Healthy Lifestyle Management of Pediatric Obesity with a Hybrid System of Customized Mobile Technology: The PediaFit Pilot Project

Bovi, Anna Pia Delli; Cesari, Giorgia Manco; Rocco, Maria Chiara; Michele, Laura Di; Rimauro, Ida; Lugiero, Anna; Mottola, Silvia; Anseris, Anna Giulia Elena De; Nazzaro, Lucia; Massa, G; Vajro, Pietro

doi:10.3390/nu13020631

Cited by 7 publications

(15 citation statements)

References 25 publications

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“…Due to rapidly growing evidence of their effectiveness and efficiency, technology-based behavioural health interventions are gaining traction as therapeutic resources, both as stand-alone technology or as multi component interventions [24][25][26][27][28][29][30][31][32][33]. Reflecting on this trend, there are reviews on the efficacy of stand-alone technology apps intervention or multicomponent intervention on healthy lifestyles [34][35][36][37][38][39][40][41], but still, the developing literature base on technology-based intervention has primarily focused on disease prevention [29,38,42,43], weight management [15,16,18,44,45] or lifestyle improvement outcomes [17,19,44,46], and in many ways has not yet explicated the important implications for a stand-alone technology intervention on healthy food purchases and healthy food consumption outcomes. Along with the relative lack of attention, specifically on healthy food purchasing and consumption, this review paper poses the following important research questions: Are technology app-based interventions effective enough to support healthy food purchase and consumption when compared with the traditional interventions such as face-to-face counselling, literature and group-based education?…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Integrated Technology Apps for Supporting Healthy Food Purchasing and Consumption: A Systematic Review

Lim

Lee

Seow

et al. 2021

Foods

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A healthy diet is essential for good health and nutrition, though literature showed that there are various factors affecting the intention to purchase and consume healthy food. Technology integration is known to be useful in various aspects, but findings from studies on the efficacy of technology integration to improve healthy food consumption and purchase have largely been inconsistent. Therefore, we aimed to examine the efficacy of interventions that use technology apps to improve healthy food purchasing and consumption in adults. Relevant studies were identified through PubMed, Scopus, CINAHL, SportDiscuss and ACM Digital Library. Twenty studies were included in the systematic review. The majority of studies (n = 18) used a smartphone in the intervention, and only two studies used a personal digital assistant. The results showed that technology integration-based intervention favoured healthy changes in household food purchases, and increased consumption of healthy food and healthy eating outcomes – albeit to different extents. Overall, technology apps are convenient and user-friendly tools to encourage a change in healthy food purchase and consumption among people.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Integrated Technology Apps for Supporting Healthy Food Purchasing and Consumption: A Systematic Review

Lim

Lee

Seow

et al. 2021

Foods

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“…Finally, we are aware that that visits free of charge improve the outcomes of a BWRP [36]. However, the out-patient clinic visits were also cost-free (i.e., covered by the National Health System).…”

Section: Discussionmentioning

confidence: 99%

Frequent Medical Supervision Increases the Effectiveness of a Longitudinal Multidisciplinary Body Weight Reduction Program: A Real-World Experience in a Population of Children and Adolescents with Obesity

et al. 2021

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Regular medical supervision represents a fundamental component of the clinical management of obesity. In fact, when frequently supplied it reduces the risk of failure associated with any body weight reduction program (BWRP), resulting in body weight gain. The aim of the present study was to establish the potential beneficial effects of increasing medical supervision on weight loss and other auxometric and cardiometabolic parameters in a population of children and adolescents with obesity (n = 158; F/M = 94/64; age range 9.7–17.3 years; body mass index, BMI = 37.8 ± 6.9 kg/m2), followed up for one year in a real-world setting, after and before a 3-week in-hospital BWRP. Weight loss was significantly associated with medical supervision and changes in several auxometric and cardiometabolic parameters such as fat mass, fat-free mass, waist and hip circumferences, total and LDL cholesterols, triglycerides, glucose, insulin, HOMA-IR, systolic blood pressure and IDF criteria for the diagnosis of metabolic syndrome. As expected, weight loss and, congruently, medical supervision, were significantly higher in responsive and stable subjects than in those belonging to the non-responsive group and in responsive subjects than those belonging to the stable group. While weight loss was significantly higher in subjects having class 2 and 3 obesity than those belonging to class 1 obesity group, medical supervision was significantly higher in subjects having class 3 than those having class 1 obesity. Weight loss was significantly higher in subjects suffering from metabolic syndrome than those without; nevertheless, no significant difference was found in medical supervision between these groups. Finally, sex was associated with no differences in weight loss and medical supervision. In conclusion, based on the results of a real-world experience, frequent medical supervision increases the weight loss associated with a longitudinal multidisciplinary BWRP, with a parallel improvement of a set of auxometric and cardiometabolic parameters. Prospectively, incentivising regular medical supervision should reduce the risk of BWRP failure and body weight gain, thus contributing to counteract the detrimental transition from simple obesity to metabolic syndrome in pediatric patients.

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“…A larger number of apps might increase screen time, which is itself associated with overweight, obesity, and physical inactivity ( 23 ). However, Delli Bovi et al ( 24 ) recently showed that when a healthy lifestyle application was used, there was no significant difference in screen time in the control group and the test group.…”

Section: Introductionmentioning

confidence: 98%

SAlBi educa (Tailored Nutrition App for Improving Dietary Habits): Initial Evaluation of Usability

et al. 2022

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In recent years, the use of applications to improve dietary habits has increased. Although numerous nutrition apps are available on the market, only few have been developed by health and nutrition professionals based on scientific evidence and subsequently tested to prove their usability. The main objective of this study was to design, develop, and evaluate the usability of a tailored nutrition application to be used to promote healthy eating habits. In order to decide app design and content, three focus groups took place with fifteen professionals from primary healthcare, nutrition, and food science and computer science, as well as expert users. For the general and feedback message design, a reference model based on the scientific literature was developed. To address the multi-perspective approach of users' and external healthcare professionals' feedback, a one-day pilot testing with potential users and healthcare professionals was conducted with four focus groups. To evaluate the relevance and potential usability of the app a 1-month pilot test was conducted in a real-life environment. A total of 42 volunteers participated in the one-day pilot testing, and 39 potential users participated in the 1-month pilot test. The SAlBi educa app developed includes an online dietary record, a self-monitoring tool to evaluate dietary patterns, general and feedback messages, and examples of traditional Mediterranean recipes. The usability study showed that volunteers think that SAlBi educa is pleasant (59%) and easy to learn to use (94%). Over 84% of the volunteers declared that the nutritional messages were clear and useful. Volunteers stated that general and tailored recommendations, as well as self-monitoring, were SAlBi educa's most motivating and useful features. SAlBi educa is an innovative, user-friendly nutritional education tool with the potential to engage and help individuals to follow dietary habits based on the Mediterranean model.

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Healthy Lifestyle Management of Pediatric Obesity with a Hybrid System of Customized Mobile Technology: The PediaFit Pilot Project

Cited by 7 publications

References 25 publications

Effectiveness of Integrated Technology Apps for Supporting Healthy Food Purchasing and Consumption: A Systematic Review

Effectiveness of Integrated Technology Apps for Supporting Healthy Food Purchasing and Consumption: A Systematic Review

Frequent Medical Supervision Increases the Effectiveness of a Longitudinal Multidisciplinary Body Weight Reduction Program: A Real-World Experience in a Population of Children and Adolescents with Obesity

SAlBi educa (Tailored Nutrition App for Improving Dietary Habits): Initial Evaluation of Usability

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