Lessons Learned from Telemedicine in Adolescent Obesity: Results of a Pilot Study

. 2024 May 16 ; 11 (5) : . [epub] 20240516

Status PubMed-not-MEDLINE Jazyk angličtina Země Švýcarsko Médium electronic

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/pmid38790594

The rising prevalence of obesity in children calls for new strategies for the provision of effective care by a multidisciplinary team. Telemedicine has overall proven to be an effective tool for promoting a healthy lifestyle. The main objective of the current paper is to present the protocol of our ongoing CardioMetabolic Prevention (CAMP) study and compare its design with published studies on telemedicine in paediatric obesity. Additionally, we analysed the preliminary anthropometric and laboratory data to test the efficacy of our 12-week intensive program that combines in-person and telemedicine support. The program demonstrated a positive impact on body mass index (BMI) and its z-scores in 21 adolescents, and BMI in 18 participating parents. However, we found no effect on body composition, waist circumference, cardiometabolic parameters, or fitness evaluated via a 6-min walk test in adolescents. In conclusion, the combination of in-person and telemedicine intensive support over 35 h delivered by a multidisciplinary team can be beneficial not only for adolescents with obesity but also for their parents. The ongoing CAMP study serves as a platform for precision medicine in future decisions regarding anti-obesity medication in adolescents with obesity.

Zobrazit více v PubMed

World Obesity Federation; World Obesity Atlas 2023. [(accessed on 19 March 2024)]. Available online: https://data.worldobesity.org/publications/?cat=19.

Freedman D.S., Mei Z., Srinivasan S.R., Berenson G.S., Dietz W.H. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: The Bogalusa Heart Study. J. Pediatr. 2007;150:12–17. doi: 10.1016/j.jpeds.2006.08.042. PubMed DOI

The Lancet Public Health Childhood obesity beyond COVID-19. Lancet Public Health. 2021;6:e534. doi: 10.1016/S2468-2667(21)00168-7. PubMed DOI PMC

Vážná A., Vignerová J., Brabec M., Novák J., Procházka B., Gabera A., Sedlak P. Influence of COVID-19-Related Restrictions on the Prevalence of Overweight and Obese Czech Children. Int. J. Environ. Res. Public Health. 2022;19:11902. doi: 10.3390/ijerph191911902. PubMed DOI PMC

Reinehr T., Wiegand S., Siegfried W., Keller K.M., Widhalm K., l’Allemand D., Zwiauer K., Holl R.W. Comorbidities in overweight children and adolescents: Do we treat them effectively? Int. J. Obes. 2013;37:493–499. doi: 10.1038/ijo.2012.184. PubMed DOI

WHO Noncommunicable Diseases Childhood Overweight and Obesity. 2020. [(accessed on 19 March 2024)]. Available online: https://www.who.int/news-room/questions-and-answers/item/noncommunicable-diseases-childhood-overweight-and-obesity.

Magkos F., Fraterrigo G., Yoshino J., Luecking C., Kirbach K., Kelly S.C., de Las Fuentes L., He S., Okunade A.L., Patterson B.W., et al. Effects of Moderate and Subsequent Progressive Weight Loss on Metabolic Function and Adipose Tissue Biology in Humans with Obesity. Cell Metab. 2016;23:591–601. doi: 10.1016/j.cmet.2016.02.005. PubMed DOI PMC

Ryan D.H., Yockey S.R. Weight Loss and Improvement in Comorbidity: Differences at 5%, 10%, 15%, and Over. Curr. Obes. Rep. 2017;6:187–194. doi: 10.1007/s13679-017-0262-y. PubMed DOI PMC

DeSilva S., Vaidya S.S. The Application of Telemedicine to Pediatric Obesity: Lessons from the Past Decade. Telemed. J. E. Health. 2021;27:159–166. doi: 10.1089/tmj.2019.0314. PubMed DOI

Hampl S., Odar Stough C., Poppert Cordts K., Best C., Blackburn K., Dreyer Gillette M.L. Effectiveness of a hospital-based multidisciplinary pediatric weight management program: Two-year outcomes of PHIT kids. Child. Obes. 2016;12:20–25. doi: 10.1089/chi.2014.0119. PubMed DOI

Jones H.M., Al-Khudairy L., Melendez-Torres G.J., Oyebode O. Viewpoints of adolescents with overweight and obesity attending lifestyle obesity treatment interventions: A qualitative systematic review. Obes. Rev. 2019;20:156–169. doi: 10.1111/obr.12771. PubMed DOI

