Impact of Telemonitoring on Metabolic Variables in Severe Obesity

Istituto Auxologico Italiano200 enrolled

Overview

The goal of this clinical trial is to compare, in a population of severely obese patients, two different kinds of follow-up after discharge from in-hospital rehabilitation programme. The main questions addressed are: * primary outcome: comparing the dropout rate at month 11 of patients followed-up by a telemedicine methodology with that of a traditional outpatient visit follow-up. * secondary outcome: comparing the amount of weight loss at month 11 in patients followed-up by telemedicine with that registered in patients followed-up by traditional outpatient visits. Participants are given a set of instruments (scale, activity tracker, automatic blood pressure monitor, oxymeter, and glucometer) and asked to measure vital parameters following a predetermined schedule for one year. Subjects are asked to engage in regular physical activity and follow the nutritional guidelines received at the moment of discharge from hospital.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

200

Conditions

Severe Obesity

Interventions

Monitoring of the required parameters by means of the data provided by the devices used by patients. The data (weight, body composition, blood pressure, oxygen saturation, physical activity, heart rate and blood glucose) collected according to the predetermined schedule are then saved in a cloud accessible to researchers.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * BMI 38-60 kg/m2, * age between 18 and 65 years, * patient residing in Piedmont, Lombardy * Recent admission to San Giuseppe Hospital in Piancavallo for a period of residential rehabilitation. * Patient with wi-fi and/or mobile data connection at home. Exclusion Criteria: * illiteracy * inability to engage in physical activity * psychiatric illnesses capable of impairing the proper use of the devices provided by telemonitoring * cognitive impairment, mental retardation * predictability of long periods of stay abroad * anticipation or planning of pregnancy during the year following discharge * legal protection

Outcomes

Primary Outcomes

+ dropout rate at month 11 of patients followed-up by a telemedicine methodology with that of a traditional outpatient visit follow-up.

Percentage of patients still in care at month 11 after discharge in each of the two subgroups.

Time frame: 12 months

Secondary Outcomes

amount of weight loss at month 11 in patients followed-up by telemedicine with that registered in patients followed-up by traditional outpatient visits.

Percentage of patients with weight loss of at least 5% and percentage of patients with weight loss between 0% and 5% at month 11 in each of the two subgroups.