Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Investigating the Weight Loss Success of Clients Participated in Different Telenutrition Intervention Groups: A Cross-Sectional Design
Farklı Telebesleme Müdahaleleri Uygulanan Danışanlarda Ağırlık Kaybı Başarısının İncelenmesi: Kesitsel Bir Tasarım
Ezgi MISIRLIa, İrem KAYA CEBİOĞLUb
aDepartment of Nutrition and Dietetics, Yeditepe University Institute of Health Sciences, İstanbul, Türkiye
bDepartment of Nutrition and Dietetics, Yeditepe University Faculty of Health Sciences, İstanbul, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(3):670-7
doi: 10.5336/healthsci.2021-87525
Article Language: EN
Full Text
ABSTRACT
 Objective: Technology-based remote communication offers unique opportunities regarding healthcare, and telenutrition provides ambulatory nutrition care equal to or even superior to in-person care. This study aimed to explore the effectiveness of different methods used in the telenutrition system in weight loss targeted processes. Material and Methods: Three different intervention methods were examined: interaction group (n=34), monitoring group (n=34), and mail group (n=34). Hundred and two women clients with a body mass index between 18.5 and 25 kg/m2 were monitored for 8 weeks. Each participant conveyed the weekly weight measurements result before eating in the morning. The data were evaluated by SPSS 25.0 software, and the results were considered statistically significant for p<0.05. Results: The highest mean weight loss was observed among participants in the interaction group, and they experienced significantly higher weight loss than those in the mail group. The body mass index changes were more significant among clients in the interaction group with a mean of 2.2±0.4 kg/m2, followed by the monitoring group; 1.9±0.4 kg/m2, and the lowest change was observed in the mail group; 0.9±0.7 kg/m2. Additionally, participants in the interaction group experienced the highest body mass index decrease compared to the monitoring and mail groups (p<0.001). Conclusion: In conclusion, it should be indicated that increased interaction between client and dietitian and within clients may increase the weight loss success. More comprehensive studies evaluating telenutrition counseling with follow-ups and group interventions are required to investigate the exact effects of virtual counseling on weight loss management with a large population.

Keywords: Telemedicine; weight loss; obesity; internet-based intervention
ÖZET
 Amaç: Teknolojiye dayalı uzaktan iletişim, sağlık hizmetleri açısından benzersiz fırsatlar sunar ve telebeslenme yüz yüze bakıma eşit, hatta ondan daha üstün bir şekilde uzaktan beslenme bakımı sunmaktadır. Bu çalışma, telebeslenme sisteminde kullanılan farklı yöntemlerin ağırlık kaybına yönelik beslenme bakım süreçlerindeki etkinliğini araştırmayı amaçlamıştır. Gereç ve Yöntemler: Çalışmada etkileşim grubu (n=34), izlem grubu (n=34) ve mail grubu (n=34) olmak üzere 3 farklı müdahale yöntemi incelenmiştir. Çalışmada, beden kitle indeksi 18,5 ile 25 kg/m2 arasında olan toplamda 102 kadın danışan 8 hafta boyunca izlenmiştir. Tüm katılımcılar, sabah yemekten önce haftalık vücut ağırlığı ölçüm sonucunu iletmiştir. Veriler SPSS 25.0 istatistik programı ile değerlendirilmiş ve sonuçlar p<0,05 için istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: En yüksek ortalama ağırlık kaybı etkileşim grubundaki bireylerde gözlenmiş olup, mail grubuna kıyasla önemli ölçüde daha fazla ağırlık kaybı yaşamışlardır. Beden kitle indeksi değişiklikleri, ortalama 2,2±0,4 kg/m2 ile en fazla etkileşim grubunda olup daha sonra 1,9±0,4 kg/m2 ile izlem grubunda ve en düşük değişiklik 0,9±0,7 kg/m2 ile mail grubunda gözlenmiştir. Ayrıca izlem ve mail gruplarına göre en yüksek beden kitle indeksi düşüşünün etkileşim grubunda olduğu gözlenmiştir (p<0,001). Sonuç: Sonuç olarak danışan ile diyetisyen arasındaki ve danışanlar arası etkileşimin artması ağırlık kaybı sürecinin başarısını artırabilir. Çevrim içi danışmanlığın geniş bir popülasyonda ağırlık kaybı yönetimi üzerindeki kesin etkilerini araştırmak için izlem ve grup müdahaleleri yapılacak daha kapsamlı çalışmalara ihtiyaç vardır.

Anahtar Kelimeler: Teletıp; ağırlık kaybı; obezite; internet tabanlı müdahale
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