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Equivalent weight loss for weight management programs delivered by phone and clinic.
MedLine Citation:
PMID:  23408579     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: Face-to-face weight management is costly and presents barriers for individuals seeking treatment; thus, alternate delivery systems are needed. The objective of this study was to compare weight management delivered by face-to-face (FTF) clinic or group conference calls (phone). DESIGN AND METHODS: Randomized equivalency trial in 295 overweight/obese men/women (BMI = 35.1±4.9, Age = 43.8±10.2, Minority = 39.8%). Weight loss (0-6 months) was achieved by reducing energy intake between 1,200- 1,500 kcal/day and progressing physical activity to 300 minutes/week. Weight maintenance (7-18 months) provided adequate energy to maintain weight and continued 300 minutes/week of physical activity. Behavioral weight management strategies were delivered weekly for 6 months and gradually reduced during months 7-18. A cost analysis provided a comparison of expenses between groups. RESULTS: Weight change from baseline to 6 months was -13.4 ± 6.7% and -12.3 ± 7.0% for FTF clinic and phone, respectively. Weight change from 6 months to 18 months was 6.4 ± 7.0% and 6.4 ± 5.2%, for FTF clinic and phone, respectively. The cost to FTF participants was $789.58 more person. CONCLUSIONS: Phone delivery provided equivalent weight loss and maintenanceand reduced program cost. Ubiquitous access to phones provides a vast reach for this approach.
Authors:
Joseph E Donnelly; Jeannine Goetz; Cheryl Gibson; Debra K Sullivan; Robert Lee; Bryan K Smith; Kate Lambourne; Matthew S Mayo; Suzanne Hunt; Jae Hoonlee; Jeffrey J Honas; Richard A Washburn
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-2-14
Journal Detail:
Title:  Obesity (Silver Spring, Md.)     Volume:  -     ISSN:  1930-739X     ISO Abbreviation:  Obesity (Silver Spring)     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-2-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101264860     Medline TA:  Obesity (Silver Spring)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 The Obesity Society.
Affiliation:
Cardiovascular Research Institute, Division of Internal Medicine, The University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS, 66160 USA. (jdonnelly@ku.edu).
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