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Text messaging (SMS) as a tool to facilitate weight loss and prevent metabolic deterioration in clinically healthy overweight and obese subjects: a randomised controlled trial.

Objective:To examine whether SMS text messaging facilitates a reduction of weight and waist circumference (WC) and favourable changes in lipid profile and insulin levels in clinically healthy overweight and obese subjects. Design:A randomised controlled trial. Setting and intervention:Primary care h...

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Published in:Scandinavian Journal of Primary Health Care Vol. 35; no. 3; pp. 262 - 271
Main Authors: Silina, Vija, Tessma, Mesfin K., Senkane, Silva, Krievina, Gita, Bahs, Guntis
Format: research tables/charts randomized controlled trial Journal Article
Published: Taylor & Francis Ltd Sep2017
Online Access:View this record in EBSCOhost
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      jtl: Scandinavian Journal of Primary Health Care
      issn: 02813432
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      dt: Sep2017
      vid: 35
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/02813432.2017.1358435
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        atl: Text messaging (SMS) as a tool to facilitate weight loss and prevent metabolic deterioration in clinically healthy overweight and obese subjects: a randomised controlled trial.
      aug:
        au:
          Silina, Vija
          Tessma, Mesfin K.
          Senkane, Silva
          Krievina, Gita
          Bahs, Guntis
        affil: Department of Family Medicine, Riga Stradins University, Riga, Latvia
      sug:
        subj:
          Text Messaging
          Weight Loss
          Obesity Therapy
          Health Education
          Life Style Changes
          Human
          Randomized Controlled Trials
          Latvia
          Waist Circumference
          Lipids Blood
          Insulin Blood
          Female
          Male
          Adult
          Middle Age
          Anthropometry
          Outpatients
          Blood Glucose Analysis
          Body Mass Index
          Confidence Intervals
          Primary Health Care
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objective:To examine whether SMS text messaging facilitates a reduction of weight and waist circumference (WC) and favourable changes in lipid profile and insulin levels in clinically healthy overweight and obese subjects. Design:A randomised controlled trial. Setting and intervention:Primary care health centre in Riga, Latvia. Text messaging once in two weeks. Subjects:A total of 123 overweight and obese men and women aged 30–45 years with no cardiovascular diseases (CVDs) or diabetes. Main outcome measures: changes in anthropometric parameters (weight, WC, body mass index (BMI)) and biochemical parameters (lipids, fasting glucose and insulin). Results:We found a statistically significant decrease in weight (2.4%), BMI and WC (4.8%) in the intervention group, while the control group showed a statistically non-significant increase in weight and BMI and decrease in WC. Between group results obtained over the course of a year showed statistically significant mean differences between weight (–3.4 kg (95% CI –5.5, –1.3)), BMI kg/m2(–1.14 (95% CI –1.9, –0.41)), WC (–4.6 cm (95% CI –6.8, –2.3)), hip circumference (–4.0 cm (95% CI –5.9, –2.0)) and fasting insulin (2.43 μU/ml (95% CI 0.6, 4.3)). Mean differences of changes in glucose and lipid levels were statistically non significant: fasting glucose (–0.01 mmol/l (95% CI –0.19, 0.17)), TC mmol/l (–0.04 mmol/l (95% CI –0.29, 0.21)), HDL-C (0.14 mmol/l (95% CI –0.65, 0.09)), LDL-C (–0.02 mmol/l (95% CI –0.22, 0.18)) and TG (0.23 mmol/l (95% CI –0.06, 0.52)). Conclusions:SMS messaging in clinically healthy overweight and obese subjects facilitates a slight decrease in weight, BMI and WC. It is anticipated that the implications of this strategy might facilitate the design of preventive and promotive strategies among high risk groups in Latvia.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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