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Hybrid Health IT and Telehealth–Delivered Behavioral Weight Loss Services for Primary Care Patients With Cardiovascular Risk Factors: Intervention Component Design and Pragmatic Randomized Feasibility Trial

Hybrid Health IT and Telehealth–Delivered Behavioral Weight Loss Services for Primary Care Patients With Cardiovascular Risk Factors: Intervention Component Design and Pragmatic Randomized Feasibility Trial

Reference 1: Behavioral and pharmacotherapy weight loss interventions to prevent obesity-related morbidity Reference 7: The state of obesity: better policies for a healthier America(https://www.tfah.org/wp-content Reference 14: Effectiveness of an app and provider counseling for obesity treatment in primary care Reference 15: Track: a randomized controlled trial of a digital health obesity treatment intervention Reference 16: An internet-based intervention with brief nurse support to manage obesity in primary careobesityObesity and Nutrition as Public Health Problem

Ronald T Ackermann, Kenzie A Cameron, David T Liss, Nancy Dolan, Cassandra Aikman, Amy R Carson, Sterling A Harris, Kathryn Doyle, Andrew J Cooper, Brian Hitsman

JMIR Mhealth Uhealth 2025;13:e58722


Effectiveness of a Digital Therapy on 6-Month Weight Loss in People With Obesity: The Digital Therapy to Promote Weight Loss in Patients With Obesity by Increasing Their Adherence to Treatment (DEMETRA) Randomized Clinical Trial

Effectiveness of a Digital Therapy on 6-Month Weight Loss in People With Obesity: The Digital Therapy to Promote Weight Loss in Patients With Obesity by Increasing Their Adherence to Treatment (DEMETRA) Randomized Clinical Trial

Furthermore, obesity has profound consequences for patients’ quality of life, leading to social and psychological impairments as well as functional limitations [3]. It is considered a global pandemic, currently affecting approximately 1 billion people worldwide, including both adults and children [4]. The treatment of people living with obesity continues to present significant challenges for health care professionals.

Simona Bertoli, Paolo Capodaglio, Santo Colosimo, Ramona Silvana De Amicis, Luisa Gilardini, Amalia Bruno, Sara Paola Mambrini, Giada Pietrabissa, Luca Cavaggioni, Gianluca Castelnuovo, Giuseppina Piazzolla

J Med Internet Res 2025;27:e72054


A Remotely Delivered Weight Management Service to Support Existing Obesity Services in the UK National Health Service: Preliminary Findings From an Early-Stage Service Evaluation

A Remotely Delivered Weight Management Service to Support Existing Obesity Services in the UK National Health Service: Preliminary Findings From an Early-Stage Service Evaluation

Around 1 in 3 adults in the United Kingdom are affected by obesity [1-4] (defined as abnormal or excessive fat accumulation that presents a risk to health, with a BMI of ≥30 [1]). Many people living with obesity are also burdened by weight-related conditions such as cardiovascular disease, type 2 diabetes, liver disease, and sleep apnea and are at risk of many cancers [1,5]. In addition to poorer physical health, obesity is associated with poorer mental health [6-8] and lower quality of life [9].

Giulia Spaltro, Michael Whitman, Rebecca Richards

JMIR Form Res 2025;9:e71914


Exploring the Use of Digital Technology to Support Health Behavior Change in Young People Under the Care of Complications of Excess Weight (CCEW) Clinics: Qualitative Patient-Centered Design Study

Exploring the Use of Digital Technology to Support Health Behavior Change in Young People Under the Care of Complications of Excess Weight (CCEW) Clinics: Qualitative Patient-Centered Design Study

The growing prevalence of childhood obesity is among the most important threats to public health globally [1]. In addition to being at a higher risk of significant childhood comorbidities [2], children living with overweight and obesity are more likely to experience obesity in adulthood [3]. Adults living with obesity are at markedly increased risk of a wide range of noncommunicable diseases, including cardiovascular diseases, diabetes, musculoskeletal disorders, and certain types of cancer [4].

Brioney Gee, Bonnie Teague, Matt Farrar, Victoria Farrar, Dorothy Szinay, Li F Chan, Ken K Ong, Ben Jackson, Sydney Wylie, Felix Naughton, Jon Wilson, Emma Alice Webb

JMIR Form Res 2025;9:e64947


Impact of a 24-Week Mobile App–Based Human Coaching Program on Body Composition and Lipid Metabolism in Breast Cancer Survivors With Overweight or Obesity: Single-Arm Prospective Cohort Study

Impact of a 24-Week Mobile App–Based Human Coaching Program on Body Composition and Lipid Metabolism in Breast Cancer Survivors With Overweight or Obesity: Single-Arm Prospective Cohort Study

Obesity is associated with the risk of breast cancer and its recurrence. This relationship involves altered fatty acid metabolism, extracellular matrix remodeling, secretion of adipokines and anabolic and sex hormones, immune dysregulation, and chronic inflammation [1]. A previous systematic meta-analysis showed that women with obesity and breast cancer had poorer survival rates than women without obesity [2].

