Effectiveness of Smartphone App for the Treatment of Pediatric Obesity: A Randomized Controlled Trial.

IF 2 4区医学 Q2 PEDIATRICS Children-Basel Pub Date : 2024-09-27 DOI:10.3390/children11101178

Giuseppina Rosaria Umano, Mariapia Masino, Grazia Cirillo, Giulia Rondinelli, Francesca Massa, Giuseppe Salvatore R C Mangoni di Santo Stefano, Anna Di Sessa, Pierluigi Marzuillo, Emanuele Miraglia Del Giudice, Pietro Buono

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Abstract

Background: Pediatric obesity treatment is based on high-intensity lifestyle counseling. However, high dropout rates and low effectiveness have been reported, even in specialized centers. Mobile health technologies have been used to overcome these limits with contrasting results. This study aims at evaluating the effectiveness of a six-month intervention with a mobile app for the treatment of pediatric obesity at 6 and 12 months of follow-up.

Methods: Seventy-five patients were randomly assigned to standard care or standard care plus mobile app (2:1) using an online randomizer system. The mobile app delivered high-intensity lifestyle counseling for diet and physical activity.

Results: At six months of follow-up, the M-App group showed significantly lower dropout rates compared to standard care (p = 0.01). The risk of dropout was significantly higher in controls compared to the intervention group (OR 3.86, 95% C.I. 1.39-10.42, p = 0.01). After one year, we observed lower albeit non-statistically significant dropout rates in the M-App compared to the standard care group (p = 0.24). No differences were observed in z-score BMI and percentage of BMI reduction between the two groups.

Conclusions: Our findings suggest that the mobile app might help in the clinical management of children and adolescents with obesity in terms of dropout reduction.

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智能手机应用程序治疗小儿肥胖症的效果：随机对照试验

背景：小儿肥胖症的治疗以高强度的生活方式咨询为基础。然而，即使在专业中心，也有辍学率高、效果低的报道。移动医疗技术被用来克服这些限制，但结果却截然不同。本研究旨在评估使用移动应用程序对小儿肥胖症进行为期 6 个月的干预治疗在 6 个月和 12 个月随访期间的效果：通过在线随机分配系统，75 名患者被随机分配到标准护理或标准护理加手机应用（2:1）。移动应用程序提供高强度的饮食和体育锻炼生活方式咨询：在六个月的随访中，M-App 组的辍学率明显低于标准护理组（p = 0.01）。与干预组相比，对照组的辍学风险明显更高（OR 3.86，95% C.I.1.39-10.42，p = 0.01）。一年后，我们观察到 M-App 组的辍学率低于标准护理组，但无统计学意义（p = 0.24）。两组的 Z 值 BMI 和 BMI 下降百分比没有差异：我们的研究结果表明，手机应用可能有助于肥胖儿童和青少年的临床管理，从而减少辍学率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Children-Basel PEDIATRICS-

CiteScore

2.70

自引率

16.70%

发文量

1735

审稿时长

6 weeks

期刊介绍： Children is an international, open access journal dedicated to a streamlined, yet scientifically rigorous, dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication focuses on sharing clinical, epidemiological and translational science relevant to children’s health. Moreover, the primary goals of the publication are to highlight under‑represented pediatric disciplines, to emphasize interdisciplinary research and to disseminate advances in knowledge in global child health. In addition to original research, the journal publishes expert editorials and commentaries, clinical case reports, and insightful communications reflecting the latest developments in pediatric medicine. By publishing meritorious articles as soon as the editorial review process is completed, rather than at predefined intervals, Children also permits rapid open access sharing of new information, allowing us to reach the broadest audience in the most expedient fashion.