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	<title>
		Motivational Intervention of Obesity in Primary Care Through Physical Activity Program
							| Telehealth and Medicine Today
			</title>

	
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<meta name="keywords" content="telehealth journal, telehealth open access journal, telemedicine journal, telemedicine peer reveiwed journal, digital health peer reviwed journal, virtual care journal, telehealth peer review, telecare journal, clinical health automation ">
<link rel="schema.DC" href="http://purl.org/dc/elements/1.1/" />
<meta name="DC.Creator.PersonalName" content="Fatima Madrona Marcos"/>
<meta name="DC.Creator.PersonalName" content="Josefa M Panisello"/>
<meta name="DC.Creator.PersonalName" content="Julio A. Carbayo Herencia"/>
<meta name="DC.Creator.PersonalName" content="Nuria Rosich"/>
<meta name="DC.Creator.PersonalName" content="Loreto Tarraga Marcos"/>
<meta name="DC.Creator.PersonalName" content="Josep Alins"/>
<meta name="DC.Creator.PersonalName" content="Pedro J. Tarraga Marcos"/>
<meta name="DC.Date.created" scheme="ISO8601" content="2020-01-29"/>
<meta name="DC.Date.dateSubmitted" scheme="ISO8601" content="2019-07-28"/>
<meta name="DC.Date.issued" scheme="ISO8601" content="2020-01-09"/>
<meta name="DC.Date.modified" scheme="ISO8601" content="2020-11-25"/>
<meta name="DC.Description" xml:lang="en" content="Summary: Obesity and overweight are significant public health problems, worldwide. Hence, there is the importance of developing and applying strategies that reduce weight in this population. We set out to evaluate the effectiveness of obesity intervention with three different approaches—one of them with a platform that promotes physical activity.&amp;nbsp;
Methods: Randomized, controlled, parallel clinical trial that compared three arms, multicenter study in overweight or obese patients, with a 12-month follow-up. The patients were randomized into three groups: Intervention in the primary care center with intervention G1: Control group, which received the usual recommendations of losing weight following the SEEDO 2000 (Sociedad Española para el Estudio de la Obesidad) Consensus, G2: Motivational intervention of obesity (IMOAP) with a trained nurse and small periodic work groups, and G3: IMOAP adding the use of a digital platform to record physical activity, monitors it, and, in turn, favors the practice of this (aka iwopi: the concept that physical activity has a positive impact beyond the activity). Variables collected included: weight, height, body mass index (BMI), waist circumference, lipid parameters, blood pressure, and glycosylated hemoglobin. After the interventions, clinical relevance indicators were studied. Relative risk (RR), absolute risk reduction (ARR), relative risk reduction (RRR), and number needed to treat (NNT), both for intention to treat and for biological efficacy.&amp;nbsp;
Results: Cholesterol levels in three groups were reduced. The BMI showed a general&amp;nbsp;average reduction. Total cholesterol levels were reduced in all groups, with the largest decrease in G3. Triglyceride levels were significantly reduced in two groups. Glycosylated hemoglobin showed a slight decrease that did not reach a statistically significant value.
Conclusions: The digital health platform that stimulates physical activity added to an interventionist motivation in patients with overweight or obesity is a significant additional benefit in terms of weight loss results, BMI reduction, and lipid profile in patients affected by overweight or obesity, and a most effective cost."/>
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<meta name="DC.Identifier" content="157"/>
<meta name="DC.Identifier.DOI" content="10.30953/tmt.v5.157"/>
<meta name="DC.Identifier.URI" content="https://bhty.journals.publicknowledgeproject.org/index.php/journal/article/view/157"/>
<meta name="DC.Language" scheme="ISO639-1" content="en"/>
<meta name="DC.Rights" content="Copyright (c) 2019 Pedro J Tarraga"/>
<meta name="DC.Rights" content=""/>
<meta name="DC.Source" content="Telehealth and Medicine Today"/>
<meta name="DC.Source.ISSN" content="2471-6960"/>
<meta name="DC.Source.URI" content="https://bhty.journals.publicknowledgeproject.org/index.php/journal"/>
<meta name="DC.Subject" xml:lang="en" content="Motivational Intervention"/>
<meta name="DC.Title" content="Motivational Intervention of Obesity in Primary Care Through Physical Activity Program"/>
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		Motivational Intervention of Obesity in Primary Care Through Physical Activity Program
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								Fatima Madrona Marcos
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															<span class="affiliation">
									Resident Physician EAP Zone 5A, Albacete, Spain
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								Josefa M Panisello
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									Internist. FUFOSA Medical Director. Madrid, Spain
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								Julio A. Carbayo Herencia
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															<span class="affiliation">
									Professor of Medicine, University Miguel Hernandez, Alicante, Spain
																	</span>
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								Nuria Rosich
							</span>
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									Nutritionist, Fufosa, Barcelona, Spain
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								Loreto Tarraga Marcos
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															<span class="affiliation">
									Nurse, Clinic Hospital, Zaragoza, Spain
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								Josep Alins
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															<span class="affiliation">
									Medical Doctor, ABS Barcelona, Spain
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								Pedro J. Tarraga Marcos
							</span>
															<span class="affiliation">
									Professor of Medicine. University Castilla la Mancha, Spain
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										Keywords:
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											Obesity, 											Physical Activity, 											Telemedicine, 											Motivational Intervention									</span>
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					<p><strong><em>Summary: </em></strong><em>Obesity and overweight are significant public health problems, worldwide. Hence, there is the importance of developing and applying strategies that reduce weight in this population. We set out to evaluate the effectiveness of obesity intervention with three different approaches—one of them with a platform that promotes physical activity. </em></p>
<p><strong><em>Methods: </em></strong><em>Randomized, controlled, parallel clinical trial that compared three arms, multicenter study in overweight or obese patients, with a 12-month follow-up. The patients were randomized into three groups: Intervention in the primary care center with intervention G1: Control group, which received the usual recommendations of losing weight following the SEEDO 2000 (Sociedad Española para el Estudio de la Obesidad) Consensus, G2: Motivational intervention of obesity (IMOAP) with a trained nurse and small periodic work groups, and G3: IMOAP adding the use of a digital platform to record physical activity, monitors it, and, in turn, favors the practice of this (aka iwopi: the concept that physical activity has a positive impact beyond the activity). Variables collected included: weight, height, body mass index (BMI), waist circumference, lipid parameters, blood pressure, and glycosylated hemoglobin. After the interventions, clinical relevance indicators were studied. Relative risk (RR), absolute risk reduction (ARR), relative risk reduction (RRR), and number needed to treat (NNT), both for intention to treat and for biological efficacy. </em></p>
<p><strong><em>Results: </em></strong><em>Cholesterol levels in three groups were reduced. The BMI showed a general </em><em>average reduction. Total cholesterol levels were reduced in all groups, with the largest decrease in G3. Triglyceride levels were significantly reduced in two groups. Glycosylated hemoglobin showed a slight decrease that did not reach a statistically significant value.</em></p>
<p><strong><em>Conclusions: </em></strong><em>The digital health platform that stimulates physical activity added to an interventionist motivation in patients with overweight or obesity is a significant additional benefit in terms of weight loss results, BMI reduction, and lipid profile in patients affected by overweight or obesity, and a most effective cost.</em></p>
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