“Integrating Technology into Standard Weight Loss Treatment” was published in JAMA Internal Medicine on December 10, 2012. The randomized controlled trial was conducted by Bonnie Spring, PhD, et al. The primary author is affiliated with the Department of Preventive Medicine at Northwestern University. In this study, the research team questioned if intensive obesity treatment could be made scalable by introducing mobile health technology. Based on prior research by Appel and colleagues, it was hypothesized that a multicomponent behavioral approach including mobile decision support and telephone coaching could improve short-term weight loss results and help remove barriers to care. The study was conducted over a 12-month period and involved …show more content…
Measurement of exposure variables in the intervention phase included caloric intake and level of physical activity, which were actively monitored on PDAs. Outcomes involved weight measurements at 3 month intervals, beginning at study randomization and concluding at the 12-month follow up. 5% loss of initial body weight was considered clinically significant. Projected statistical power of 0.80 was based on a sample size of 150, which may affect the validity of results due to actual study sample size of 69. No confounders were identified. Study duration can be represented as a measure of prevalence divided by incidence. Odds ratio was calculated and did not vary over the study (P = 0.13), with results demonstrating that the +mobile group was 6.5 times more likely to lose initial body weight. A logistic regression model was also implemented for data analysis.
Inclusion criteria specified that research participants include only overweight and obese adults, BMI of 25-40, that could engage in moderate-intensity physical activity and had been referred to MOVE! from a Midwestern VA hospital. Exclusion criteria included certain mental and physical impairments. The eligibility screening resulted in 69 test subjects from a pool of 1371 assessed candidates over a 3-year period. Randomization was stratified by age, BMI, and sex. Socioeconomic status was not measured. Participants were representative of the target VA population, although the small sample size
As per Healthy People 2020 most Americans do not consume healthy diets and are not physically active at levels needed to maintain proper health. As a result of these behaviors the nation has experienced a dramatic increase in obesity in the U.S with 1 in 3 adults (34.0%) and 1 and 6 children and adolescents (16.2%) are obese. In addition to grave health consequences of being overweight and obese. It significantly raises medical cost and causes a great burden on the U.S medical care delivery system ("Healthy People 2020," 2014, p. 1).
At the Veterans Health Administration (VHA) located in Durham, North Carolina, approximately one-third of the patients are obese. For the past ten years, studies were conducted that estimated, 25-35% of the patients at the VHA were considered obese or overweight. The VHA introduced the patients to a program called, “MOVE!”. The programs goal was weight management to help patients overcome short-term weight loss goals and create a positive reinforcement that encourages to stay at a healthy weight. It was introduced in 2006, and has helped approximately six million veterans lose weight. This program was implemented in 153 hospitals and 956 outpatient clinics. This program started when VHA clinicians noticed the rate of obese patients coming
This paper explores the impact of MOVE which is a weight program management for veterans. America and our nations Veterans have a weight problem nearly 69 % of U.S, and 80 % of Veterans enrolled in VA care are overweight or obese . Obesity is liked to rising U.S rates of chronic illness such as diabetes , heart disease and cancer. It's also associated with arthritis pain, injuries and muscle atrophy. Obesity can be addresses with small steps that can lead to big results . Evidence shows that even a little reduction of body weight can creates a meaningful effect in overall health and reduce risk for chronic illnesses. The most effective step Veterans can take is participating in VH's MOVE (Weight Management Program for Veterans).MOVE is VHA's
Between the years 2008 and 2010, the VHA hospitals and outpatient clinics that participated in the MOVE! program, screened for obesity and had 66% to 95% eligible patients within that time span. The number of patients attending the first session for the program has doubled. Approximately two-thirds of the 114,541 patients that attended the MOVE! treatment in 2010 said it was their first time attending. The other third has been participating in the program for years. The number of participants joining the MOVE! program has increased within the past few years.
