None listed
Conditions
Brief summary
Overweight and obese (BMI 25-40 kg/m²), 50-65 years adults (n=120) will be recruited for 6-month intervention period with 2 years follow up. Participants in the intervention group use a smartphone application to keep visual food journal, share their meals and activities with their peer group members and receive virtual coaching from nutritionist. The intervention is based on cognitive behavioral approach. The control group receives no intervention. Main outcome measures are weight change and health related quality of life, assessed with RAND-36-questionnaire. Self-efficacy and habit strength will be assessed with scales. Blood fasting glucose, lipids, weight and waist circumference will be measured. Food intake will be measured on three-day food diary and eating behaviours with Three-Factor Eating Questionnaire R18. Overall interaction with the application will be measured continuously throughout the intervention period. Coach´s activity, user logins, meal photos, likes, comments, exercise entries made in application, sleep, stress level and mood will be analysed.
Interventions
Intervention group participants use a MealLogger-smartphone application to keep visual food journal, self-monitor mood, sleep and stress level, share their meals and physical activities with their peer group members and receive virtual coaching from nutritionist. The nutritionist will provide a short feedback to participants approximately in every other week via application for example the nutritionist will give guidance to make healthier food choices making a comment in participants meal photo and also encourages to find and maintain healhty lifestyle. Intervention group meets virtually six times in the intervention period using video conferencing software. One meeting takes 1,5 hour. The meeting is led by the nutritionist. Virtual meetings have a different theme every time and they deal e.g. own resources, motivation, making and maintaining a lifestyle change, healhty diet and physical activity. The group members can also interact with each other and with the nutritionist. Participants will be also provided a printed participant handbook specifically designed for this study, leaflet of healthy eating and weight loss, educational information and tasks via application three times per week. The intervention is based on cognitive behavioral approach and it promotes intuitive eating. The use of application varies in intervention period and includes intervals (it is personalised). One intervention group has 15-18 participants. Intervention period lasts 6 months. The intervention adherence will be measured by the data from the application e.g. user logins, meal photos, likes, comments and exercise entries made in application.
Sponsors
Study design
Eligibility
Inclusion criteria
The inclusion criteria are: - age 50-65 years old - weight and height consistent with a body mass index (BMI) between 25-40 kg/m² - Finnish fluency - ownership of an iOS or Android smartphone and willingness to use mobile application for 6 months and attend 5 visits at the study centre
Exclusion criteria
The exclusion criteria are: - cardiovascular event in < 6 months - a condition or medication that would influence weight (for example weight loss medication or weight loss surgery) - have had weight loss of 5 kg or more in the past 3 months or intending to participate in another weight loss programme in study period - profound cognitive, developmental or psychiatric disorders, or psychiatric hospitalization in < 12 months - insulin-treated diabetes