Obesity

Efficacy of a digital health application for weight management in people with obesity: 6-months results from a randomized controlled trial

Int J Obes (Lond)Published Randomised controlled trial

Authors' conclusion

The digital health application for weight management demonstrated efficacy in achieving weight loss (>5%) in people with obesity at 6 months.

Study context

Population
Adults with obesity (BMI 30–45 kg/m²) from Germany; 42% female, mean BMI 37.82 ± 4.25 kg/m², mean age 45.92 ± 10.66 years
Participants
164 adults
Comparison
Digital health application for weight management vs care as usual
Primary endpoint
Weight
Follow-up
6 months
Methodological detailsdecentralized, digital
  • Decentralized
  • Digital

Primary result

As reported in the abstract

Weight loss
Intervention vs ControlEstimated marginal mean difference, % (95% CI)P value
Weight loss
−3.53(−5.16% to −1.91%)
P < 0.001
Large effect size
effect size (d) 0.80 (95% CI 0.43–1.19)

Further findings

OutcomeEstimated marginal mean differenceP value
Food literacy (SFLQ) · 6 monthsd = 0.49; improved with intervention2.77P < 0.001
Perceived overall quality of life (WHOQOL-BREF) · 6 monthsd = 0.40; improved with intervention0.33P = 0.010

Four quality of life domains · 6 months

No differences in the four quality of life domains

Original publication

Efficacy of a digital health application for weight management in people with obesity: 6-months results from a randomized controlled trial. Int J Obes (Lond). Published 17 December 2025. doi:10.1038/s41366-025-01967-3

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