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

Maria Loreto Tarraga Marcos; Maria Josefa Panisello Royo; Nuria Rosich Domenech; Josep Alins Presas; Eudald Castell Panisello; Ibrahim M. Sadek; Pedro J. Tárraga López

doi:10.19230/jonnpr.1249

Authors

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.

DOI:

https://doi.org/10.19230/jonnpr.1249

Keywords:

Telemedicine, Obesity, Health care

Abstract

Objective: To evaluate the impact of based behavioral interventions delivered by digital platform to increase adherence to Mediterranean diet and physical activity in overweight or obese patients detected by laboral health service.

Methods: Randomized, controlled, double-blind, parallel clinical trial comparing 2 arms, multicenter study in overweight and obese patients with a 12-month follow-up. Patients were randomized into two groups: Intervention in Primary Care Centers with a Medtep
telematic platform support (G2) and a control group that was allowed to evolve under normal conditions (G1).Variables were collected: Weight, height, BMI, waist circumference, lipid parameters, blood pressure and glycemia.

Results: 120 patients were included in the study where 60 were randomized to Group 2 and 60 to Group 1. 58.6% of the study population were women and 41.4% were men. In the intervention group, the subjects reduced their weight by an average of 6.5 kg,
while the control group increased slightly more than 1`5 kg. It is observed that total cholesterol was reduced in both groups. On the other hand Triglycerides were significantly reduced more in the study group, without achieving significant differences in the control group (p = 0.710). HDL cholesterol was increased in both groups.

Conclusion: The group in which no intervention, weight gain normal evolution was made.

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