Telehealth and Nutrition Support During the COVID-19 Pandemic

Mehta, Pooja; Stahl, Marisa G.; Germone, Monique; Nagle, Sadie; Guigli, Rebecca; Thomas, Jacob; Shull, Mary; Liu, Edwin

doi:10.1159/000519959

Cited by 12 publications

(17 citation statements)

References 31 publications

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“…Online education programmes could provide ongoing support for lifestyle changes during the pandemic. Evidence supporting the efficacy of a telemedicine-based intervention in promoting diet changes during non-pandemic situations was reported previously [ 13 ]. Therefore, this study aimed to assess the feasibility of an online diabetes wellness programme on lifestyle changes during the COVID-19 pandemic among T2DM patients with periodontitis.…”

Section: Introductionsupporting

confidence: 57%

Exploring the Feasibility of an Online Diabetes Wellness Programme among Periodontitis Patients with Type II Diabetes Mellitus during the COVID-19 Pandemic

et al. 2022

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There were massive interruptions, including patient visits for dietary advice and dental services, during the COVID-19 outbreak. This study assessed the feasibility of an online diabetes wellness programme among periodontitis patients with type II diabetes mellitus. Patients were grouped into the intervention group (IG) and control group (CG). At baseline and week 12, all patients answered online questionnaires on diabetes-related knowledge, physical activity, and oral impacts on daily performances (OIDP). Body weight and waist circumference were self-measured with guided instructions. Diet recalls were used to estimate dietary and added sugar intake. All patients received a weekly educational video, but the IG attended three e-consultation sessions with a dietitian (weeks 1, 3, and 8) and a dentist (week 8) via video call. A semi-structured interview was conducted to collate qualitative feedback among the IG participants at the end of the programme. A total of 24 periodontitis patients (14 IG and 10 CG) participated in this study. Among the IG patients, significant improvements in diabetes knowledge, body weight, BMI, calories, carbohydrates, fat, and added sugar intakes were observed at week 12. The CG patients only had a significant reduction in carbohydrate intake post intervention. No changes were reported in physical activity level and OIDP for both groups. Feedback received from the IG participants included convenience, practical, preferred approach during the pandemic, increased awareness and knowledge, and favourable lifestyle changes. This study demonstrates that an online diabetes wellness programme with healthcare professionals is feasible and can facilitate knowledge and lifestyle improvements that can be adapted during the crisis situation.

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Section: Introductionsupporting

confidence: 57%

Exploring the Feasibility of an Online Diabetes Wellness Programme among Periodontitis Patients with Type II Diabetes Mellitus during the COVID-19 Pandemic

et al. 2022

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“…Existem diferentes modos de aplicação da telenutrição no cuidado em saúde, como a transição dos atendimentos ambulatoriais de forma presencial em visitas virtuais efetuadas por nutricionistas, na qual possibilita o alcance de informações íntegras do paciente, bem como a possibilidade de observar melhor o espaço doméstico e os seus hábitos alimentares, contribuindo para uma melhor intervenção. Outra forma de aplicação, são as intervenções em grupo, onde a atenção é voltada para o próprio paciente por meio de uma equipe multidisciplinar de diferentes profissões ou é realizado encontros on-line com diferentes pacientes e um profissional, com a finalidade de desenvolver ambientes de educação em saúde (Mehta et al, 2020;Peregrin, 2019).…”

Section: Resultsunclassified

Percepções sobre o atendimento nutricional on-line: uma revisão

Araújo

Lemos

Maciel

et al. 2022

RSD

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Perante a realidade estabelecida pela pandemia da COVID-19, foi outorgado o atendimento nutricional on-line pelo CFN para prestar apoio nutricional. Dessa forma, este estudo teve como objetivo apontar percepções a respeito da teleconsulta de nutrição, discorrendo sobre a avaliação, o diagnóstico nutricional, os desafios e vantagens deste método de atendimento. Refere-se a uma pesquisa de revisão da literatura científica, na qual foi elaborada por meio de um levantamento bibliográfico em bases de dados, sendo incluídos 8 artigos científicos após a aplicação dos critérios de exclusão. Diante dos relatos dos nutricionistas, a antropometria, o contato com o paciente e as dificuldades técnicas são os pontos mais prejudicados no teleatendimento. E ainda, problemas com o acesso à internet em algumas regiões, câmera incompatível, falta de entendimento da tecnologia, anseios com relação à segurança ou preferência pelo acompanhamento nutricional de modo presencial, foram limitações apresentadas pelos pacientes. Apesar disso, os profissionais indicaram ter satisfação quanto ao método de atendimento, relatando ter sido uma excelente escolha durante a pandemia, e que deve permanecer como forma complementar aos atendimentos presenciais.

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“…Overall, this study suggests that pediatric patients with CD, along with their families, appear to be moderately affected by the COVID-19 pandemic with regards to diet and patient care. The pandemic and especially its effects on the everyday life of children has been identified as a potential risk factor for unhealthy dietary patterns [ 10 , 11 , 15 ] (unpublished quantitative data from the COLC study: ClinicalTrials.gov Identifier: NCT04411511). Therefore, a main focus of this study was on the management of the GFD and general dietary habits during and prior to the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…Among other societies, the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition advised the postponing of medical care of patients with CD when possible, noting that this could lead to anxiety or other adverse outcomes in patients [ 12 ]. Consequentially, telehealth options were made available on a larger scale, which appears to be a potentially positive option for this patient population [ 13 , 14 , 15 ]. Apart from expert opinions, there is limited empirical data available on the impact of the pandemic and its protective measures on children with underlying diseases and specific dietary restrictions.…”

Section: Introductionmentioning

confidence: 99%

Celiac Disease and the Gluten Free Diet during the COVID-19 Pandemic: Experiences of Children and Parents

et al. 2023

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The COVID-19 pandemic perturbed the everyday life of children and those with chronic illnesses, along with the lives of their families. Patients with celiac disease (CD) follow a strict gluten-free diet (GFD), and gluten ingestion is associated with negative health outcomes. The aim of this study was to investigate the experiences of children with CD and their families concerning their GFD, symptoms and CD management during the first period of the COVID-19 pandemic. A cross-sectional questionnaire-based study was performed including 37 Dutch pediatric patients with CD, along with their parents. The majority reported good compliance to the GFD and stated that the diet was easier to follow during the pandemic, mainly due to eating more meals in the home. Some discovered a greater variety of GF products by utilizing online shopping, potentially increasing the financial burden of the GFD. Concerning general dietary habits, 21.6% reported a healthier eating pattern, in contrast to 37.8% and 10.8% who consumed more unhealthy snacks and fewer fruits and vegetables, respectively, than normal during the pandemic. The natural experiment of the COVID-19 pandemic provides valuable information regarding the management of pediatric CD. Education on healthy dietary patterns is important, especially for children with restrictive diets, and the findings of this study show that there is room for improvement in this respect, regardless of the current pandemic.

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Telehealth and Nutrition Support During the COVID-19 Pandemic

Cited by 12 publications

References 31 publications

Exploring the Feasibility of an Online Diabetes Wellness Programme among Periodontitis Patients with Type II Diabetes Mellitus during the COVID-19 Pandemic

Exploring the Feasibility of an Online Diabetes Wellness Programme among Periodontitis Patients with Type II Diabetes Mellitus during the COVID-19 Pandemic

Percepções sobre o atendimento nutricional on-line: uma revisão

Celiac Disease and the Gluten Free Diet during the COVID-19 Pandemic: Experiences of Children and Parents

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