Experience with Obese Patients Followed via Telemedicine in a Latin American Tertiary Care Medical Center
Obesity is a major public health concern worldwide. Latin America has experienced rapid growth in obesity incidence during the last few decades. Driven by confinement measures, a telemedicine program was implemented in March 2020 to give continuity to obese patients' care through a weight loss...
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| Veröffentlicht in: | International journal of environmental research and public health 2022-09, Vol.19 (19), p.12406 |
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| container_title | International journal of environmental research and public health |
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| creator | López, Alejandro Escobar, Maria Fernanda Urbano, Alejandra Alarcón, Juliana Libreros-Peña, Laura Martinez-Ruiz, Diana Marcela Casas, Luz Ángela |
| description | Obesity is a major public health concern worldwide. Latin America has experienced rapid growth in obesity incidence during the last few decades. Driven by confinement measures, a telemedicine program was implemented in March 2020 to give continuity to obese patients' care through a weight loss program led by the endocrinology department in a tertiary care medical center in Latin America.
This study aimed to describe the clinical experience of using digital health for monitoring and attention of obese patients and description of weight change outcomes of these patients followed via telemedicine during March 2020-December 2020.
A retrospective cohort study was conducted including 202 patients. A Skillings-Mack test was performed to conduct a subgroup analysis of the medians of the weight over the follow-up period, and a mixed multiple linear regression model was performed to estimate the expected average change in weight over time Results: We observed good adherence to the program, represented by a weight loss of -4.1 kg at three months of follow-up, which was maintained even during the sixth month of follow-up.
Digital Health strategies such as telemedicine can be a helpful tool for both patients and health care providers to support the continuity of care and showing satisfactory results in the management of obese patients. |
| doi_str_mv | 10.3390/ijerph191912406 |
| format | Article |
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This study aimed to describe the clinical experience of using digital health for monitoring and attention of obese patients and description of weight change outcomes of these patients followed via telemedicine during March 2020-December 2020.
A retrospective cohort study was conducted including 202 patients. A Skillings-Mack test was performed to conduct a subgroup analysis of the medians of the weight over the follow-up period, and a mixed multiple linear regression model was performed to estimate the expected average change in weight over time Results: We observed good adherence to the program, represented by a weight loss of -4.1 kg at three months of follow-up, which was maintained even during the sixth month of follow-up.
Digital Health strategies such as telemedicine can be a helpful tool for both patients and health care providers to support the continuity of care and showing satisfactory results in the management of obese patients.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph191912406</identifier><identifier>PMID: 36231703</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Body weight loss ; Chronic illnesses ; Coronaviruses ; COVID-19 ; Data analysis ; Diabetes ; Disease ; Endocrinology ; Health care ; Health care facilities ; Humans ; Hypertension ; Latin America ; Medical records ; Mental disorders ; Mental health ; Metabolism ; Obesity ; Obesity - epidemiology ; Obesity - therapy ; Overweight ; Pandemics ; Patient satisfaction ; Patients ; Public health ; Retrospective Studies ; Sociodemographics ; Subgroups ; Telemedicine ; Telemedicine - methods ; Tertiary Healthcare ; Variables ; Weight loss</subject><ispartof>International journal of environmental research and public health, 2022-09, Vol.19 (19), p.12406</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c421t-4d06ef2a075fe76a2e59cc3d4f68810ee234965ed576ce3f6fb69f240b5c844e3</citedby><cites>FETCH-LOGICAL-c421t-4d06ef2a075fe76a2e59cc3d4f68810ee234965ed576ce3f6fb69f240b5c844e3</cites><orcidid>0000-0002-1193-7080</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564633/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564633/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36231703$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>López, Alejandro</creatorcontrib><creatorcontrib>Escobar, Maria Fernanda</creatorcontrib><creatorcontrib>Urbano, Alejandra</creatorcontrib><creatorcontrib>Alarcón, Juliana</creatorcontrib><creatorcontrib>Libreros-Peña, Laura</creatorcontrib><creatorcontrib>Martinez-Ruiz, Diana Marcela</creatorcontrib><creatorcontrib>Casas, Luz Ángela</creatorcontrib><title>Experience with Obese Patients Followed via Telemedicine in a Latin American Tertiary Care Medical Center</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Obesity is a major public health concern worldwide. Latin America has experienced rapid growth in obesity incidence during the last few decades. Driven by confinement measures, a telemedicine program was implemented in March 2020 to give continuity to obese patients' care through a weight loss program led by the endocrinology department in a tertiary care medical center in Latin America.
This study aimed to describe the clinical experience of using digital health for monitoring and attention of obese patients and description of weight change outcomes of these patients followed via telemedicine during March 2020-December 2020.
