Long-term treatment of obese children and adolescents using a telemedicine support programme

Abstract

A total of 140 obese patients (mean age 14 years) participated in a structured treatment and teaching programme (STTP) in hospital, with the aim of weight reduction. At both the start and finish of the STTP, patients underwent clinical and psychological examination. During an average hospital stay of 35 days, their mean bodyweight decreased from 82.4 kg to 76.0 kg (P < 0.001). Patients were then followed up with a telemedicine support programme. During the next 12 months, the acceptance of the telemedicine support programme declined from 93% to 46%. The body mass index was 30.5 kg/m(2) at admission and 27.7 kg/m(2) at 12-month follow-up (P < 0.05). In parallel, wellbeing and treatment satisfaction increased, and there was a positive effect on eating behaviour and exercise. Intervention was needed in up to 64% of the children and adolescents who participated in the programme, most frequently due to poor results in exercise. Telemedical follow-up care and counselling seemed to be highly effective, and allowed not only an initial weight reduction, but long-term stabilization as well.

Impact of childhood obesity treatment on body composition and metabolic profile

“…Thus, long-term programs are needed for long-term benefits, such as repeated group sessions at long intervals after intensive interventions or other extended regular contacts, for instance, using a telemedicine support program. [35] Original article World In conclusion, the children in the group program lost more abdominal adiposity than those in the routine program, but there were no differences in metabolic indicators between the treatment arms. Although there was no clear threshold for favorable BMI-SDS decrease, serum triglycerides decreased significantly if BMI-SDS decreased ≥0.5, and serum fasting insulin decreased if BMI-SDS decreased ≥0.25.…”

Telemedizinisch betreutes Programm zur Gewichtsreduktion bei Übergewichtigen (SMART-Studie)

“…Die Kontrollgruppe (n = 93) hat- [29]. Auch gelang es, nach erfolgreicher stationä-rer Gewichtsreduktion von 6,4 kg eine erneute Gewichtszunahme innerhalb von 12 Monaten mit telemedizinischer Betreuung zu verhindern [26]. Im Gegensatz zu unserem Programm kam jedoch die Telemedizin bisher ausschließlich via Internet bzw.…”

“…Im Gegensatz zu unserem Programm kam jedoch die Telemedizin bisher ausschließlich via Internet bzw. Telefon [10,12,29,30] oder in der Nachbetreuung [16,26] Um eine adäquate Gewichtsreduktion zu erzielen, werden auch medikamentöse Maßnahmen in Erwägung gezogen. So konnte durch den Einsatz des Cannaboid-1-Rezeptor-Blockers Rimonabant innerhalb von 12 Monaten eine mittlere Gewichtsabnahme von 6,3 bzw.…”

“…Hierzu zählt beispielsweise die Übermittlung von aktuellen Blutdruck-, EKG-und Körpergewichtsdaten durch den Patienten an den betreuenden Arzt sowie die Übermittlung der Befunde zwischen Ärzten und Kliniken. Bisherige Untersuchungen zeigten, dass der Einsatz der Telemedizin im Rahmen von Gewichtsreduktionsprogrammen sinnvoll sein kann [16,26]. Die vorangegangenen telemedizinischen Programme umfassten u.a.…”

Editorial: Ebesity – E-Health for Obesity – New Technologies for the Treatment of Obesity In Clinical Psychology and Medicine

“…There is a significant interest in the employment of new technologies and devices in order to obtain better results in weightreduction programs: this literature has grown strongly over recent years (Riva et al, 2001, Riva et al, 2002, Simpson et al, 2002, Jeffery et al, 2003, Riva et al, 2003, Simpson et al, 2003, Castelnuovo et al, 2004, Goulis et al, 2004, Sherwood et al, 2006, Haugen et al, 2007, Joo and Kim, 2007, Wister et al, 2007, Kim and Kim, 2008, Krukowski et al, 2008, Morak et al, 2008, Schiel et al, 2008, Shaikh et al, 2008, McTigue et al, 2009, Park et al, 2009, Castelnuovo, 2010.…”