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

摘要

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/m~2 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 oneway 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/m~2 (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.