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43 Real time longitudinal monitoring of patient diet, exercise and weight loss has substantial positive effects on metabolic syndrome parameters
  1. N Colwell1,
  2. S Egan2,
  3. A Sheppard2,
  4. K Walsh3
  1. 1South Tipperary General Hospital, Tipperary, Ireland
  2. 2Redicare, Ireland
  3. 3Waterford University Hospital, Waterford, Ireland

Abstract

Background Intensive lifestyle change programs are utilised in cardiovascular disease prevention, but their efficacy is variable. Real-time monitoring of patients is feasible.

Purpose To evaluate the efficacy of real-time adherence monitoring of patient diet and exercise, in targeting metabolic syndrome parameters of bmi, blood pressure (bp) and total cholesterol (tc), in overweight/obese (owo) individuals.

Methods 28 owo (bmi >25 and <40) persons were enrolled. At entry, 16 had elevated bp (>140/90), 12 elevated tc (>5 mmol/l). Baseline resting metabolic rate (rmr) and bmi was calculated. Participants had a reduced daily calorie intake (~300–500 kcal below rmr) and increased daily exercise (103–12.53 steps). Phone app training tracked caloric intake, while a wireless weighing- scale and pedometer, enabled daily weight tracking and exercise adherence monitoring. Non-adherents received motivational emails, sms or phonecall. Participants were met weekly, face to face or via video-link. The primary aim was to assess the effects on weight loss. Secondarily, bp and tc were analysed.

Results Significant weight loss was achieved at weeks 4, 8 and 12 with an average weight reduction of 5.6%, 9.6% and 10.1% (p < 0.01 for each time point). In 16 hypertensive subjects, average systolic bp declined 17.1%, and diastolic bp was 14.7%. In the raised tc cohort, average tc reduced from 6.21 mmol/l to 4.97 mmol/l or 19.94%.

Conclusion Intense lifestyle and behavioural intervention, coupled with real-time remote monitoring of patients diet, exercise and weight has a substantial positive effect on metabolic syndrome parameters and may have a seminal role to play in cardiovascular disease prevention.

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