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Related Concept Videos

Binge Eating Disorders01:23

Binge Eating Disorders

154
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
154

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Multidisciplinary Approach to Obesity Management: A Case Report
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An addiction-based digital weight loss intervention: A multi-centre randomized controlled trial.

Alaina P Vidmar1, Sarah J Salvy2, Choo Phei Wee3

  • 1Department of Pediatrics, Center for Endocrinology, Diabetes and Metabolism, Children's Hospital Los Angeles and Keck School of Medicine of USC, Los Angeles, California, USA.

Pediatric Obesity
|December 9, 2022
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Summary

This study found no significant difference in weight loss between digital and in-person obesity interventions for adolescents. The digital approach offers a viable alternative, considering individual patient needs for weight management.

Keywords:
binge eating disordercoachingdigital healthexecutive functioningfood addictionobesitypaediatricsweight loss

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Area of Science:

  • Obesity research
  • Digital health interventions
  • Adolescent health

Background:

  • Adolescent obesity is a significant public health concern requiring effective management strategies.
  • Digital interventions offer potential for scalable and accessible weight management solutions.
  • Comparing digital interventions with traditional in-person care is crucial for evidence-based practice.

Purpose of the Study:

  • To evaluate the effectiveness of an addiction-based digital weight-loss intervention, with and without coaching, against an in-person multidisciplinary model in adolescents with obesity.
  • To assess differences in weight loss, delivery burden, and participant engagement between intervention arms.
  • To explore relationships between weight change and demographic factors, mood, executive function, and eating behaviors.

Main Methods:

  • A randomized clinical trial involving 161 adolescents with obesity (BMI ≥95th percentile).
  • Participants were assigned to an app-based intervention (with or without coaching) or an in-person multidisciplinary intervention for 6 months.
  • The primary outcome was the change in Body Mass Index (BMI) percentile (%BMIp95) at 12 and 24 weeks, analyzed using mixed-effects linear regression.

Main Results:

  • All participants achieved weight loss over 24 weeks, with no statistically significant differences in %BMIp95 change between the digital and in-person groups.
  • Girls experienced greater weight loss than boys.
  • Baseline binge eating behavior was associated with an increase in %BMIp95, while ethnicity, mood, pandemic timing, and executive function showed no significant association with weight change.

Conclusions:

  • The digital weight-loss intervention demonstrated non-inferior efficacy compared to the standard in-person multidisciplinary care.
  • The findings suggest that digital interventions can be a suitable weight management option for adolescents, adaptable to individual patient characteristics like accessibility and communication preferences.
  • Personalized approaches considering family and youth-specific factors are recommended for optimizing weight management outcomes.