Qiu L.T., Sun G.X., Li L., Zhang J.D., Wang D., Fan B.Y. Effectiveness of multiple eHealth-delivered lifestyle strategies for preventing or intervening overweight/obesity among children and adolescents: A systematic review and meta-analysis. Front. Endocrinol. 2022;13:999702. doi: 10.3389/fendo.2022.999702. PubMed DOI PMC

Kouvari M., Karipidou M., Tsiampalis T., Mamalaki E., Poulimeneas D., Bathrellou E., Panagiotakos D., Yannakoulia M. Digital Health Interventions for Weight Management in Children and Adolescents: Systematic Review and Meta-analysis. J. Med. Internet Res. 2022;24:30675. doi: 10.2196/30675. PubMed DOI PMC

Kobzova J., Vignerova J., Blaha P., Krejcovsky L., Riedlova J. The 6th nationwide anthropological survey of children and adolescents in the Czech Republic in 2001. Cent. Eur. J. Public Health. 2004;12:126–130. PubMed

Beck A.T., Ward C.H., Mendelson M., Mock J., Erbaugh J. An inventory for measuring depression. Arch. Gen. Psychiatry. 1961;4:561–571. doi: 10.1001/archpsyc.1961.01710120031004. PubMed DOI

Stunkard A.J., Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J. Psychosom. Res. 1985;29:71–83. doi: 10.1016/0022-3999(85)90010-8. PubMed DOI

Rosenberg M. Society and the Adolescent Self-Image. Princeton University Press; Princeton, NJ, USA: 1965. pp. 1–338.

Goldschmidt A.B., Doyle A.C., Wilfley D.E. Assessment of binge eating in overweight youth using a questionnaire version of the child eating disorder examination with instructions. Int. J Eat. Disord. 2007;40:460–467. doi: 10.1002/eat.20387. PubMed DOI PMC

Fairburn C.G., Beglin S.J. Assessment of eating disorders: Interview or self-report questionnaire? Int. J. Eat. Disord. 1994;16:363–370. doi: 10.1002/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#. PubMed DOI

Ravens-Sieberer U., Herdman M., Devine J., Otto C., Bullinger M., Rose M., Klasen F. The European KIDSCREEN approach to measure quality of life and well-being in children: Development, current application, and future advances. Qual. Life Res. 2014;23:791–803. doi: 10.1007/s11136-013-0428-3. PubMed DOI PMC

Ravens-Sieberer U., Gosch A., Rajmil L., Erhart M., Bruil J., Duer W., Auquier P., Power M., Abel T., Czemy L., et al. and the European KIDSCREEN Group. KIDSCREEN-52 quality-of-life measure for children and adolescents. Expert Rev. Pharmacoecon. Outcomes Res. 2005;5:353–364. doi: 10.1586/14737167.5.3.353. PubMed DOI

The KIDSCREEN Group Europe . The KIDSCREEN Questionnaires—Quality of Life Questionnaires for Children and Adolescents Handbook. Pabst Science Publishers; Lengerich, Germany: 2006.

Gadermann A., Schonert-Reichl K., Zumbo B. Investigating Validity Evidence of the Satisfaction with Life Scale Adapted for Children. Soc. Indic. Res. 2010;96:229–247. doi: 10.1007/s11205-009-9474-1. DOI

Gadermann A., Guhn M., Zumbo B. Investigating the substantive aspect of construct validity for the Satisfaction with Life Scale adapted for Children: A focus on cognitive processes. Soc. Indic. Res. 2011;100:37–60. doi: 10.1007/s11205-010-9603-x. DOI

Diener E.D., Emmons R.A., Larsen R.J., Griffin S. The satisfaction with life scale. J. Personal. Assess. 1985;49:71–75. doi: 10.1207/s15327752jpa4901_13. PubMed DOI

Kobau R., Sniezek J., Zack M.M., Lucas R.E., Burns A. Well-being assessment: An evaluation of well-being scales for public health and population estimates of well-being among US adults. Appl. Psychol. Health Well Being. 2010;2:272–297. doi: 10.1111/j.1758-0854.2010.01035.x. DOI

Spielberger C.D. Manual for the State-Trait Anxiety Inventory for Children. Consulting Psychologists Press; Palo-Alto, CA, USA: 1973.

Spielberger C.D., Gorsuch R.L., Lushene R.E. Manual for the State-Trait Anxiety Inventory. Consulting Psychologists Press; Palo-Alto, CA, USA: 1970.

