Multiprofessional intervention and telenursing in the treatment of obese people in the COVID-19 pandemic: a pragmatic clinical trial

Christinelli, Heloá Costa Borim; Westphal, Greice; Costa, Maria Antônia Ramos; Okawa, Rogério Toshiro Passos; Nardo, Nélson; Fernandes, Carlos Alexandre Molena

doi:10.1590/0034-7167-2021-0059

Cited by 6 publications

(9 citation statements)

References 32 publications

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“…The study by Luccas (2022), whose sample was composed of adults in the post-COVID-19 infection stage, with an average age of 49.1 years and characteristics of 48 hours of hospital discharge, found an average of 46.69 kg of LBM [15], a lower value than in the present study. The study conducted by Christinelli et al evaluated 118 obese adult individuals and presented an average of 47.65 kg of lean body mass [16], a value also lower than that of the present study.…”

Section: Discussioncontrasting

confidence: 79%

Body Composition and Level of Physical Activity in Post-COVID-19 Patients

Bila,

Silva,

Bicalho

et al. 2023

ACRI

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Introduction: The coronavirus disease 2019 (COVID-19) pandemic has created a public health crisis. Body composition is an important nutritional indicator, knowledge of which allows the subdivision of body weight into some components, mainly lean mass or fat-free mass and body fat mass of individuals. Aim: To evaluate lean mass and body fat in post-COVID-19 patients, correlating them with length of stay, pre-hospitalization and post-hospitalization and patients' level of physical activity, specifying relative segmental fat. Methodology: Observational, cross-sectional study, with quantitative analysis, with a convenience sample, approved by the Research Ethics Committee of the State University of Minas Gerais. Patients undergoing care/rehabilitation in the physiotherapy/outpatient sector at a Regional Rehabilitation Center, with a history of diagnosis of COVID-19, aged 20 years or over, of both sexes, were invited to participate in the research. Lean body mass (LBM) and body fat (BF) were obtained by evaluating horizontal tetrapolar electrical bioimpedance (BIA). Body fat segmentation was collected by measuring skinfold thickness. Physical activity level (PAL) was obtained using the International Physical Activity Questionnaire (IPAQ). The hospitalization history was obtained by filling out the registration form. Results: Data from 20 patients were analyzed. The average LBM found was 69.7% and 30.3% of BF. There was no correlation between sedentary lifestyle and LBM. 50% of patients had previous comorbidities and 50% had a mild form of COVID-19 infection. 10% required hospitalization and ventilator support. 85% were physically active or very active. There was a greater presence of body fat in the abdominal and suprailiac region. Conclusion: LBM proved to be superior to other studies carried out and no statistically significant correlation was found between LBM and history of hospitalization, time elapsed since illness and PAL. The regions with the greatest share of body fat were abdominal and suprailiac, important for inflammatory reasons and risk factors for various diseases, especially cardiovascular diseases.

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Section: Discussioncontrasting

confidence: 79%

Body Composition and Level of Physical Activity in Post-COVID-19 Patients

Bila,

Silva,

Bicalho

et al. 2023

ACRI

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“…On the positive side, the nurses participating in this research noted that telenursing was useful for effective and motivating follow-up and improve communication with patients. These benefits have also been pointed out by other authors who indicate that telenursing is not only useful in the clinical follow-up of patients with chronic pathology but could also be effective in improving lifestyle behaviours in chronic diseases, 23 , 24 , 25 including promoting self-efficacy and physical activity. 26 Alcazar et al, points out that telenursing can be a facilitator to foster a good, closer nurse–patient relationship.…”

Section: Discussionmentioning

confidence: 55%

Use of tele-nursing in primary care: A qualitative study on its negative and positive aspects

Navarro-Martínez,

Martinez-Millana,

Traver

2024

Atención Primaria

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“…75 Another RCT (n=47) evaluated the effects of a 16-week multi-professional remote intervention with a nurse compared to an in-person multi-professional intervention without a nurse on body composition parameters among obese adults in Brazil. 73 The remote intervention group had significant decreases in waist circumference (p<0.001) and blood glucose (p=0.014) compared to in-person care.…”

Section: Resultsmentioning

confidence: 91%

“…Of the 43 studies in LAC, half were cross-sectional descriptive studies (n=20); only three were randomized controlled trials (RCTs). 73–75 Remote care was applied across numerous conditions, including 11 studies on diabetes and 5 on hypertension. Remote care was predominantly offered in tertiary care settings (n=27; primary care: n=7) delivered during real-time synchronous encounters (n=35).…”

Section: Resultsmentioning

confidence: 99%

Disruption to diabetes and hypertension care during the COVID-19 pandemic in Latin America and the Caribbean and mitigation approaches: A Scoping Review

Ogungbe,

Jabakhanji,

Mehta

et al. 2024

Preprint

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Summary Background The COVID-19 pandemic disrupted care for non-communicable diseases globally. This study synthesizes evidence on disruptions to primary care, focusing on hypertension and diabetes care and mitigation approaches taken during the pandemic in Latin America and the Caribbean (LAC). Methods We conducted a scoping review, searching nine electronic databases for studies from January 2020 to December 2022 on COVID-19-related primary care disruptions and interventions, including studies on hospital-based interventions given their relevance to the pandemic response in LAC. We adapted the Primary Health Care Performance Initiative framework to develop our search strategy and synthesize data. For studies reporting interventions, we included studies conducted outside of LAC. Findings Of 33,510 references screened, 388 studies were included (259 reported disruptions in LAC, 61 interventions in LAC, 63 interventions outside LAC, and five interventions from countries within and outside LAC), with three-quarters presenting data from Brazil, Argentina, Mexico, and Peru; few studies focused on rural areas. Additionally, the few studies that adequately quantified care disruptions reported a reduction in hypertension and diabetes control during the pandemic (e.g., hypertension control rate decreased from 68% to 55% in Mexico). Frequently reported causes of disruption included burnout and mental health challenges among healthcare workers (with disproportionate effects by type of worker), reduced medication supplies, and reduced frequency of clinic visits by patients (e.g., due to financial constraints). The most reported interventions included remote care strategies (e.g., smartphone applications, virtual meeting platforms) and mental health programs for healthcare workers. Remote care strategies were deemed feasible for care delivery, triaging, and clinical support for non-physicians. Patients were generally satisfied with telemedicine, whereas providers had mixed perceptions. Robust evidence on the effectiveness of remote care strategies for diabetes and hypertension care was unavailable in LAC. Interpretation Hypertension and diabetes control appeared to worsen in LAC during the pandemic. Major reported causes of care disruptions were workforce issues, reduced medication supply, and changes in patient perceptions of seeking and receiving primary healthcare. Remote care strategies were feasible for various purposes and were well received by patients. However, the lack of data on intervention effectiveness underscores the importance of strengthening research capacity to generate robust evidence during future pandemics. Developing resilient healthcare systems able to provide care for hypertension and diabetes during future pandemics will depend on investment in the healthcare workforce, medical supply chain, health data and research infrastructure, and technology readiness.

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Multiprofessional intervention and telenursing in the treatment of obese people in the COVID-19 pandemic: a pragmatic clinical trial

Cited by 6 publications

References 32 publications

Body Composition and Level of Physical Activity in Post-COVID-19 Patients

Body Composition and Level of Physical Activity in Post-COVID-19 Patients

Use of tele-nursing in primary care: A qualitative study on its negative and positive aspects

Disruption to diabetes and hypertension care during the COVID-19 pandemic in Latin America and the Caribbean and mitigation approaches: A Scoping Review

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