Effectiveness of a Weight Loss Program Using Digital Health in Adolescents and Preadolescents

Lei, Sha; Inojosa, Jose R. Medina; Kumar, Seema; Lee, Alexander T.; Scott, Christopher G.; Lerman, Amir; Lerman, Lilach O.; Senecal, Conor; Lin, Weihua; Zhang, Xiaoyong; Cohen, Pinchas; López-Jiménez, Francisco

doi:10.1089/chi.2020.0317

Cited by 15 publications

(37 citation statements)

References 41 publications

(73 reference statements)

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“…The percentage of weight loss was higher with higher baseline BMI percentile and increased frequency of use of mobile applications. 96 New mobile applications with innovative ideas are now available and look promising to enhance children's adherence to healthy lifestyle behaviors. 97 Some of these applications allow parents to have feedback regarding their child's physical activity, dietary habits and provide guidance regarding healthy eating habits and recommended daily physical activities.…”

Section: Emerging and Innovative Lifestyle Change Strategiesmentioning

confidence: 99%

Adolescents with Type 2 Diabetes: Overcoming Barriers to Effective Weight Management

Biggs¹,

Creo²,

Prissel³

et al. 2023

DMSO

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The prevalence of type 2 diabetes (T2DM) among children and adolescents has remarkably increased in the last two decades, particularly among ethnic minorities. Management of T2DM is challenging in the adolescent population due to a constellation of factors, including biological, socioeconomic, cultural, and psychological barriers. Weight reduction is an essential component in management of T2DM as weight loss is associated with improvement in insulin sensitivity and glycemic status. A family centered and culturally appropriate approach offered by a multidisciplinary team is crucial to address the biological, psychosocial, cultural, and financial barriers to weight management in youth with T2DM. Lifestyle interventions and pharmacotherapy have shown modest efficacy in achieving weight reduction in adolescents with T2DM. Bariatric surgery is associated with excellent weight reduction and remission of T2DM in youth. Emerging therapies for weight reduction in youth include digital technologies, newer GLP-1 agonists and endoscopic procedures.

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Section: Emerging and Innovative Lifestyle Change Strategiesmentioning

confidence: 99%

Adolescents with Type 2 Diabetes: Overcoming Barriers to Effective Weight Management

Biggs¹,

Creo²,

Prissel³

et al. 2023

DMSO

Self Cite

View full text Add to dashboard Cite

show abstract

“…Of these, 19 provided users with education, for example, cognitive behavioral therapy, behavioral interventions, social story interventions, parent training programs, coping skills, or physical activity education [11,12,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]. Two studies provided users with tailored educational information, including personalized health and wellness information for someone with Down syndrome [31] and nutritional information with individualized meal plans [32]. One study used a robot to guide children in engaging in the repetitive motions required for motor learning [33].…”

Section: Descriptive Characteristicsmentioning

confidence: 99%

“…Kollins et al [34], Sosnowski et al [9], Zheng et al [15], Hanrahan et al [16], Hardy et al [35], Ko et al [36], Klee et al [42], Edridge et al [39], Dobias et al [17], Haug et al [43], Alfonsi et al [41], Topooco et al [18,23], Jesus et al [38], Aspvall et al [19], Cliffe et al [20], Voss et al [10], Lei et al [32], Shedrief et al [33], Ranney et al [22], Gallen et al [37], Khan et al [24], Kenny et al [25], Lenhard et al [26], Osborn et al [40], Knox et al [27], Nordh et al [28], Schmidt et al [29], and Lindqvist et al [12] 29 (85) Children or adolescents only Chung et al [31] and Sourander et al [21] 2 (6) Caregivers only…”

Section: Target Usermentioning

confidence: 99%

“…Palermo et al [11], Kollins et al [34], Hanrahan et al [16], Ko et al [36], Klee et al [42], Edridge et al [39], Haug et al [43], Alfonsi et al [41], Jesus et al [38], Lei et al [32], allen et al [37], Kenny et al [25], and Schmidt et al [29] 13 (38) App (mobile) Moor et al [14], Zheng et al [15], Chung et al [31], Hardy et al [35], Dobias et al [17], Topooco et al [18,23], Aspvall et al [19], Cliffe et al [20], Sourander et al [21], Ranney et al [21], Khan et al [24], Lenhard et al [26], Osborn et al [40], Nordh et al [4], Lindqvist et al [12], and Wade et al [30] 17 (50) Web (computer) Sosnowski et al [9], Voss et al [10], Knox et al [27], and Shedrief et al [33] 4 (12) Combined modalities…”