Eston R., Hawes M., Martin A., Reilly T. In: Human Body Composition. Kinanthropometry and Exercise Physiology Laboratory Manual. 3rd ed. Eston R., Reilly T., editors. Anthropometry, Routledge, Taylor and Francis Group; London, UK: 2009. pp. 3–53.

Bláha P., Lhotská L., Vignerová J., Bosková R. The 5th nation-wide anthropological study of children and adolescents held in 1991 (Czech Republic)—selected anthropometric characteristics. Cesk Pediatr. 1993;48:621–630. PubMed

Report of a WHO expert committee Physical status: The use and interpretation of anthropometry. World Health Organ. Tech. Rep. Ser. 1995;854:429–431. PubMed

Fleischman A., Hourigan S.E., Lyon H.N., Landry M.G., Reynolds J., Steltz S.K., Robinson L., Keating S., Feldman H.A., Antonelli R.C., et al. Creating an integrated care model for childhood obesity: A randomized pilot study utilizing telehealth in a community primary care setting. Clin. Obes. 2016;6:380–388. doi: 10.1111/cob.12166. PubMed DOI PMC

Darling K.E., Sato A.F. Systematic Review and Meta-Analysis Examining the Effectiveness of Mobile Health Technologies in Using Self-Monitoring for Pediatric Weight Management. Child. Obes. 2017;13:347–355. doi: 10.1089/chi.2017.0038. PubMed DOI

Hainer V., Stunkard A.J., Kunesová M., Parízková J., Stich V., Allison D.B. Intrapair resemblance in very low calorie diet-induced weight loss in female obese identical twins. Int. J. Obes. Relat. Metab. Disord. 2000;24:1051–1057. doi: 10.1038/sj.ijo.0801358. PubMed DOI

Acosta A., Camilleri M., Abu Dayyeh B., Calderon G., Gonzalez D., McRae A., Rossini W., Singh S., Burton D., Clark M.M. Selection of Antiobesity Medications Based on Phenotypes Enhances Weight Loss: A Pragmatic Trial in an Obesity Clinic. Obesity. 2021;29:662–671. doi: 10.1002/oby.23120. PubMed DOI PMC

Schiel R., Kaps A., Bieber G. Electronic health technology for the assessment of physical activity and eating habits in children and adolescents with overweight and obesity IDA. Appetite. 2012;58:432–437. doi: 10.1016/j.appet.2011.11.021. PubMed DOI

Staiano A.E., Beyl R.A., Guan W., Hendrick C.A., Hsia D.S., Newton R.L., Jr. Home-based exergaming among children with overweight and obesity: A randomized clinical trial. Pediatr. Obes. 2018;13:724–733. doi: 10.1111/ijpo.12438. PubMed DOI PMC

Sela Peremen K., Maor S., Yaniv A., Aloni I., Ziv-Baran T., Dubnov-Raz G. Comparison of a Telehealth-Based Intensive Treatment Program with a Rewarding App vs. On-Site Care for Youth with Obesity: A Historical Cohort Study. Children. 2023;10:1117. doi: 10.3390/children10071117. PubMed DOI PMC

Pretlow R.A., Stock C.M., Roeger L., Allison S. Treatment of the sensory and motor components of urges to eat (eating addiction?): A mobile-health pilot study for obesity in young people. Eat. Weight Disord. 2020;25:1779–1787. doi: 10.1007/s40519-019-00836-z. PubMed DOI PMC

Chai L.K., Collins C.E., May C., Ashman A., Holder C., Brown L.J., Burrows T.L. Feasibility and efficacy of a web-based family telehealth nutrition intervention to improve child weight status and dietary intake: A pilot randomised controlled trial. J. Telemed. Telecare. 2021;27:146–158. doi: 10.1177/1357633X19865855. PubMed DOI

Tu A.W., Watts A.W., Chanoine J.P., Panagiotopoulos C., Geller J., Brant R., Barr S.I., Mâsse L. Does parental and adolescent participation in an e-health lifestyle modification intervention improves weight outcomes? BMC Public Health. 2017;17:352. doi: 10.1186/s12889-017-4220-0. PubMed DOI PMC

Woolford S.J., Clark S.J., Strecher V.J., Resnicow K. Tailored mobile phone text messages as an adjunct to obesity treatment for adolescents. J. Telemed. Telecare. 2010;16:458–461. doi: 10.1258/jtt.2010.100207. PubMed DOI PMC

