Wearable Activity Tracking Device Use in an Adolescent Weight Management Clinic: A Randomized Controlled Pilot Trial

Background. The use of physical activity tracker devices has increased within the general population. However, there is limited medical literature studying the efficacy of such devices in adolescents with obesity. In this study, we explored the feasibility of using wearable activity tracking devices...

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Main Authors: Kanika Bowen-Jallow, Omar Nunez-Lopez, Alex Wright, Erika Fuchs, Mollie Ahn, Elizabeth Lyons, Daniel Jupiter, Lindsey Berry, Oscar Suman, Ravi S. Radhakrishnan, Andrea M. Glaser, Deborah I. Thompson
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2021/7625034
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author Kanika Bowen-Jallow
Omar Nunez-Lopez
Alex Wright
Erika Fuchs
Mollie Ahn
Elizabeth Lyons
Daniel Jupiter
Lindsey Berry
Oscar Suman
Ravi S. Radhakrishnan
Andrea M. Glaser
Deborah I. Thompson
author_facet Kanika Bowen-Jallow
Omar Nunez-Lopez
Alex Wright
Erika Fuchs
Mollie Ahn
Elizabeth Lyons
Daniel Jupiter
Lindsey Berry
Oscar Suman
Ravi S. Radhakrishnan
Andrea M. Glaser
Deborah I. Thompson
author_sort Kanika Bowen-Jallow
collection DOAJ
description Background. The use of physical activity tracker devices has increased within the general population. However, there is limited medical literature studying the efficacy of such devices in adolescents with obesity. In this study, we explored the feasibility of using wearable activity tracking devices as an adjunct intervention on adolescents with obesity. Methods. Randomized controlled pilot trial evaluated the feasibility (attrition ≤50%) of an activity tracking intervention (ATI) and its effects on weight loss in adolescents with obesity enrolled in an adolescent weight management clinic (AWMC). Outcomes included feasibility (attrition rate) and absolute change in BMI. Differences between groups at 6, 12, and 18 weeks were examined. Results. Forty-eight participants were enrolled in the study. Eighteen subjects were randomly assigned to the ATI group and 30 to control. The average age was 14.5 years. Overall, the majority of participants were Hispanic (56%). Sexes were equally distributed. The average baseline BMI was 37.5 kg/m2. At the study conclusion, the overall attrition rate was 52.1%, 44.4% in the ATI group versus 56.6% in the control group, with a differential attrition of 12.2%. The ATI and control groups each showed an absolute decrease in BMI of −0.25 and −2.77, respectively, with no significant differences between the groups. Conclusion. The attrition rate in our study was >50%. Participation in the AWMC by the ATI and control groups resulted in maintenance of BMI and body weight for the study duration. However, the use of an activity tracking device was not associated with greater weight loss. This trial is registered with NCT03004378.
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spelling doaj-art-b30f5e6b4eef48d89376f31b5ecedae02025-02-03T01:24:38ZengWileyJournal of Obesity2090-07082090-07162021-01-01202110.1155/2021/76250347625034Wearable Activity Tracking Device Use in an Adolescent Weight Management Clinic: A Randomized Controlled Pilot TrialKanika Bowen-Jallow0Omar Nunez-Lopez1Alex Wright2Erika Fuchs3Mollie Ahn4Elizabeth Lyons5Daniel Jupiter6Lindsey Berry7Oscar Suman8Ravi S. Radhakrishnan9Andrea M. Glaser10Deborah I. Thompson11Department of Surgery, University of Texas Medical Branch, Galveston, TX, USADepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USASchool of Medicine, University of Texas Medical Branch, Galveston, TX, USADepartment of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX, USASchool of Medicine, University of Texas Medical Branch, Galveston, TX, USADepartment of Nutrition and Metabolism, University of Texas Medical Branch, Galveston, TX, USADepartment of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX, USADepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USADepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USADepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USADepartment of Pediatrics, University of Texas Medical Branch, Galveston, TX, USAUSDA/ARS Children’s Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USABackground. The use of physical activity tracker devices has increased within the general population. However, there is limited medical literature studying the efficacy of such devices in adolescents with obesity. In this study, we explored the feasibility of using wearable activity tracking devices as an adjunct intervention on adolescents with obesity. Methods. Randomized controlled pilot trial evaluated the feasibility (attrition ≤50%) of an activity tracking intervention (ATI) and its effects on weight loss in adolescents with obesity enrolled in an adolescent weight management clinic (AWMC). Outcomes included feasibility (attrition rate) and absolute change in BMI. Differences between groups at 6, 12, and 18 weeks were examined. Results. Forty-eight participants were enrolled in the study. Eighteen subjects were randomly assigned to the ATI group and 30 to control. The average age was 14.5 years. Overall, the majority of participants were Hispanic (56%). Sexes were equally distributed. The average baseline BMI was 37.5 kg/m2. At the study conclusion, the overall attrition rate was 52.1%, 44.4% in the ATI group versus 56.6% in the control group, with a differential attrition of 12.2%. The ATI and control groups each showed an absolute decrease in BMI of −0.25 and −2.77, respectively, with no significant differences between the groups. Conclusion. The attrition rate in our study was >50%. Participation in the AWMC by the ATI and control groups resulted in maintenance of BMI and body weight for the study duration. However, the use of an activity tracking device was not associated with greater weight loss. This trial is registered with NCT03004378.http://dx.doi.org/10.1155/2021/7625034
spellingShingle Kanika Bowen-Jallow
Omar Nunez-Lopez
Alex Wright
Erika Fuchs
Mollie Ahn
Elizabeth Lyons
Daniel Jupiter
Lindsey Berry
Oscar Suman
Ravi S. Radhakrishnan
Andrea M. Glaser
Deborah I. Thompson
Wearable Activity Tracking Device Use in an Adolescent Weight Management Clinic: A Randomized Controlled Pilot Trial
Journal of Obesity
title Wearable Activity Tracking Device Use in an Adolescent Weight Management Clinic: A Randomized Controlled Pilot Trial
title_full Wearable Activity Tracking Device Use in an Adolescent Weight Management Clinic: A Randomized Controlled Pilot Trial
title_fullStr Wearable Activity Tracking Device Use in an Adolescent Weight Management Clinic: A Randomized Controlled Pilot Trial
title_full_unstemmed Wearable Activity Tracking Device Use in an Adolescent Weight Management Clinic: A Randomized Controlled Pilot Trial
title_short Wearable Activity Tracking Device Use in an Adolescent Weight Management Clinic: A Randomized Controlled Pilot Trial
title_sort wearable activity tracking device use in an adolescent weight management clinic a randomized controlled pilot trial
url http://dx.doi.org/10.1155/2021/7625034
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