Eun-Gyeong Lee, Dong-Eun Lee, Jeongseon Kim, Jaihong Han, Seeyoun Lee, Han-Sung Kang, Eun Sook Lee, Heejung Chae, Sung Hoon Sim, Keun Seok Lee, Jungeun Lee, Hyun Jeong Lee, Ji Sung Yoo, Gyung Ah Wie, So-Youn Jung

JMIR Mhealth Uhealth 2025;13:e64846


Optimizing Self-Monitoring in a Digital Weight Loss Intervention (Spark): Protocol for a Factorial Randomized Trial

Optimizing Self-Monitoring in a Digital Weight Loss Intervention (Spark): Protocol for a Factorial Randomized Trial

With the prevalence of overweight and obesity at approximately 71% among US adults [1,2], there is a critical need for weight loss interventions that are both effective and scalable. Gold standard behavioral obesity treatments are effective in producing weight loss of 5%-8%. These 6-12 month treatments pair frequent counseling with evidence-based behavioral strategies to promote healthy dietary change and physical activity [3,4].

Michele L Patel, Abby C King, Lisa G Rosas, Gary G Bennett, Linda M Collins, John A Gallis, Amanda B Zeitlin, Priya S Talreja, Phoebe C Crosthwaite, Kayla A Collins, Annalisa W Lim, Trudy S Kim

JMIR Res Protoc 2025;14:e75629


Examining the Effect of Virtual Reality–Based Fast-Food Marketing on Eating-Related Outcomes in Young Adults: Protocol for a Randomized Controlled Trial

Examining the Effect of Virtual Reality–Based Fast-Food Marketing on Eating-Related Outcomes in Young Adults: Protocol for a Randomized Controlled Trial

Reference 35: Obesity and excessive weight gain in young adults: new targets for prevention Reference 71: Big data and the transformation of food and beverage marketing: undermining efforts to reduce obesity racially-targeted food marketing and attentional biases on consumption in Black adolescent females with and without obesityobesityObesity and Nutrition as Public Health Problem

Omni Cassidy, Emma Boyland, Susan Persky, Andrea B Troxel, Brian Elbel

JMIR Res Protoc 2025;14:e69096


Measuring 24-hour Movement Profiles During Pregnancy: Protocol for the 24MOVE Prospective Cohort Study

Measuring 24-hour Movement Profiles During Pregnancy: Protocol for the 24MOVE Prospective Cohort Study

A high maternal pre-pregnancy BMI, gestational diabetes mellitus (GDM), and excessive gestational weight gain (GWG; value above the Institute of Medicine recommendations [1]) are prevalent pregnancy conditions that contribute to an in utero environment of overnutrition, leading to significant short- and long-term health ramifications for pregnant people and their children, including increased risks for obesity and diabetes [2-11].

Elizabeth Ryan, Alex Asera, Kelley Pettee Gabriel, Rachel Manber, Charles P Quesenberry, Lyndsay A Avalos, Monique M Hedderson, Sylvia E Badon

JMIR Res Protoc 2025;14:e72828


Semaglutide and Tirzepatide in a Remote Weight Management Program: 12-Month Retrospective Observational Study

Semaglutide and Tirzepatide in a Remote Weight Management Program: 12-Month Retrospective Observational Study

Of this number, >890 million, or approximately 1 in 10 adults, are living with obesity [1]. Obesity is defined as a chronic, systemic illness that is underpinned by excess adiposity that can lead to severe organ dysfunction and life-threatening complications (eg, stroke, cardiovascular disease, type 2 diabetes, depression, and certain types of cancer) [1,2].

Rebecca Richards, William Lunt, Michael Whitman, Giulia Spaltro, Rachel Hall

JMIR Form Res 2025;9:e81912


Effect of a Mediterranean Diet Adapted to the Mexican Population on Indicators of Metabolic Risk in Patients With Obstructive Sleep Apnea: Protocol for a Randomized Controlled Trial

Effect of a Mediterranean Diet Adapted to the Mexican Population on Indicators of Metabolic Risk in Patients With Obstructive Sleep Apnea: Protocol for a Randomized Controlled Trial

In Mexico, an elevated risk of OSA of 27.3% in adults has been reported, and this risk increases as the BMI is higher. [3] OSA is estimated to be present in 60% of patients with metabolic syndrome, which can also include, diabetes, obesity, insulin resistance, systemic arterial hypertension, and dyslipidemia [4]. Overweight and obesity contribute to higher amounts of fat in the dilator muscles of neck and tongue, thus increasing OSA.

Gittaim Pammela Torres San Miguel, María de la Luz Sevilla González, Eduardo López Ramírez, María Fernanda Flores López, Lubia Velázquez López

JMIR Res Protoc 2025;14:e72513