Vidmar A.P., Pretlow R., Borzutzky C., Wee C.P., Fox D.S., Fink C., Mittelman S.D. An addiction model-based mobile health weight loss intervention in adolescents with obesity. Pediatr. Obes. 2019;14:e12464. doi: 10.1111/ijpo.12464. PubMed DOI PMC

Look AHEAD Research Group. Wadden T.A., West D.S., Delahanty L., Jakicic J., Rejeski J., Williamson D., Berkowitz R.I., Kelley D.E., Tomchee C., et al. The Look AHEAD study: A description of the lifestyle intervention and the evidence supporting it. Obesity. 2006;14:737–752. PubMed PMC

Hagman E., Johansson L., Kollin C., Marcus E., Drangel A., Marcus L., Marcus C., Danielsson P. Effect of an interactive mobile health support system and daily weight measurements for pediatric obesity treatment, a 1-year pragmatical clinical trial. Int. J. Obes. 2022;46:1527–1533. doi: 10.1038/s41366-022-01146-8. PubMed DOI PMC

Whitley A., Yahia N. Efficacy of Clinic-Based Telehealth vs. Face-to-Face Interventions for Obesity Treatment in Children and Adolescents in the United States and Canada: A Systematic Review. Child. Obes. 2021;17:299–310. doi: 10.1089/chi.2020.0347. PubMed DOI

Gilardini L., Cancello R., Cavaggioni L., Bruno A., Novelli M., Mambrini S.P., Castelnuovo G., Bertoli S. Are People with Obesity Attracted to Multidisciplinary Telemedicine Approach for Weight Management? Nutrients. 2022;14:1579. doi: 10.3390/nu14081579. PubMed DOI PMC

Alencar M.K., Johnson K., Mullur R., Gray V., Gutierrez E., Korosteleva O. The efficacy of a telemedicine-based weight loss program with video conference health coaching support. J. Telemed. Telecare. 2019;25:151–157. doi: 10.1177/1357633X17745471. PubMed DOI

US Preventive Services Task Force. Grossman D.C., Bibbins-Domingo K., Curry S.J., Barry M.J., Davidson K.W., Doubeni C.A., Epling J.W., Jr., Kemper A.R., Krist A.H., et al. Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA. 2017;317:2417–2426. PubMed

van der Kruk J.J., Kortekaas F., Lucas C., Jager-Wittenaar H. Obesity: A systematic review on parental involvement in long-term European childhood weight control interventions with a nutritional focus. Obes. Rev. 2013;14:745–760. doi: 10.1111/obr.12046. PubMed DOI PMC

Van Ryzin M.J., Nowicka P. Direct and indirect effects of a family-based intervention in early adolescence on parent-youth relationship quality, late adolescent health, and early adult obesity. J. Fam. Psychol. 2013;27:106–116. doi: 10.1037/a0031428. PubMed DOI PMC

Williamson D.A., Walden H.M., White M.A., York-Crowe E., Newton R.L., Jr., Alfonso A., Gordon S., Ryan D. Two-year internet-based randomized controlled trial for weight loss in African-American girls. Obesity. 2006;14:1231–1243. doi: 10.1038/oby.2006.140. PubMed DOI

Lukenbill T., San Giovanni C.B., Simpson A., Chew M., Basco W., Roberts J. Assessing anthropometric and laboratory outcomes of a paediatric telehealth weight management program. J. Telemed. Telecare. 2023;29:399–405. doi: 10.1177/1357633X20986022. PubMed DOI

Tragomalou A., Moschonis G., Kassari P., Papageorgiou I., Genitsaridi S.-M., Karampatsou S., Manios Y., Charmandari E. A National e-Helath Program for the Prevention and Management of Overweight and Obesity in Childhood and Adolescence in Greece. Nutrients. 2020;12:2858. doi: 10.3390/nu12092858. PubMed DOI PMC

Aldhoon-Hainerová I., Hainer V., Zamrazilová H. Impact of dietary intake, lifestyle and biochemical factors on metabolic health in obese adolescents. Nutr. Metab. Cardiovasc. Dis. 2017;27:703–710. doi: 10.1016/j.numecd.2017.05.002. PubMed DOI

Zamrazilova H., Weiss R., Hainer V., Aldhoon-Hainerová I. Cardiometabolic Health in Obese Adolescents Is Related to Length of Obesity Exposure: A Pilot Study. J. Clin. Endocrinol. Metab. 2016;101:3088–3095. doi: 10.1210/jc.2016-1706. PubMed DOI

Najít záznam

Citační ukazatele

Nahrávání dat ...

Možnosti archivace

Nahrávání dat ...