Section: App (Mobile) Vs Web (Computer)mentioning

confidence: 99%

“…Moor et al [14], Palermo et al [11], Edridge et al [39], Dobias et al [17], Topooco et al [18,23], Aspvall et al [19], Cliffe et al [20], Ranney et al [21], Lenhard et al [26], Nordh et al [4], Schmidt et al [29], and Wade et al [30] 13 (38) Cognitive behavioral theory Sourander et al [21], Khan et al [24], Kenny et al [25], Knox et al [27], and Haug et al [43] 5 (15) Behavior change theory Kollins et al [34], Hardy et al [35], Ko et al [36], and Gallen et al [37] 4 (12) Cognitive theory Sosnowski et al [9], Hanrahan et al [16], and Voss et al [10] 3 (9) Applied behavior analysis Chung et al [31], Jesus et al [38], and Shedrief et al [33] 3 ( 9 Zheng et al [15], Alfonsi et al [41], Lei et al [32], Osborn et al [40], and Klee et al [42] 5 (15) Not specifically defined Table 4. Numeric description of range and mean duration of active intervention.…”

Section: References Studies N (%) Intervention Backgroundmentioning

confidence: 99%

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Characteristics and Potential Challenges of Digital-Based Interventions for Children and Young People: Scoping Review

Yun¹,

Shin²,

Lee³

et al. 2023

J Med Internet Res

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Background Digital health technologies are becoming increasingly available to children and young people and their families. However, there are no scoping reviews that provide both an overview of the characteristics of digital interventions for children and young people and potential challenges to be considered when developing and implementing them. Objective This study aimed to systematically review scientific publications to identify the current characteristics and potential complications of digital interventions for children and young people. Methods This scoping review was conducted using the framework of Arksey and O’Malley and adheres to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for scoping reviews. A search of 5 databases (PubMed, Scopus, Embase, MEDLINE, and CINAHL) and Google Scholar was performed for eligible clinical trials published between January 1, 2018, and August 19, 2022. Results The initial search of the 5 databases yielded 3775 citations; duplicates and those not meeting the inclusion criteria were eliminated. In total, 34 articles were included in the final review and relevant information, such as the descriptive characteristics and potential challenges, were classified. Mental health (26/34, 76%) was the most common target for the digital intervention for children and young people, exceeding physical health (8/34, 24%) by more than 3 times. In addition, a substantial number of digital interventions were dedicated solely to children and young people. Digital interventions for children and young people were more likely to be delivered via computers (17/34, 50%) rather than smartphones (13/34, 38%). More than one-third of the studies (13/34, 38%) applied cognitive behavioral theory as the theory of digital interventions. The duration of the digital intervention for children and young people was more likely to vary depending on the target user rather than the target disease. Intervention components were classified into 5 categories: guidance, task and activity, reminder and monitoring, supportive feedback, and reward system. Potential challenges were subcategorized into ethical, interpersonal, and societal challenges. For ethical challenges, the consent of children and young people or caregivers, potential risk of adverse events, and data privacy issues were considered. For interpersonal challenges, the engagement of children and young people was affected by the preference or barrier of caregivers to participate in studies. For societal challenges, restricted ethnicity in recruitment, limited availability of digital technology, differences in internet use patterns between girls and boys, unified clinical settings, and language barriers were described. Conclusions We identified potential challenges and provided suggestions about ethical, interpersonal, and societal aspects to consider when developing and deploying digital-based interventions for children and young people. Our findings provide a thorough overview of the published literature and may serve as a comprehensive, informative foundation for the development and implementation of digital-based interventions for children and young people.

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Effect of a multi-disciplinary program on anthropometric and biochemical parameters in obese and overweight elementary school girls: A randomized clinical trial

Salahshoornezhad

Sohrabi

Mani

et al. 2022

Nutrition, Metabolism and Cardiovascular Diseases

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Effectiveness of a Weight Loss Program Using Digital Health in Adolescents and Preadolescents

Cited by 15 publications

References 41 publications

Adolescents with Type 2 Diabetes: Overcoming Barriers to Effective Weight Management

Adolescents with Type 2 Diabetes: Overcoming Barriers to Effective Weight Management

Characteristics and Potential Challenges of Digital-Based Interventions for Children and Young People: Scoping Review

Effect of a multi-disciplinary program on anthropometric and biochemical parameters in obese and overweight elementary school girls: A randomized clinical trial

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