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Experience with Obese Patients Followed via Telemedicine in a Latin American Tertiary Care Medical Center

Background: 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 weigh...

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Autores principales: López, Alejandro, Escobar, Maria Fernanda, Urbano, Alejandra, Alarcón, Juliana, Libreros-Peña, Laura, Martinez-Ruiz, Diana Marcela, Casas, Luz Ángela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564633/
https://www.ncbi.nlm.nih.gov/pubmed/36231703
http://dx.doi.org/10.3390/ijerph191912406
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author López, Alejandro
Escobar, Maria Fernanda
Urbano, Alejandra
Alarcón, Juliana
Libreros-Peña, Laura
Martinez-Ruiz, Diana Marcela
Casas, Luz Ángela
author_facet López, Alejandro
Escobar, Maria Fernanda
Urbano, Alejandra
Alarcón, Juliana
Libreros-Peña, Laura
Martinez-Ruiz, Diana Marcela
Casas, Luz Ángela
author_sort López, Alejandro
collection PubMed
description Background: 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. Objective: 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. Methods: 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. Conclusions: 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.
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spelling pubmed-95646332022-10-15 Experience with Obese Patients Followed via Telemedicine in a Latin American Tertiary Care Medical Center López, Alejandro Escobar, Maria Fernanda Urbano, Alejandra Alarcón, Juliana Libreros-Peña, Laura Martinez-Ruiz, Diana Marcela Casas, Luz Ángela Int J Environ Res Public Health Article Background: 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. Objective: 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. Methods: 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. Conclusions: 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. MDPI 2022-09-29 /pmc/articles/PMC9564633/ /pubmed/36231703 http://dx.doi.org/10.3390/ijerph191912406 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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/).
spellingShingle Article
López, Alejandro
Escobar, Maria Fernanda
Urbano, Alejandra
Alarcón, Juliana
Libreros-Peña, Laura
Martinez-Ruiz, Diana Marcela
Casas, Luz Ángela
Experience with Obese Patients Followed via Telemedicine in a Latin American Tertiary Care Medical Center
title Experience with Obese Patients Followed via Telemedicine in a Latin American Tertiary Care Medical Center
title_full Experience with Obese Patients Followed via Telemedicine in a Latin American Tertiary Care Medical Center
title_fullStr Experience with Obese Patients Followed via Telemedicine in a Latin American Tertiary Care Medical Center
title_full_unstemmed Experience with Obese Patients Followed via Telemedicine in a Latin American Tertiary Care Medical Center
title_short Experience with Obese Patients Followed via Telemedicine in a Latin American Tertiary Care Medical Center
title_sort experience with obese patients followed via telemedicine in a latin american tertiary care medical center
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564633/
https://www.ncbi.nlm.nih.gov/pubmed/36231703
http://dx.doi.org/10.3390/ijerph191912406
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