Obesity has dramatically increased in the United States over the past two decades. Along with obesity come many serious, preventable health conditions. Currently, more than one-third of adults in the United States are obese (Centers for Disease Control and Prevention (CDC), 2015). If current trends continue, experts predict that half of all Americans will be obese by the year 2030 (CDC, 2015). Body mass index (BMI) is said to provide the most useful population-level measure of overweight and obesity (National Committee for Quality Assurance (NCQA), 2015). Using tools such as the adult BMI assessment, health care providers can identify problems and work with patients on a solution to decrease the incidence of obesity and maintain
MOVE! is a weight management health promotion outpatient program designed to improve the lives of Veterans. In 2015 more than three quarters of Veterans receiving care in VHA facilities were considered to be overweight or obese (MOVE! Weight Management Program, n.d.). The goal of the Bruce W. Carter Veteran’s Affair Medical Center (VA) is to annually screen every Veteran who receives care at the facility for obesity, refer individuals to weight management services, and make available different treatment options that fit the needs and preferences of our Veterans (In person communication G. Cuadrado-Umbaugh, March 14,2017). Some of the treatment options are telephone lifestyle coaching, a mobile app for reminders and a group session which has show to have the greatest evidence of participant success (MOVE! Weight Management Program, n.d.). Small weight loss can reduce health risks, prevent or reverse chronic diseases, and improve quality-of-life and longevity (MOVE! Weight Management Program, n.d.) . Every sixteen weeks is the beginning
Article 6: Nursing Home Perspectives on the Admission of Morbidly Obese Patients from Hospitals to Nursing Homes. By Felix, H. C., et al. (2014). Journal of Applied Gerontology, 35(3), 286-302
As a future clinician working in primary care, I know that managing obesity continues to be a current challenge. Obesity is a contributing factor to chronic conditions such as hypertension, type two diabetes mellitus and hyperlipidemia. During my clinical rotations, I rarely saw obesity and its risk factors being addressed with patients who clearly fit the definition of being obese. Smith et al. (2011) showed that overweight and obesity are substantial problems in the
Almost everyone goes through a time in their life when they would like to lose a couple of pounds, whether it is after having a baby or before a high school reunion. No matter what the reason, it is important to lose the weight in a healthy manner, rather than trying a new fad crash diet that can be bad for the body. There are several different healthy weight loss diets available that give great results, but they require time and dedication in order to lose the weight.
For the most part people don't have any clue with reference to how to burn fat fast. They additionally don't have any understanding of how to reach their desired body. In addition, they're just bewildered on the subject of learning what works and what doesn't. For this reason, many are slaves to the fitness center devoid of getting real results.
Losing weight is a difficult challenge for many people, but there are safe and effective measures you can take to make the journey to getting the body you want a little easier.
Obesity, the condition of being severely overweight, is a serious issue in the United States that is gradually beginning to affect more and more citizens. In recent years, the number of Americans suffering from this chronic disease has significantly increased. Researchers have found that nearly one third of the U.S. population is considered overweight and, on average, three hundred thousand individuals die yearly as a result of obesity (Hollands et al. 2). When one participates in little to no physical activity and their diet consists mostly of high fat foods, chances are they will gain weight. If someone becomes obese, they may develop serious health related issues that, in some cases,
In my descriptive essay, I will be writing about why Red Mountain Weight loss is the best company I have ever worked for. My favorite thing in the world is to help people, and at Red Mountain weight loss, that is exactly what we do. Obesity is a huge problem in the America and they have designed a weight loss program, exclusive to Red Mountain to help patients achieve quick and safe weight loss. Not only do we help with weight issues, we also offer Hormone replacement therapy. Unbalanced hormone levels can cause weight problems. Lack of hormones can also cause a patient to be constantly fatigue and irritable. Aside from helping people get their health back, we are also a full med spa as well. On the med spa side of the practice, we offer aesthetic
Estimates related to the frequency and time tendencies of obesity within the US have been according to information coming from the Nationwide Health and Nutrition Evaluation Survey (NHANES), including nationwide representative samples related to the US civilian non-institutionalized populace. The actual surveys range from the very first National Health Evaluation Survey (NHES I); the very first, 2nd, and third NHANES studies; along with an ongoing survey that started in 1999 (Flegal et al, 2000; Hedley et al, 2002). Weight and height had been calculated inside a movable evaluation centre utilizing standardized methods as well as products. As demonstrated in Fig. 1 (Larsson et al, 2006), the actual incidence of weight problems amongst adults age range 20-76 years had been fairly continuous from 1960 to 1980, after that elevated considerably. Assessment related to the time period 1976-1980 with 1999-2002, unveils that the frequency of obese (Body mass index = 25 kg/m2) elevated by approximately 40% (from 47 to 65%) and also the frequency of overweight (Body mass index = 30 kg/m2) increased by 100% (from 15 to 30%). Concerning severe obesity (BMI = 40
Unfortunately, for most people gaining weight is much easier than losing weight. It is not uncommon for a person to start developing poor eating habits, and then they let their weight gain go too far and get out of control.