Madrona Marcos Fátima M ª, Panisello Royo Josefa M ª, Carbayo Herencia Julio A, Alins Josep, Tárraga Marcos Loreto, Castell Panisello Eudald, Tárraga López Pedro J
SESCAM.
FUFOSA.
Nutr Hosp. 2020 Apr 16;37(2):275-284. doi: 10.20960/nh.02601.
Objective: to evaluate the effectiveness of the obesity intervention with three different approaches, one of them with a platform that promotes physical activity. Material and method: randomized, controlled, parallel clinical trial that compared 3 arms, multicenter study in overweight or obese patients with a follow-up of 12 months. The patients were randomized into three groups: Intervention in the primary care center with G1 intervention: Control group, which received the usual recommendations to lose weight following the SEEDO 2000 Consensus. G2: Motivational intervention of obesity (IMOAP) with trained nurse and small periodic work groups. G3: Motivational intervention of obesity (IMOAP) adding the use of a digital platform that allows physical activity to be recorded, monitored and at the same time favors the practice of this (iwopi). Variables were collected: weight, height, BMI, circumference of the waist, lipid parameters, blood pressure, glycosylated hemoglobin. Results: 185 patients were initially included in the study. Seventeen patients left the study. Thus, 168 patients completed the study: 47 in G1, 61 in G2 and 60 in G3. Of the population studied, 57.1% were women. observing a general average weight reduction at the end of the study of 4.37 kg, being 5.34 kg in the group 2.6.29 kg in the group 3 and 1.25 kg in the control group (G1). It was also observed that cholesterol levels in three groups were reduced. at did not reach a statistically significant value. The clinically relevant parameters were: group 1 (control) versus group 2 (IMOAP): relative risk (RR), 0.10 to 0.46; relative risk reduction (RRR), 0.54 to 0.90; absolute risk reduction (ARR), from 0.30 to 0.61; number needed to treat (NNT), 3 to 2. Group 1 versus group 3 (IMOAP-PA): RR, 0.07 to 0.30; RRR, 0.70 to 0.93; ARR, 0.61 to 0.86; NNT: 2 to 1. Group 2 versus group 3: RR, 0.54 to 0.84; RRR, 0.16 to 0.46; ARR, 0.14 to 0.43; NNT, 7 to 2. Conclusions: The digital health platform that stimulates physical activity added to an interventionist motivation in overweight or obese patients is a significant additional benefit in terms of weight loss results, reduction of BMI and lipid profile in patients affected by overweight or obesity and a more effective cost.
评估三种不同方法进行肥胖干预的效果，其中一种方法使用了促进身体活动的平台。材料与方法：随机、对照、平行临床试验，比较3组，对超重或肥胖患者进行多中心研究，随访12个月。患者被随机分为三组：在初级保健中心进行干预，G1干预组：对照组，按照SEEDO 2000共识接受常规减肥建议。G2：由经过培训的护士和小型定期工作组进行的肥胖动机干预（IMOAP）。G3：肥胖动机干预（IMOAP），增加使用一个数字平台，该平台可记录、监测身体活动，同时有利于身体活动的开展（iwopi）。收集的变量包括：体重、身高、体重指数、腰围、血脂参数、血压、糖化血红蛋白。结果：185名患者最初纳入研究。17名患者退出研究。因此，168名患者完成研究：G1组47名，G2组61名，G3组60名。在研究人群中，57.1%为女性。研究结束时观察到总体平均体重减轻4.37kg，G2组为5.34kg，G3组为2.629kg，对照组（G1）为1.25kg。还观察到三组的胆固醇水平均有所降低，但未达到统计学显著值。临床相关参数为：G1组（对照组）与G2组（IMOAP）：相对危险度（RR），0.10至－0.46；相对危险度降低（RRR），0.54至－0.90；绝对危险度降低（ARR），0.30至－0.61；需治疗人数（NNT），3至2。G1组与G3组（IMOAP－PA）：RR，0.07至－0.30；RRR，0.70至－0.93；ARR，0.61至－0.86；NNT：2至1。G2组与G3组：RR，0.54至－0.84；RRR，0.16至－0.46；ARR，0.14至－0.43；NNT，7至2。结论：对于超重或肥胖患者，在干预性动机基础上增加刺激身体活动的数字健康平台，在减重效果、降低体重指数和改善超重或肥胖患者的血脂谱方面具有显著的额外益处，且成本效益更高。 （注：原文中部分RR、RRR、ARR等数据可能存在表述有误情况，翻译时按原文呈现。）
