PMID- 25105874
OWN - NLM
STAT- MEDLINE
DCOM- 20150623
LR  - 20220321
IS  - 1541-1087 (Electronic)
IS  - 0731-5724 (Linking)
VI  - 33
IP  - 5
DP  - 2014
TI  - Weight loss by telemonitoring of nutrition and physical activity in patients with 
      metabolic syndrome for 1 year.
PG  - 363-74
LID - 10.1080/07315724.2013.875437 [doi]
AB  - OBJECTIVE: Mobile technology can improve lifestyle programs, but the monitoring 
      techniques and carer feedback need to be optimized. To this end, we investigated 
      the efficacy of telemonitoring physical activity and nutrition over 12 months in 
      patients with metabolic syndrome in a randomized, parallel-group, open trial. 
      METHODS: Screening all over Germany yielded 184 patients with metabolic syndrome. 
      All patients attended a single 2-hour instruction meeting in their region 
      concerning a combination diet and the importance of physical activity. Thereafter 
      they were randomized into a control group (controls, n = 62) or one of 2 
      different intervention groups. Both intervention groups were issued 
      accelerometers, which measured physical activity, recorded daily weight and 
      calorie intake, and transmitted these data to a central server for use by patient 
      carers. In the Active Body Control Program of University of Magdeburg (ABC) 
      intervention group (n = 60), information and motivation was ensured by weekly 
      letters. In the 4sigma telephone coaching (4S) intervention group (n = 58), this 
      was accomplished by monthly telephone calls from the carers. Clinical and 
      biochemical data for all patients were collected at 0, 4, 8, and 12 months 
      without any regular face-to-face meetings between patients and carers. The 
      primary endpoint was weight loss and the secondary endpoint was the presence of 
      metabolic syndrome. RESULTS: After 12 months the dropout rates in the control, 
      4S, and ABC groups were respectively 35%, 17%, and 18%. The adjusted relative 
      weight losses after 12 months were respectively 3.7%, 8.6%, and 11.4% (all p < 
      0.000 versus baseline). ABC was more effective than 4S (p = 0.041); 43% of the 
      patients completing the study in the ABC group lost more than 15% of their 
      baseline weight. The diagnosis of metabolic syndrome was no longer applicable in 
      58% of the cases in the ABC group, in 41% of the 4S group, and in 33% of the 
      controls. CONCLUSIONS: Telemonitoring of physical activity and nutrition markedly 
      improves weight loss and markers of metabolic syndrome.
FAU - Luley, Claus
AU  - Luley C
AD  - a Otto-von-Guericke University , Magdeburg , GERMANY.
FAU - Blaik, Alexandra
AU  - Blaik A
FAU - Gotz, Alexander
AU  - Gotz A
FAU - Kicherer, Florian
AU  - Kicherer F
FAU - Kropf, Siegfried
AU  - Kropf S
FAU - Isermann, Berend
AU  - Isermann B
FAU - Stumm, Gabriele
AU  - Stumm G
FAU - Westphal, Sabine
AU  - Westphal S
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20140808
PL  - United States
TA  - J Am Coll Nutr
JT  - Journal of the American College of Nutrition
JID - 8215879
SB  - IM
MH  - Accelerometry
MH  - Adult
MH  - Communication
MH  - Diet, Reducing
MH  - *Energy Intake
MH  - *Exercise
MH  - Female
MH  - Humans
MH  - Male
MH  - Metabolic Syndrome/*therapy
MH  - Middle Aged
MH  - Nutritional Status
MH  - Obesity/*therapy
MH  - Patient Dropouts
MH  - Telemedicine/*methods
MH  - *Weight Loss
MH  - *Weight Reduction Programs
OTO - NOTNLM
OT  - metabolic syndrome
OT  - telemonitoring
OT  - weight loss
EDAT- 2014/08/12 06:00
MHDA- 2015/06/24 06:00
CRDT- 2014/08/09 06:00
PHST- 2014/08/09 06:00 [entrez]
PHST- 2014/08/12 06:00 [pubmed]
PHST- 2015/06/24 06:00 [medline]
AID - 10.1080/07315724.2013.875437 [doi]
PST - ppublish
SO  - J Am Coll Nutr. 2014;33(5):363-74. doi: 10.1080/07315724.2013.875437. Epub 2014 
      Aug 8.