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Healthy Lifestyle Management of Pediatric Obesity with a Hybrid System of Customized Mobile Technology: The PediaFit Pilot Project

Pediatric obesity management strategies suffer from a high rate of dropout and persistence of weight excess, despite the use of new tools, such as automated mobile technology (MT). We aimed to compare the efficacy of two 6-month personalized MT protocols in terms of better engagement, adherence to f...

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Autores principales: Delli Bovi, Anna Pia, Manco Cesari, Giorgia, Rocco, Maria Chiara, Di Michele, Laura, Rimauro, Ida, Lugiero, Anna, Mottola, Silvia, De Anseris, Anna Giulia Elena, Nazzaro, Lucia, Massa, Grazia, Vajro, Pietro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7919673/
https://www.ncbi.nlm.nih.gov/pubmed/33669174
http://dx.doi.org/10.3390/nu13020631
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author Delli Bovi, Anna Pia
Manco Cesari, Giorgia
Rocco, Maria Chiara
Di Michele, Laura
Rimauro, Ida
Lugiero, Anna
Mottola, Silvia
De Anseris, Anna Giulia Elena
Nazzaro, Lucia
Massa, Grazia
Vajro, Pietro
author_facet Delli Bovi, Anna Pia
Manco Cesari, Giorgia
Rocco, Maria Chiara
Di Michele, Laura
Rimauro, Ida
Lugiero, Anna
Mottola, Silvia
De Anseris, Anna Giulia Elena
Nazzaro, Lucia
Massa, Grazia
Vajro, Pietro
author_sort Delli Bovi, Anna Pia
collection PubMed
description Pediatric obesity management strategies suffer from a high rate of dropout and persistence of weight excess, despite the use of new tools, such as automated mobile technology (MT). We aimed to compare the efficacy of two 6-month personalized MT protocols in terms of better engagement, adherence to follow-up visits and improved anthropometric and lifestyle parameters. MT contacts consisted of three personalized/not automated What’s App(®) self-monitoring or challenge messages per week. Messages, sent by a dedicated coach were inserted between three-monthly in-presence regular visits with (PediaFit 1.2) or without (PediaFit 1.1) monthly free-of charge short recall visits carried out by a specialized pediatric team. The sample included 103 children (mean age 10 years, range 6–14) recruited in the Pediatric Obesity Clinic between January 2017 and February 2019, randomized into Intervention group (IG) (n = 24 PediaFit 1.1; n = 30 PediaFit 1.2) and Control group (CG) (total n = 49). Controls received standard treatment only (indications for healthy nutrition and physical activity, and three months in presence regular visits). Overall, both IGs achieved significantly better results than the CGs for all considered parameters. Comparison of the two IGs at the sixth month in particular showed an IG 1.2 statistically significantly lower drop-out rate (10% vs. 62%, p = 0.00009), along with significantly improved BMI (p = 0.003), Screen Time (p = 0.04) and fruit and vegetables consumption (p = 0.02). The study suggests that the hybrid association of messaging through personalized/not automated MT plus monthly free-of charge recall visits may improve the prefixed outcomes of MT weight loss intervention programs.
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spelling pubmed-79196732021-03-02 Healthy Lifestyle Management of Pediatric Obesity with a Hybrid System of Customized Mobile Technology: The PediaFit Pilot Project Delli Bovi, Anna Pia Manco Cesari, Giorgia Rocco, Maria Chiara Di Michele, Laura Rimauro, Ida Lugiero, Anna Mottola, Silvia De Anseris, Anna Giulia Elena Nazzaro, Lucia Massa, Grazia Vajro, Pietro Nutrients Article Pediatric obesity management strategies suffer from a high rate of dropout and persistence of weight excess, despite the use of new tools, such as automated mobile technology (MT). We aimed to compare the efficacy of two 6-month personalized MT protocols in terms of better engagement, adherence to follow-up visits and improved anthropometric and lifestyle parameters. MT contacts consisted of three personalized/not automated What’s App(®) self-monitoring or challenge messages per week. Messages, sent by a dedicated coach were inserted between three-monthly in-presence regular visits with (PediaFit 1.2) or without (PediaFit 1.1) monthly free-of charge short recall visits carried out by a specialized pediatric team. The sample included 103 children (mean age 10 years, range 6–14) recruited in the Pediatric Obesity Clinic between January 2017 and February 2019, randomized into Intervention group (IG) (n = 24 PediaFit 1.1; n = 30 PediaFit 1.2) and Control group (CG) (total n = 49). Controls received standard treatment only (indications for healthy nutrition and physical activity, and three months in presence regular visits). Overall, both IGs achieved significantly better results than the CGs for all considered parameters. Comparison of the two IGs at the sixth month in particular showed an IG 1.2 statistically significantly lower drop-out rate (10% vs. 62%, p = 0.00009), along with significantly improved BMI (p = 0.003), Screen Time (p = 0.04) and fruit and vegetables consumption (p = 0.02). The study suggests that the hybrid association of messaging through personalized/not automated MT plus monthly free-of charge recall visits may improve the prefixed outcomes of MT weight loss intervention programs. MDPI 2021-02-16 /pmc/articles/PMC7919673/ /pubmed/33669174 http://dx.doi.org/10.3390/nu13020631 Text en © 2021 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 (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Delli Bovi, Anna Pia
Manco Cesari, Giorgia
Rocco, Maria Chiara
Di Michele, Laura
Rimauro, Ida
Lugiero, Anna
Mottola, Silvia
De Anseris, Anna Giulia Elena
Nazzaro, Lucia
Massa, Grazia
Vajro, Pietro
Healthy Lifestyle Management of Pediatric Obesity with a Hybrid System of Customized Mobile Technology: The PediaFit Pilot Project
title Healthy Lifestyle Management of Pediatric Obesity with a Hybrid System of Customized Mobile Technology: The PediaFit Pilot Project
title_full Healthy Lifestyle Management of Pediatric Obesity with a Hybrid System of Customized Mobile Technology: The PediaFit Pilot Project
title_fullStr Healthy Lifestyle Management of Pediatric Obesity with a Hybrid System of Customized Mobile Technology: The PediaFit Pilot Project
title_full_unstemmed Healthy Lifestyle Management of Pediatric Obesity with a Hybrid System of Customized Mobile Technology: The PediaFit Pilot Project
title_short Healthy Lifestyle Management of Pediatric Obesity with a Hybrid System of Customized Mobile Technology: The PediaFit Pilot Project
title_sort healthy lifestyle management of pediatric obesity with a hybrid system of customized mobile technology: the pediafit pilot project
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7919673/
https://www.ncbi.nlm.nih.gov/pubmed/33669174
http://dx.doi.org/10.3390/nu13020631
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