A retrospective cohort study was conducted including 202 patients. A Skillings-Mack test was performed to conduct a subgroup analysis of the medians of the weight over the follow-up period, and a mixed multiple linear regression model was performed to estimate the expected average change in weight over time Results: We observed good adherence to the program, represented by a weight loss of -4.1 kg at three months of follow-up, which was maintained even during the sixth month of follow-up.
Digital Health strategies such as telemedicine can be a helpful tool for both patients and health care providers to support the continuity of care and showing satisfactory results in the management of obese patients.</description><subject>Body weight loss</subject><subject>Chronic illnesses</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Data analysis</subject><subject>Diabetes</subject><subject>Disease</subject><subject>Endocrinology</subject><subject>Health care</subject><subject>Health care facilities</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Latin America</subject><subject>Medical records</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Metabolism</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Obesity - therapy</subject><subject>Overweight</subject><subject>Pandemics</subject><subject>Patient satisfaction</subject><subject>Patients</subject><subject>Public health</subject><subject>Retrospective Studies</subject><subject>Sociodemographics</subject><subject>Subgroups</subject><subject>Telemedicine</subject><subject>Telemedicine - methods</subject><subject>Tertiary Healthcare</subject><subject>Variables</subject><subject>Weight loss</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkc1LwzAYxoMozq-zNwl48VJNk_RtexFk-AWTeZjnkKZvXUbXzqTd9L83Y3Oo5JCQ_PK8z8NDyHnMroXI2Y2doVtM4zwsLhnskaMYgEUSWLz_6zwgx97PGBOZhPyQDARwEadMHBF7_7lAZ7ExSFe2m9JxgR7pq-7CXefpQ1vX7QpLurSaTrDGOZbW2Aapbaimo8A19G4eJIxuAuA6q90XHWqH9GWN6poOgxK6U3JQ6drj2XY_IW8P95PhUzQaPz4P70aRkTzuIlkywIprliYVpqA5JrkxopQVZFnMELmQOSRYJikYFBVUBeRVCF8kJpMSxQm53egu-iKYNWG407VaODsPzlSrrfr70tipem-XKk9AghBB4Gor4NqPHn2n5tYbrGvdYNt7xVOecCZAJAG9_IfO2t41Id6aklzKNINA3Wwo41rvHVY7MzFT6xrVvxrDj4vfGXb8T2_iG-4Mmp4</recordid><startdate>20220929</startdate><enddate>20220929</enddate><creator>López, Alejandro</creator><creator>Escobar, Maria Fernanda</creator><creator>Urbano, Alejandra</creator><creator>Alarcón, Juliana</creator><creator>Libreros-Peña, Laura</creator><creator>Martinez-Ruiz, Diana Marcela</creator><creator>Casas, Luz Ángela</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1193-7080</orcidid></search><sort><creationdate>20220929</creationdate><title>Experience with Obese Patients Followed via Telemedicine in a Latin American Tertiary Care Medical Center</title><author>López, Alejandro ; 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Latin America has experienced rapid growth in obesity incidence during the last few decades. Driven by confinement measures, a telemedicine program was implemented in March 2020 to give continuity to obese patients' care through a weight loss program led by the endocrinology department in a tertiary care medical center in Latin America.
This study aimed to describe the clinical experience of using digital health for monitoring and attention of obese patients and description of weight change outcomes of these patients followed via telemedicine during March 2020-December 2020.
A retrospective cohort study was conducted including 202 patients. A Skillings-Mack test was performed to conduct a subgroup analysis of the medians of the weight over the follow-up period, and a mixed multiple linear regression model was performed to estimate the expected average change in weight over time Results: We observed good adherence to the program, represented by a weight loss of -4.1 kg at three months of follow-up, which was maintained even during the sixth month of follow-up.
Digital Health strategies such as telemedicine can be a helpful tool for both patients and health care providers to support the continuity of care and showing satisfactory results in the management of obese patients.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36231703</pmid><doi>10.3390/ijerph191912406</doi><orcidid>https://orcid.org/0000-0002-1193-7080</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; PubMed Central Open Access |
| subjects | Body weight loss Chronic illnesses Coronaviruses COVID-19 Data analysis Diabetes Disease Endocrinology Health care Health care facilities Humans Hypertension Latin America Medical records Mental disorders Mental health Metabolism Obesity Obesity - epidemiology Obesity - therapy Overweight Pandemics Patient satisfaction Patients Public health Retrospective Studies Sociodemographics Subgroups Telemedicine Telemedicine - methods Tertiary Healthcare Variables Weight loss |
| title | Experience with Obese Patients Followed via Telemedicine in a Latin American Tertiary Care Medical Center |
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