on Weight Loss and Quality of Life: A Randomized Controlled Trial. Clinical and Experimental Health Sciences. 2024;14(2):377-84.

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