Efectos de una mejor adherencia a la dieta mediterránea por intervención digital (estudio MEDADIS) en pacientes con sobrepeso y obesidad.

  • Maria Loreto Tarraga Marcos Geriatric Residency Nurse, Albacete.
  • Maria Josefa Panisello Royo Internal Medicine, Barcelona.
  • Nuria Rosich Domenech Nutrition Unit – Igualada, Barcelona.
  • Josep Alins Presas Family and Community Medicine. ABS ABRERA.
  • Eudald Castell Panisello FUFOSA Health Fundation. Madrid.
  • Ibrahim M. Sadek Resident of Family and Community Medicine, EAP 5. Albacete.
  • Pedro J. Tárraga López Family and Community Medicine, EAP 5. Albacete. Associate Professor of Medicine University of Castilla-La Mancha.
Palabras clave: Telemedicina, Obesidad, Atención de Primaria de salud

Resumen

Objetivo: Evaluar el impacto de una intervencion conductual a través de una plataforma digital para aumentar la adherencia a la dieta mediterránea ya la actividad física en pacientes con sobrepeso u obesidad detectados por el servicio de salud laboral.

Métodos: Ensayo clínico aleatorizado, controlado, doble ciego que comparó el estudio multicéntrico de 2 brazos en pacientes con sobrepeso y obesidad con un seguimiento de 12 meses. Los pacientes fueron asignados al azar en dos grupos: Intervención en
Centros de Atención Primaria con soporte de plataforma telemática Medtep (G2) y un grupo de control que se permitió evolucionar en condiciones normales (G1). Se recogieron variables: Peso, talla, IMC, circunferencia de cintura, Parámetros, presión arterial y
glucemia.

Resultados: Se incluyeron 120 pacientes en el estudio, de los cuales 60 fueron asignados al azar al Grupo 2 y 60 al Grupo 1. El 52,75% de la población estudiada eran mujeres y el 47,25% hombres. En el grupo de intervención, los sujetos redujeron su peso en
un promedio de 6,5 kg, mientras que el grupo control aumentó ligeramente más de 1,5 kg. Se observa que el colesterol total se redujo en ambos grupos. Por otro lado, los triglicéridos se redujeron significativamente más en el grupo de estudio, sin lograr diferencias significativas en el grupo de control (p = 0,710). El colesterol HDL se incrementó en ambos grupos.

Conclusión: En el Grupo control que no se realizó intervención, los pacientes aumentaron de peso en evolución normal.

 

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Publicado
2016-12-27