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The Investigation on Effect of Tele-Care Combined Dietary Reminds in Overweight Cases

  • Y. -P. Chen
  • C. -K. Liu
  • C. -H. Chen
  • T. -F. Huang
  • S. -T. Tu
  • M. -C. Hsieh
Conference paper
Part of the Lecture Notes in Electrical Engineering book series (LNEE, volume 269)

Abstract

We evaluated the effect of tele-care combined with dietary education on overweight and obese subjects. Cases with body mass index (BMI) greater than 24 kg/m2 were enrolled in our 8-week tele-care program, which consisted of clinic visits with physician and dietician upon enrollment and at the end of the study, and dietary education delivered via video conferencing. Real-time interaction between subjects and care providers was made possible through tele-communication and transmission of measurement data. Statistical analysis was performed using one-way variation test. After 8 weeks of participation in the tele-care program, the subjects achieved significant reductions in body weight, waist circumference, and BMI of 6.45 kg, 4.21 cm, and 2.35 kg/m2 (p < 0.05), respectively. Serum cholesterol, triglyceride, systolic blood pressure, and diastolic blood pressure also significantly decreased by 22 mg/dl, 33 mg/dl, 8.52 mmHg, and 13.25 mmHg, respectively (p < 0.05). At the end of the study, all subjects became more knowledgeable on the proper selection of food with low fat, adequate fiber and low sugar content. Therefore, by promoting healthy behavior and increasing health knowledge, tele-health management is effective for weight reduction as well as control of blood pressure and lipids in overweight and obese subjects.

Keywords

Tele-care Overweight 

References

  1. 1.
    Davis RM et al (2010) Telehealth improves diabetes self-management in an underserved community: diabetes telecare. Diabetes Care 33(8):1712–1717CrossRefGoogle Scholar
  2. 2.
    Verberk WJ, Kessels AG, Thien T (2011) Telecare is a valuable tool for hypertension management, a systematic review and meta-analysis. Blood Press Monit 16(3):149–155CrossRefGoogle Scholar
  3. 3.
    Chuang SY, Lee SC, Hsieh YT, Pan WH (2011) Trends in hyperuricema and gout prevalence: nutrition and health survey in Taiwan from 1993–1996 to 2005–2008. Asia Pac J Clin Nutr 20(2):301–308Google Scholar
  4. 4.
    Chang CP, Lee TT, Mills ME (2013) Abdominal obesity and chronic stress interact to predict blunted cardiovascular reactivity.Ann Epidemiol 31(1):29–35Google Scholar
  5. 5.
    Maskarinec G, Grandinetti A, Matsuura G et al (2009) Diabetes prevalence and body mass index differ by ethnicity: the multiethnic cohort. Ethn Dis 19(1):49–55Google Scholar
  6. 6.
    Okosun IS, Liao Y, Rotimi CN et al (2000) Abdominal adiposity and clustering of multiple metabolic syndrome in White, Black and Hispanic americans. 10(5):263–70Google Scholar
  7. 7.
    Prevalence of metabolic syndrome among adults 20 years of age and over, by sex, age, race and ethnicity, and body mass index: United States, 2003–2006. Natl Health Stat Report. 2009 May 5(13):1–7Google Scholar
  8. 8.
    Dansinger ML, Gleason JA, Griffith JL, Selker HP, Schaefer EJ (2005) Comparison of the Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction: a randomized trial. JAMA 293(1):43–53Google Scholar
  9. 9.
    Spieth LE, Harnish JD, Lenders CM (2000) A low glycemic index diet in the treatment of pediatric obesity. Arch Pediatr Adolesc Med 154:947–951Google Scholar
  10. 10.
    Pérez-Guisado J et al (2008) Spanish Ketogenic Mediterranean diet: a healthy cardiovascular diet for weight loss. Nutr J 7:30Google Scholar
  11. 11.
    Sherwood NE et al (2010) The drop it at last study: six-month results of a phone-based weight loss trial. Am J Health 24(6):378–83. doi:  10.4278/ajhp.080826-QUAN-161
  12. 12.
    Luley C, Blaik A, Reschke K et al (2011) Weight loss in obese patients with type 2 diabetes: effects of telemonitoring plus a diet combination-the active body control (ABC)Program. Diab Res Clin Pract 91(3):286–92Google Scholar
  13. 13.
    Pronk NP, Crain AL, Vanwormer JJ et al (2011) Are Asians at greater mortality risks for being overweight than Caucasians? Redefining obesity for Asians. Int J Telemed Appl 2011:909248. doi:  10.1155/2011/909248. Epub 15 Jun 2011
  14. 14.
    Stunkard AJ, McLaren-Hume M (1959) The results of treatment for obesity. Arch Int Med 103:79–85CrossRefGoogle Scholar
  15. 15.
    Kassirer J, Angell M (1998) Losing weight—an ill-fated new year’s resolution. N Engl J Med 338:52–54CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2014

Authors and Affiliations

  • Y. -P. Chen
    • 1
  • C. -K. Liu
    • 1
  • C. -H. Chen
    • 1
  • T. -F. Huang
    • 1
  • S. -T. Tu
    • 2
  • M. -C. Hsieh
    • 2
  1. 1.Long-Distance Health Management CenterChanghua Christian HospitalChanghuaTaiwan R.O.C
  2. 2.Division of Endocrinology and Metabolism Department of Internal MedicineChanghua Christian HospitalChanghuaTaiwan R.O.C

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