Hindawi Publishing Corporation
International Journal of Telemedicine and Applications
Volume 2013, Article ID 785654, 5 pages
http://dx.doi.org/10.1155/2013/785654
Research Article
Mobile Phone Short Message Service (SMS) for Weight
Management in Iranian Overweight and Obese Women:
A Pilot Study
Somayeh Faghanipour,
1
Eftekharalsadat Hajikazemi,
2
Soghra Nikpour,
2
Shabnam al-Sadat Shariatpanahi,
3
and Agha Fatemeh Hosseini
4
1
School of Nursing and Midwifery and Center for Nursing Care Research, Tehran University of Medical Sciences,
P.O. Box 1419733171, Tehran, Iran
2
Center for Nursing Care Research, Tehran University of Medical Sciences, P.O. Box 1995614111, Tehran, Iran
3
School of Nursing and Midwifery, Tehran University of Medical Sciences, P.O. Box 1419733171, Tehran, Iran
4
School of Health Management & Medical Information Science, Tehran University of Medical Sciences,
P.O. Box 1995614111, Tehran, Iran
Correspondence should be addressed to Efekharalsadat Hajikazemi; efekharalsadat@hotmail.com
Received 31 March 2013; Revised 17 July 2013; Accepted 29 July 2013
Academic Editor: Velio Macellari
Copyright © 2013 Somayeh Faghanipour et al. Tis is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
We conducted a text message-based intervention for weight management over three months by two months intervention and one
month wash-out period. In a quasi-experimental study with control ( = 40) and experimental group ( = 40), 80 overweight
and obese employed women were entered. Participants were recruited via announcement. All subjects attended a face-to-face
information session and received a booklet that contained food calorie chart and strategies and recommendations for weight
management. Te experimental group received text messages (SMS) about weight management twice a day for two months, in
addition to the information and the booklet which they had received in the information session. Also, the experimental group
was instructed to weekly self-weight and to send the data to the principle researcher. All subjects were measured for baseline
and secondary weight in a standardized manner by a nurse, and the data were compared between the two groups. Experimental
group lost more weight than the control group (1.5 kg diference, = 0.018). Text messaging seems to be an efective channel
of communication for weight management in Iranian overweight and obese women. Te clinical trial registration number is
IRCT201204029360N1 .
1. Introduction
In recent decades, the prevalence of obesity has increased
to an alarming degree throughout the world. According
to World Health Organization’s (WHO) report, developing
countries parallel to developed world are experiencing a
growing trend in the incidence of obesity and overweight.
Tey are joining the global pandemic of obesity because
of modernization and urbanization [1, 2]. Overweight and
obesity are important risk factors for diabetes type II, insulin
resistance, cardiovascular disease, hypertension, selected
cancers, and premature death [3]. Obesity is closely associ-
ated with some psychological disturbances such as poor body
image and self-esteem, depression, and anxiety, particularly
in women [4, 5]. From 1999 to 2008, the prevalence of
overweight Iranian women adults has dramatically increased
from 40.6% to 61%. In the same time period, the prevalence
of obese Iranian women has risen from 14.17% to 29.5%. [6].
Tis increase has been more common among Iranian women
than Iranian men [7, 8].
Despite the numerous clinical and commercial weight
loss programs in Iran, many individuals hardly use such
programs because of various limitations including time, cost,
transportation, beside, women who work outside the home
have more constraints than others. Terefore, evaluation
of diferent approaches is necessary to fnd an efective,