An Interactive Diary for Diet Management (DAI): A New Telemedicine System Able to Promote Body Weight Reduction, Nutritional Education, and Consumption of Fresh Local Produce
Abstract
BACKGROUND: The aim of this multicenter, longitudinal, single-arm, pre-post comparison was to test a telemedicine system able to promote body weight reduction, nutritional education, and consumption of fresh local produce. METHODS: DAI (MeTeDa srl, San Benedetto del Tronto, Italy) is a software for mobile phones to support patients following a specific dietetic program. It facilitates the communication between the patient and dietician via short text messages. Overall, three specialized dieticians enrolled 140 consecutive patients with body mass index (BMI) >or=25 kg/m(2) who voluntered to follow a specific diet program to be managed with DAI. At baseline and after 20 weeks, data on body weight, waist circumference, BMI, fasting blood glucose, lipid profile, food habits, and physical activity were collected and compared by the Wilcoxon test or the McNemar test. RESULTS: Overall, 115 individuals (82.1%) completed the follow-up. The mean (95% confidence interval) reduction in body weight was -2.5 (-3.2; -1.8) kg, whereas the reduction in waist circumference was -3.7 (-4.6; -2.9) cm, and that in BMI was 1.0 (-0.7; -1.2) kg/m(2). The software was useful as an educational tool: participants achieving the Mediterranean diet targets increased from 14.4% to 69.8% after 20 weeks. On average, each patient recognized and chose fresh local vegetables eight times per week during the follow-up. Participants regularly communicated with dieticians through short text messages. CONCLUSIONS: This study allowed the documentation of the efficacy of a new telemedicine system in supporting people who need to lose body weight. The tool was also suitable for a more articulated initiative of "nutritional education" aiming to promote the healthy properties of the Mediterranean diet and the consumption of local produce.
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Mobile devices have been used successfully to provide dietary guidance and to self-monitor weight and other health-related variables and dietary intake.
“Mobile devices have been used successfully to provide dietary guidance [12] and self-monitor weight and other health-related variables [13,14] and dietary intake [15].”
From Tweets, Apps, and Pods: Results of the 6-Month Mobile Pounds Off Digitally (Mobile POD) Randomized Weight-Loss Intervention Among Adults (2011) · cites this paper as [12]
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- Authors
- Rossi, M. C., Perozzi, C., Consorti, C., Almonti, T., Foglini, P., Giostra, N., Nanni, P., Talevi, S., Bartolomei, D., & Vespasiani, G.
- Affiliations
- Dipartimento di Farmacologia Clinica ed Epidemiologia, Centro Studi e Ricerche AMD, Consorzio Mario Negri Sud, Santa Maria Imbarco, Italy.
- Istituto ASTERIA, Centobuchi di Monteprandone, Italy.
- Unità Operativa Diabetologia, Ospedale Augusto Murri, Fermo, Italy.
- Unità Operativa Diabetologia, Ospedale Madonna del Soccorso, San Benedetto del Tronto, Italy.
- Servizio Dietetica e Nutrizione Clinica, Ospedale Mazzoni, Ascoli Piceno, Italy.
- Corresponding author
- Rossi, Maria Chiara
- Venue
- Diabetes Technology & Therapeutics
- Publisher
- SAGE Publications
- Published
- 2010-08
- Volume
- 12
- Issue
- 8
- Pages
- 641-647
- ISSN
- 1520-9156 (ISSN-L)
- 1557-8593
- OpenAlex
- W2091008667
- Cited by
- 26
- References
- 20
- Citations by year
- 2025: 1 · 2024: 1 · 2021: 3 · 2020: 1 · 2019: 1 · 2018: 5 · 2017: 1 · 2015: 3 · 2014: 1 · 2013: 4 · 2012: 2
- FWCI
- 5.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Technology & Therapeutics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Regione Marche
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › Health Information Management › Innovation in Digital Healthcare Systems
- Keywords
- telemedicine, mobile health, dietary management, weight loss, nutrition education, Mediterranean diet, text messaging, obesity, waist circumference, dietary habits
- MeSH terms
- Adult, Body Weight, Diet, Reducing, Female, Humans, Italy, Longitudinal Studies, Male, Middle Aged, Patient Education as Topic, Surveys and Questionnaires, Weight Loss, Health Behavior, Body Mass Index, Patient Satisfaction, Telemedicine, Patient Selection, Diet, Mediterranean, Waist Circumference
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