Effects of Telephone Aftercare Intervention for Obese Hispanic Children on Body Fat Percentage, Physical Fitness, and Blood Lipid Profiles

Abstract

We investigated effects of 10-month telephone aftercare intervention following primary obesity intervention on changes in body fat percentage, physical fitness, and lipid profiles in obese Hispanic children. Seventy-one obese children were randomly assigned to (1) primary intervention and 10-month telephone aftercare intervention (PITI; N = 26), (2) primary intervention only (PI; n = 25), and (3) control (CON; N = 20). Anthropometric data, physical fitness, and blood samples were obtained before (PRE) and after (POST) eight-week primary intervention, and 10-month telephone aftercare intervention (1YEAR). Eight weeks of primary intervention significantly reduced body fat percentage, total cholesterol, triglycerides, and low-density lipoprotein (LDL-C) with increases in VO2max, flexibility, muscular strength, and HDL-C (PITI and PI, p < 0.05). 1YEAR measurements returned to baseline for the PI whereas those measurements in PITI remained significantly different when compared to PRE (p < 0.05). CON observed negative changes in all variables at POST, which were improved slightly during the subsequent school year. Levels of cholesterol, triglycerides, and LDL-C are correlated to changes in body fat percentage, suggesting that fat loss is effective in preventing and managing obesity-related disorders. Results indicate that telephone intervention is an effective aftercare in stabilizing positive changes obtained from a short-term intensive intervention.

Impact of telehealth on the current and future practice of lipidology: a scoping review

“… 46 2019 RCT 118 DM 1 year Telephone HbA1c, BP, tobacco cessation, statin therapy, aspirin therapy, physical activity, exercise, LDL-C, medication adherence, BMI, diet Significantly greater medication use and diabetes care practices in telehealth group. Garza et al 36 2019 Pre-post 71 Obesity 1 year Telephone Body fat percentage, TC, TG, LDL-C, HDL-C, physical fitness 10-month aftercare telehealth intervention helped patients maintain significant reductions in LDL-C, TC, TGs, and increase in HDL-C. Gulayin et al 57 2019 RCT 357 HLD, CVD, DM 1 year Telephone, mobile application LDL-C, Framingham CVD risk score, statin therapy, mean annual primary care visits No difference in LDL-C between groups, but 41.5% higher rate of participants receiving appropriate statin dose in telehealth group. Maresca et al 50 2019 Pre-post 22 Mental health 1 year Telecounseling, telemonitoring BP, blood glucose levels, TC, TG, BMI, mental health Significant improvements in lipids and BMI that correlated with mental health in telehealth group.…”

Effect of using electronic medication monitors on tuberculosis treatment outcomes in China: a longitudinal ecological study

“…Our findings are consistent with other EMM studies that provided real-time data. In rural Morocco, EMM (that provide a real-time data) increased treatment success and decreased the lost to follow-up among people with new smear positive pulmonary TB when compared to SAT alone [ 20 ]. Another study in South Africa, using SIMpill system (real-time data communicated with a web-based application by SMS every time the patient opens the bottle), also found that TB cure rates improved compared with the control group.…”

Technology-Based Obesity Prevention Interventions Among Hispanic Adolescents in the United States: Scoping Review

“…Discrepancies were discussed between the 2 reviewers and a third party, when necessary, until a consensus was reached. The presence of available information across extraction categories is presented in Multimedia Appendix 2 [36][37][38][39][40][41][42].…”

“…Finally, a few (n=3, 42%) studies reported retention rates above 80%, with a few (n=2, 29%) studies reporting retention rates below 80%, including Bowen-Jallow et al [41] (54.2%) and Patrick et al [36] (63%). Although the focus of a scoping review is not on study outcomes, it is worth noting that studies that reported significant improvements to anthropometric or cardiometabolic outcomes used a hybrid approach of in-person and remote technology strategies and reported high acceptability and retention (≥80%) [38,40,42]. Although it is not clear what the most effective behavior change techniques are for Hispanic youths given the broad range of techniques used, all studies reported the use of 1 or more behavior change technique, which is a noteworthy strength [43,44].…”