Evidence map›Paper›PMID 32384144›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2021

A Weight Loss Intervention Augmented by a Wearable Device in Rural Older Adults With Obesity: A Feasibility Study.

John A Batsis, Curtis L Petersen, Matthew M Clark, Summer B Cook, Francisco Lopez-Jimenez, Rima I Al-Nimr, Dawna Pidgeon, David Kotz, Todd A Mackenzie, Stephen J Bartels

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05456386 (BioRhythm Health Coaching and Sleep Monitoring Program for Weight Loss), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% of its field
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.

NCT05456386 naunknown statusnot on this mapstarted 2022, after this paper: background citation

BioRhythm Health Coaching and Sleep Monitoring Program for Weight Loss

TypeinterventionalSponsorStephen HutchisonRan2022 to 2023Enrolled65ConditionsObesityArmsThe Circadian Rhythm Approach to Weight Loss (CRAWL)
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

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  16. Adapting natural language processing and sentiment analysis methods for an intervention in older adults: Positive perceptions of health and technology.Gerontechnology : international journal on the fundamental aspects of technology to serve the ageing society · 2023
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  20. Observational
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

10 authors at 5 institutions in 1 country.

John A BatsisDartmouth-Hitchcock, Geisel School of Medicine, and The Dartmouth Institute for Health Policy, Hanover, New Hampshire.
Curtis L PetersenDartmouth College, Hanover, New Hampshire.
Matthew M ClarkMayo Clinic Rochester, Minnesota.
Summer B CookUniversity of New Hampshire, Durham.
Francisco Lopez-JimenezMayo Clinic Rochester, Minnesota.
Rima I Al-NimrDartmouth-Hitchcock, Geisel School of Medicine, and The Dartmouth Institute for Health Policy, Hanover, New Hampshire.
Dawna PidgeonDartmouth-Hitchcock, Geisel School of Medicine, and The Dartmouth Institute for Health Policy, Hanover, New Hampshire.
David KotzDartmouth College, Hanover, New Hampshire.
Todd A MackenzieDartmouth-Hitchcock, Geisel School of Medicine, and The Dartmouth Institute for Health Policy, Hanover, New Hampshire.
Stephen J BartelsMassachusetts General Hospital, Boston.
Dartmouth Institute for Health Policy and Clinical Practice · USDartmouth College · USMayo Clinic · USMassachusetts General Hospital · USUniversity of New Hampshire · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
Treatment Development & Evaluation CoreP30DA029926 · NIDA · DARTMOUTH COLLEGE · PI Lisa A. Marsch · 2011 to 2026
$21.5M
SYNERGY: The Dartmouth Center for clinical and Translational ScienceUL1TR001086 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$18.3M
Mobile Health Obesity Wellness Intervention in Rural Older Adults_Res1K23AG051681 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BATSIS, JOHN A. · 2016 to 2022
$1.1M
ACL HHS U48DP005018NCATS NIH HHS UL1 TR001086NCCDPHP CDC HHS U48 DP005018NCI NIH HHS P30 CA023108NIA NIH HHS K23 AG051681NIDA NIH HHS P30 DA029926Wellcome Trust
6 · The paper itself

Abstract

backgroundOlder persons with obesity aged 65+ residing in rural areas have reduced access to weight management programs due to geographic isolation. The ability to integrate technology into health promotion interventions shows a potential to reach this underserved population.

methodsA 12-week pilot in 28 older rural adults with obesity (body mass index [BMI] ≥ 30 kg/m2) was conducted at a community aging center. The intervention consisted of individualized, weekly dietitian visits focusing on behavior therapy and caloric restriction with twice weekly physical therapist-led group strengthening training classes in a community-based aging center. All participants were provided a Fitbit Flex 2. An aerobic activity prescription outside the strength training classes was provided.

resultsMean age was 72.9 ± 5.3 years (82% female). Baseline BMI was 37.1 kg/m2, and waist circumference was 120.0 ± 33.0 cm. Mean weight loss (pre/post) was 4.6 ± 3.2 kg (4.9 ± 3.4%; p < .001). Of the 40 eligible participants, 33 (75%) enrolled, and the completion rate was high (84.8%). Objective measures of physical function improved at follow-up: 6-minute walk test improved: 35.7 ± 41.2 m (p < .001); gait speed improved: 0.10 ± 0.24 m/s (p = .04); and five-times sit-to-stand improved by 2.1 seconds (p < .001). Subjective measures of late-life function improved (5.2 ± 7.1 points, p = .003), as did Patient-Reported Outcome Measurement Information Systems mental and physical health scores (5.0 ± 5.7 and 4.4 ± 5.0, both p < .001). Participants wore their Fitbit 93.9% of all intervention days, and were overall satisfied with the trial (4.5/5.0, 1-5 low-high) and with Fitbit (4.0/5.0).

conclusionsA multicomponent obesity intervention incorporating a wearable device is feasible and acceptable to older adults with obesity, and potentially holds promise in enhancing health.

Indexed as

Caloric RestrictionExerciseWearable Electronic DevicesWeight LossAgedCombined Modality TherapyFeasibility StudiesFemaleHumansMaleObesityPilot ProjectsRural HealthmHealthPhysical functionTrials

Identifiers

PMID32384144
PMCPMC7756700
OpenAlexW3022271368

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.