My SciELO
Services on Demand
Journal
Article
Indicators
Cited by SciELO
Access statistics
Related links
Cited by Google
Similars in SciELO
Similars in Google
Share
Revista Clínica de Medicina de Familia
On-line version ISSN 2386-8201Print version ISSN 1699-695X
Abstract
CALLEJAS-GIL, Inmaculada et al. Application of new technologies in primary care to monitor overweight or obese patients with cardiovascular risk factors. Rev Clin Med Fam [online]. 2023, vol.16, n.3, pp.260-266. Epub Mar 04, 2024. ISSN 2386-8201. https://dx.doi.org/10.55783/rcmf.160304.
The aim was to evaluate remote assistance (Web or App) for overweight/obese patients with two extra cardiovascular risk factors: hypertension, dyslipidemia, diabetes, smoking, sedentary lifestyle. Design: intervention study using random assignment for Web Group and App Group. The App Group was subsequently selected. Location: urban and rural health centres, teaching and non-teaching centres, in the Zaragoza I health area. Subjects: 261 people with BMI> 25 Kg/m2 and two extra cardiovascular risk factors. Interventions: 18 months follow up, initial checkups and after 1, 6, 12 and 18 months. The primary endpoints were: weight, blood pressure, tobacco consumption, cardiovascular events, quality of life and blood tests. Results: The control group completed the study in a higher proportion (79% vs 14%). The control and intervention groups attained a loss of 8% in and 5% median weight per year, respectively. After 6 months, the control group managed to reduce systolic and diastolic blood pressure by 7% and 5%, respectively. Glycosidic haemoglobin was 1% and 0.5% lower in the control and intervention groups, respectively (Wilcoxon Test=10; P=0.089). Both groups reduced tobacco consumption (Wilcoxon=21; P=0.03). The control group had a higher prevalence of cardiovascular events. Quality of life improved (Wilcoxon Test=979; P=0.041). Conclusion: Patients visiting health centres to monitor weight obtain better results than those remotely assisted.
Keywords : Cardiovascular Risk Factors; CIT; Ehealth; Obesity; Overweight.