Department of Diabetes and Metabolic Diseases, MEDIGREIF-Inselklinik Heringsdorf GmbH, Seeheilbad Heringsdorf, Germany.
J Telemed Telecare. 2010;16(7):368-73. doi: 10.1258/jtt.2010.091005. Epub 2010 Aug 2.
We conducted a pilot trial of electronic technology integrated into the treatment of children and adolescents who are overweight or obese. A total of 30 patients (mean age 14 years, mean BMI 32.7 kg/m(2)) were admitted to our hospital to participate in a structured treatment and teaching programme (STTP). To assess physical activity and eating habits, a mobile motion sensor board (MoSeBo) or a sensor for physical activity, integrated into a mobile phone with digital camera (DiaTrace) was used. Over an average period of four days of monitoring, the mean intensity (15.4 activity units) and duration of physical activity (267 min/d) were recorded with the mobile sensors. The mean time spent walking was 64 min/d, running 11 min/d, cycling 24 min/d and car driving 21 min/d. There were significant differences (P < 0.001) between self-reported physical activity and objective assessment: in general the duration of physical activity documented by children and adolescents was much higher than the objective assessment. Similarly, the real caloric intake was higher than the self-estimates (P = 0.085). A multivariate analysis showed that the following variables were significantly associated with weight reduction in the hospital STTP (R-squared = 0.59): high motivation, intrafamilial conflicts, duration of physical activity assessed with the MoSeBo/DiaTrace system, and the body fat mass at onset of therapy. All children and adolescents included in the trial completed it. Although the MoSeBo/DiaTrace system was used for a relatively short period in each patient, the high acceptance demonstrated that it could be integrated into therapy easily.
我们进行了一项电子技术整合到治疗超重或肥胖儿童和青少年的试点试验。共有 30 名患者（平均年龄 14 岁，平均 BMI 32.7kg/m²）被收入我院参加结构化治疗和教学计划（STTP）。为了评估身体活动和饮食习惯，使用了移动运动传感器板（MoSeBo）或集成到带数字摄像头的手机中的活动传感器（DiaTrace）。在平均四天的监测期间，移动传感器记录了平均强度（15.4 个活动单位）和身体活动持续时间（267 分钟/天）。平均步行时间为 64 分钟/天，跑步 11 分钟/天，骑自行车 24 分钟/天，开车 21 分钟/天。自我报告的身体活动与客观评估之间存在显著差异（P <0.001）：一般来说，儿童和青少年记录的身体活动持续时间远高于客观评估。同样，实际卡路里摄入量高于自我估计（P=0.085）。多元分析显示，以下变量与住院 STTP 体重减轻显著相关（R²=0.59）：高动机、家庭内冲突、使用 MoSeBo/DiaTrace 系统评估的身体活动持续时间以及治疗开始时的体脂肪量。试验中所有的儿童和青少年都完成了试验。尽管 MoSeBo/DiaTrace 系统在每个患者中使用的时间相对较短，但高接受度表明它可以很容易地整合到治疗中。
