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Low-Income, Obese Patients Lose Weight With Texts, Coaching

Low-income, obese adults who were randomly assigned  to a "digital" weight-loss intervention delivered over a mobile phone lost more weight at 1 year than those who received usual care, researchers report.

The intervention in the Track study consisted of daily text messages with immediate automated feedback about goal attainment plus frequent over-the-phone counseling from a dietician and occasional brief counseling from a primary care provider.

At the end of the year-long intervention, significantly more patients in the intervention than usual care group had lost 5% or more of their baseline weight (40% vs 17%; < .001), which is associated with health benefits.

The study was published online October 22 in the American Journal of Preventive Medicine.


  1. . Published online October 22, 2018. Full text