{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T04:36:42Z","timestamp":1793421402201,"version":"4.5.0"},"reference-count":36,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2023,3,17]],"date-time":"2023-03-17T00:00:00Z","timestamp":1679011200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/ http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background &amp; Aims:<\/jats:title>\n                    <jats:p>Lifestyle intervention remains the foundation of clinical care for patients with NASH; however, most patients are unsuccessful in enacting sustained behavioral change. There remains a clear unmet need to develop lifestyle intervention programs to support weight loss. Mobile health (mHealth) programs offer promise to address this need, yet their efficacy remains unexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Approach &amp; Results:<\/jats:title>\n                    <jats:p>\n                      We conducted a 16-week randomized controlled clinical trial involving adults with NASH. Patients were randomly assigned (1:1 ratio) to receive Noom Weight (NW), a mHealth lifestyle intervention program, or standard clinical care. The primary end point was a change in body weight. Secondary end points included feasibility (weekly app engagement), acceptability (&gt;50% approached enrolled), and safety. Of 51 patients approached, 40 (78%) were randomly assigned (20 NW and 20 standard clinical care). NW significantly decreased body weight when compared to standard clinical care (-5.5\u00a0kg vs. -0.3\u00a0kg,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.008; -5.4% vs. -0.4%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.004). More NW subjects achieved a clinically significant weight loss of \u22655% body weight (45% vs. 15%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.038). No adverse events occurred, and the majority (70%) of subjects in the NW arm met the feasibility criteria.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This clinical trial demonstrated that NW is not only feasible, acceptable, and safe but also highly efficacious because this mHealth lifestyle intervention program led to significantly greater body weight loss than standard clinical care. Future large-scale studies are required to validate these findings with more representative samples and to determine if mHealth lifestyle intervention programs can lead to sustained, long-term weight loss in patients with NASH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/hc9.0000000000000052","type":"journal-article","created":{"date-parts":[[2023,3,17]],"date-time":"2023-03-17T17:05:56Z","timestamp":1679072756000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":38,"title":["Mobile health lifestyle intervention program leads to clinically significant loss of body weight in patients with NASH"],"prefix":"10.1097","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3352-6928","authenticated-orcid":false,"given":"Jonathan G.","family":"Stine","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, The Pennsylvania State University-Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA"},{"name":"Department of Public Health Sciences, The Pennsylvania State University-Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA"},{"name":"Liver Center, The Pennsylvania State University-Milton S. Hershey Medical Center, Hershey, Pennsylvania USA"},{"name":"Cancer Institute, The Pennsylvania State University-Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9776-758X","authenticated-orcid":false,"given":"Gloriany","family":"Rivas","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, The Pennsylvania State University-Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Breianna","family":"Hummer","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, The Pennsylvania State University-Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5377-9295","authenticated-orcid":false,"given":"Andres","family":"Duarte-Rojo","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, Northwestern University, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine N","family":"May","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, The Pennsylvania State University-State College Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0965-3123","authenticated-orcid":false,"given":"Nathaniel","family":"Geyer","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, The Pennsylvania State University-Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6488-7809","authenticated-orcid":false,"given":"Vernon M.","family":"Chinchilli","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, The Pennsylvania State University-Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0204-4093","authenticated-orcid":false,"given":"David E.","family":"Conroy","sequence":"additional","affiliation":[{"name":"Academic Research, Noom Inc, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7851-6283","authenticated-orcid":false,"given":"Ellen Siobhan","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, The Pennsylvania State University-State College Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0677-5619","authenticated-orcid":false,"given":"Meaghan","family":"McCallum","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, The Pennsylvania State University-State College Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Michealides","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, The Pennsylvania State University-State College Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2400-2935","authenticated-orcid":false,"given":"Kathryn H.","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Cancer Institute, The Pennsylvania State University-Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA"},{"name":"Academic Research, Noom Inc, New York, New York, USA"},{"name":"Department of Physical Medicine & Rehabilitation, The Pennsylvania State University- Milton S. 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