ArticleJMIR formative research2022
Weight Loss Trajectories in Healthy Weight Coaching: Cohort Study.
Article in JMIR formative research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Coach-Assisted eHealth With Group or Individual Support for Employees With Obesity: Randomized Controlled Trial on Weight, Body Composition, and Health Metrics.Journal of medical Internet research · 2025Trial
- Causal Attributions for Obesity and Weight Loss in the Healthy Weight Coaching Program, a 12-Month Online Lifestyle Intervention.Obesity facts · 2026Article
- Beyond the Scale: Health-Related Quality of Life and Weight Loss in a 12-Month Digital Lifestyle Intervention.Obesity facts · 2026Article
- Longitudinal associations of depressive and burnout symptoms with eating behavior and physical activity in occupational health clients with obesity.Health psychology and behavioral medicine · 2026Article
- Patterns of Weight Change Trajectories and Treatment Response in an Integrated Adult Primary Care Weight Management Practice.Obesity science & practice · 2025Article
- Efficacy of in-person versus digital enhanced lifestyle interventions in adults with overweight and obesity.Obesity pillars · 2024Article
- Obesity medicine provider-directed health coaching in a commercial weight loss program: Proof of concept.Obesity pillars · 2024Article
- An updated study protocol for a real-life digital 12-month weight management program, the Healthy Weight Coaching.Annals of medicine · 2024Article
- Weight Loss Trajectories and Short-Term Prediction in an Online Weight Management Program.Nutrients · 2024Article
- Digital Care Pathway for Patients With Sleep Apnea in Specialized Care: Mixed Methods Study.JMIR human factors · 2024Article
- The Effectiveness of eHealth Interventions for Weight Loss and Weight Loss Maintenance in Adults with Overweight or Obesity: A Systematic Review of Systematic Reviews.Current obesity reports · 2023Review
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Authors and funding
7 authors.
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Abstract
backgroundAs global obesity prevalence continues to increase, there is a need for accessible and affordable weight management interventions, such as web-based programs.
objectiveThis paper aims to assess the outcomes of healthy weight coaching (HWC), a web-based obesity management program integrated into standard Finnish clinical care.
methodsHWC is an ongoing, structured digital 12-month program based on acceptance and commitment therapy. It includes weekly training sessions focused on lifestyle, general health, and psychological factors. Participants received remote one-on-one support from a personal coach. In this real-life, single-arm, prospective cohort study, we examined the total weight loss, weight loss profiles, and variables associated with weight loss success and program retention in 1189 adults (963 women) with a BMI >25 kg/m² among participants of the program between October 2016 and March 2019. Absolute (kg) and relative (%) weight loss from the baseline were the primary outcomes. We also examined the weight loss profiles, clustered based on the dynamic time-warping distance, and the possible variables associated with greater weight loss success and program retention. We compared different groups using the Mann-Whitney test or Kruskal-Wallis test for continuous variables and the chi-squared test for categorical variables. We analyzed changes in medication using the McNemar test.
resultsAmong those having reached the 12-month time point (n=173), the mean weight loss was 4.6% (SE 0.5%), with 43% (n=75) achieving clinically relevant weight loss (≥5%). Baseline BMI ≥40 kg/m² was associated with a greater weight loss than a lower BMI (mean 6.6%, SE 0.9%, vs mean 3.2%, SE 0.6%; P=.02). In addition, more frequent weight reporting was associated with greater weight loss. No significant differences in weight loss were observed according to sex, age, baseline disease, or medication use. The total dropout rate was 29.1%. Dropouts were slightly younger than continuers (47.2, SE 0.6 years vs 49.2, SE 0.4 years; P=.01) and reported their weight less frequently (3.0, SE 0.1 entries per month vs 3.3, SE 0.1 entries per month; P<.001).
conclusionsA comprehensive web-based program such as HWC is a potential addition to the repertoire of obesity management in a clinical setting. Heavier patients lost more weight, but weight loss success was otherwise independent of baseline characteristics.
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