Evidence map›Paper›PMID 20663751›Full record

ArticleJournal of medical Internet research2010

Associations of internet website use with weight change in a long-term weight loss maintenance program.

Kristine L Funk, Victor J Stevens, Lawrence J Appel, Alan Bauck, Phillip J Brantley, Catherine M Champagne, Janelle Coughlin, Arlene T Dalcin, Jean Harvey-Berino, Jack F Hollis and 7 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of medical Internet research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00054925 (Weight Loss Maintenance), which is not on this map. Cited by 64 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00054925 nacompletednot on this map

Weight Loss Maintenance (WLM)

TypeinterventionalSponsorDuke UniversityRan2003 to 2009Enrolled1,685ConditionsCardiovascular Diseases, Heart Diseases, Obesity, Diabetes Mellitus, Non-insulin DependentArmsPersonal contact (PC), Interactive technology (IT)
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Identifying Social Media-Based Interactions That Help Adults to Adhere to Weight Loss Goals: A Systematic Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Kristine L FunkKaiser Permanente, Center for Health Research, Portland, USA. kristine.funk@kpchr.org
Victor J Stevens
Lawrence J Appel
Alan Bauck
Phillip J Brantley
Catherine M Champagne
Janelle Coughlin
Arlene T Dalcin
Jean Harvey-Berino
Jack F Hollis
Gerald J Jerome
Betty M Kennedy
Lillian F Lien
Valerie H Myers
Carmen Samuel-Hodge
Laura P Svetkey
William M Vollmer

Funding

WEIGHT LOSS MAINTENANCE TRIALU01HL068676 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI STEVENS, VICTOR J · 2003 to 2009
$7.4M
WEIGHT LOSS MAINTENANCE TRIALU01HL068734 · NHLBI · DUKE UNIVERSITY · PI SVETKEY, LAURA P · 2003 to 2007
$3.1M
WEIGHT LOSS MAINTENANCE TRIALU01HL068790 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI HOLLIS, JACK F · 2003 to 2007
$2.4M
WEIGHT LOSS MAINTENANCE TRIALU01HL068920 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI APPEL, LAWRENCE JOHN · 2003 to 2007
$2.4M
WEIGHT LOSS MAINTENANCE TRIALU01HL068955 · NHLBI · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI BRANTLEY, PHILLIP J · 2003 to 2007
$2.3M
NHLBI NIH HHS HL068676NHLBI NIH HHS HL068734NHLBI NIH HHS HL068920NHLBI NIH HHS HL068955NHLBI NIH HHS U01 HL068676NHLBI NIH HHS U01 HL068734NHLBI NIH HHS U01 HL068790NHLBI NIH HHS U01 HL068920NHLBI NIH HHS U01 HL068955NHLBI NIH HHS U01 HL68790
6 · The paper itself

Abstract

backgroundThe Weight Loss Maintenance Trial (WLM) compared two long-term weight-maintenance interventions, a personal contact arm and an Internet arm, with a no-treatment control after an initial six-month Phase I weight loss program. The Internet arm focused on use of an interactive website for support of long-term weight maintenance. There is limited information about patterns of website use and specific components of an interactive website that might help promote maintenance of weight loss.

objectiveThis paper presents a secondary analysis of the subset of participants in the Internet arm and focuses on website use patterns and features associated with long-term weight maintenance.

methodsAdults at risk for cardiovascular disease (CVD) who lost at least 4 kilograms in an initial 20-week group-based, behavioral weight-loss program were trained to use an interactive website for weight loss maintenance. Of the 348 participants, 37% were male and 38% were African American. Mean weight loss was 8.6 kilograms. Participants were encouraged to log in at least weekly and enter a current weight for the 30-month study period. The website contained features that encouraged setting short-term goals, creating action plans, and reinforcing self-management habits. The website also included motivational modules, daily tips, and tailored messages. Based on log-in and weight-entry frequency, we divided participants into three website use categories: consistent, some, and minimal.

resultsParticipants in the consistent user group (n = 212) were more likely to be older (P = .002), other than African American (P = .02), and more educated (P = .01). While there was no significant difference between website use categories in the amount of Phase I change in body weight (P = .45) or income (P = .78), minimal website users (n = 75) were significantly more likely to have attended fewer Phase I sessions (P = .001) and had a higher initial body mass index (BMI) (P < .001). After adjusting for baseline characteristics including initial BMI, variables most associated with less weight regain included: number of log-ins (P = .001), minutes on the website (P < .001), number of weight entries (P = .002), number of exercise entries (P < .001), and sessions with additional use of website features after weight entry (P = .002).

conclusionParticipants defined as consistent website users of an interactive behavioral website designed to promote maintenance of weight loss were more successful at maintaining long-term weight loss.

trial registrationNCT00054925; http://clinicaltrials.gov/ct2/show/NCT00054925 (Archived by WebCite at http://www.webcitation.org/5rC7523ue).

Indexed as

InternetWeight LossAdultBody Mass IndexBody WeightExerciseFemaleHealth PromotionHumansInterpersonal RelationsMaleMiddle AgedObesityPatient SelectionPhysical FitnessSelf Care

Identifiers

PMID20663751
PMCPMC2956327

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.