Impact of a digital employer-based weight loss program on individuals age 65 or older

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC

ACS Applied Electronic Materials Pub Date : 2024-05-22 DOI:10.3389/fragi.2024.1337418

R. Rogers, Michael Doherty, David Jones, J. Jakicic, Timothy S. Church

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Abstract

Older adults are not protected from obesity, which has been linked to frailty, cognitive impairment, and other aging-related factors. Intensive lifestyle interventions have been shown to be effective for weight loss in older adults; however, these have typically been highly intensive and less feasible for dissemination. This analysis describes weight loss in a large-scale, commercially available, digital intervention in a subset of older adults.Older adults (N = 20,443, males = 6,238; females = 14,205) between 65 and 85 years of age with overweight (43.3%) or obesity (46.7%) participated in an online, self-directed weight loss program. Behavioral-based content was delivered through weekly video lessons within an online platform that included weight and physical activity tracking, an online community, a reference library, and access to coaching support. Self-reported measures taken at the time of entry into the program were used for this analysis (demographics, height, body weight, and health status). Weight was reported across weeks of engagement in the curriculum.The average weight loss was −3.15 kg (95% CI: [−3.20, −3.11]) at 15.5 weeks. Weight loss was significantly greater in male individuals (−3.79 kg [95% CI: −3.89, −3.71]) versus female individuals (−2.87 kg [95% CI: −2.94, −2.82]) (p < 0.001), with a similar engagement in curriculum weeks. Percent weight loss was statistically significant for all age categories (p < 0.05) and self-reported health conditions (p < 0.05).Short-term weight loss was observed in older adults exposed to a low-touch, self-guided, and digital behavioral-based weight loss program. Weight loss was also observed even in the presence of various chronic health conditions.

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基于雇主的数字化减肥计划对 65 岁及以上老年人的影响

肥胖与虚弱、认知障碍和其他与衰老相关的因素有关。密集型生活方式干预已被证明能有效减轻老年人的体重；然而，这些干预通常都是高度密集型的，不太适合推广。本分析报告描述了一项大规模、商业化、数字化干预措施在老年人群体中的减肥效果。年龄在 65 岁至 85 岁之间、超重（43.3%）或肥胖（46.7%）的老年人（人数=20443，男性=6238；女性=14205）参加了一项在线自主减肥计划。该项目通过在线平台每周提供一次视频课程，内容以行为为基础，包括体重和体育锻炼跟踪、在线社区、参考资料库以及教练支持。本分析采用的是参加该计划时的自我报告指标（人口统计学、身高、体重和健康状况）。在参与课程的 15.5 周内，体重平均下降了-3.15 千克（95% CI：[-3.20, -3.11]）。男性（-3.79 千克 [95% CI：-3.89, -3.71]）与女性（-2.87 千克 [95% CI：-2.94, -2.82]）相比，体重下降幅度明显更大（p < 0.001），参与课程周数相似。在所有年龄组（p < 0.05）和自我报告的健康状况（p < 0.05）中，体重减轻百分比都具有统计学意义。即使存在各种慢性疾病，体重也会减轻。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Electronic Materials Multiple-

CiteScore

7.20

自引率

4.30%

发文量

567

期刊介绍： ACS Applied Electronic Materials is an interdisciplinary journal publishing original research covering all aspects of electronic materials. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials science, engineering, optics, physics, and chemistry into important applications of electronic materials. Sample research topics that span the journal's scope are inorganic, organic, ionic and polymeric materials with properties that include conducting, semiconducting, superconducting, insulating, dielectric, magnetic, optoelectronic, piezoelectric, ferroelectric and thermoelectric. Indexed/Abstracted： Web of Science SCIE Scopus CAS INSPEC Portico