Cardiometabolic results from an armband-based weight loss trial

John C Sieverdes, Xuemei Sui, Gregory A Hand, Vaughn W Barry, Sara Wilcox, Rebecca A Meriwether, James W Hardin, Amanda C McClain, Steven N BlairDepartment of Exercise Science, University of South Carolina, Columbia, SC, USAPurpose: This report examines the blood chemistry and blood pressure (BP) re...

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Autores principales:	Sieverdes JC, Sui X, H, GA, Barry VW, Wilcox S, Meriwether RA, Hardin JW, McClain AC, Blair SN
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/9c9cd0a9f4a04d019c3b09d171fbde5a
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spelling	oai:doaj.org-article:9c9cd0a9f4a04d019c3b09d171fbde5a2021-12-02T02:37:35ZCardiometabolic results from an armband-based weight loss trial1178-7007https://doaj.org/article/9c9cd0a9f4a04d019c3b09d171fbde5a2011-05-01T00:00:00Zhttp://www.dovepress.com/cardiometabolic-results-from-an-armband-based-weight-loss-trial-a7553https://doaj.org/toc/1178-7007John C Sieverdes, Xuemei Sui, Gregory A Hand, Vaughn W Barry, Sara Wilcox, Rebecca A Meriwether, James W Hardin, Amanda C McClain, Steven N BlairDepartment of Exercise Science, University of South Carolina, Columbia, SC, USAPurpose: This report examines the blood chemistry and blood pressure (BP) results from the Lifestyle Education for Activity and Nutrition (LEAN) study, a randomized weight loss trial. A primary purpose of the study was to evaluate the effects of real-time self-monitoring of energy balance (using the SenseWearTM Armband, BodyMedia, Inc Pittsburgh, PA) on these health factors.Methods: 164 sedentary overweight or obese adults (46.8 &plusmn; 10.8 years; BMI 33.3 &plusmn; 5.2 kg/m2; 80% women) took part in the 9-month study. Participants were randomized into 4 conditions: a standard care condition with an evidence-based weight loss manual (n = 40), a group-based behavioral weight loss program (n = 44), an armband alone condition (n = 41), and a group plus armband (n = 39) condition. BP, fasting blood lipids and glucose were measured at baseline and 9 months.Results: 99 participants (60%) completed both baseline and follow-up measurements for BP and blood chemistry analysis. Missing data were handled by baseline carried forward. None of the intervention groups had significant changes in blood lipids or BP when compared to standard care after adjustment for covariates, though within-group lowering was found for systolic BP in group and group + armband conditions, a rise in total cholesterol and LDL were found in standard care and group conditions, and a lowering of triglycerides was found in the two armband conditions. Compared with the standard care condition, fasting glucose decreased significantly for participants in the group, armband, and group + armband conditions (all P &lt; 0.05), respectively.Conclusion: Our results suggest that using an armband program is an effective strategy to decrease fasting blood glucose. This indicates that devices, such as the armband, can be a successful way to disseminate programs that can improve health risk factors. This can be accomplished without group-based behavioral programs, thereby potentially reducing costs.Keywords: armband, energy balance, randomized controlled trial, physical activity, blood lipids, blood glucoseSieverdes JCSui XHGABarry VWWilcox SMeriwether RAHardin JWMcClain ACBlair SNDove Medical PressarticleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2011, Iss default, Pp 187-194 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Specialties of internal medicine RC581-951
spellingShingle	Specialties of internal medicine RC581-951 Sieverdes JC Sui X H GA Barry VW Wilcox S Meriwether RA Hardin JW McClain AC Blair SN Cardiometabolic results from an armband-based weight loss trial
description	John C Sieverdes, Xuemei Sui, Gregory A Hand, Vaughn W Barry, Sara Wilcox, Rebecca A Meriwether, James W Hardin, Amanda C McClain, Steven N BlairDepartment of Exercise Science, University of South Carolina, Columbia, SC, USAPurpose: This report examines the blood chemistry and blood pressure (BP) results from the Lifestyle Education for Activity and Nutrition (LEAN) study, a randomized weight loss trial. A primary purpose of the study was to evaluate the effects of real-time self-monitoring of energy balance (using the SenseWearTM Armband, BodyMedia, Inc Pittsburgh, PA) on these health factors.Methods: 164 sedentary overweight or obese adults (46.8 &plusmn; 10.8 years; BMI 33.3 &plusmn; 5.2 kg/m2; 80% women) took part in the 9-month study. Participants were randomized into 4 conditions: a standard care condition with an evidence-based weight loss manual (n = 40), a group-based behavioral weight loss program (n = 44), an armband alone condition (n = 41), and a group plus armband (n = 39) condition. BP, fasting blood lipids and glucose were measured at baseline and 9 months.Results: 99 participants (60%) completed both baseline and follow-up measurements for BP and blood chemistry analysis. Missing data were handled by baseline carried forward. None of the intervention groups had significant changes in blood lipids or BP when compared to standard care after adjustment for covariates, though within-group lowering was found for systolic BP in group and group + armband conditions, a rise in total cholesterol and LDL were found in standard care and group conditions, and a lowering of triglycerides was found in the two armband conditions. Compared with the standard care condition, fasting glucose decreased significantly for participants in the group, armband, and group + armband conditions (all P &lt; 0.05), respectively.Conclusion: Our results suggest that using an armband program is an effective strategy to decrease fasting blood glucose. This indicates that devices, such as the armband, can be a successful way to disseminate programs that can improve health risk factors. This can be accomplished without group-based behavioral programs, thereby potentially reducing costs.Keywords: armband, energy balance, randomized controlled trial, physical activity, blood lipids, blood glucose
format	article
author	Sieverdes JC Sui X H GA Barry VW Wilcox S Meriwether RA Hardin JW McClain AC Blair SN
author_facet	Sieverdes JC Sui X H GA Barry VW Wilcox S Meriwether RA Hardin JW McClain AC Blair SN
author_sort	Sieverdes JC
title	Cardiometabolic results from an armband-based weight loss trial
title_short	Cardiometabolic results from an armband-based weight loss trial
title_full	Cardiometabolic results from an armband-based weight loss trial
title_fullStr	Cardiometabolic results from an armband-based weight loss trial
title_full_unstemmed	Cardiometabolic results from an armband-based weight loss trial
title_sort	cardiometabolic results from an armband-based weight loss trial
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/9c9cd0a9f4a04d019c3b09d171fbde5a
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Cardiometabolic results from an armband-based weight loss trial

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