Long-term results of a digital treatment tool as an add-on to pediatric obesity lifestyle treatment: a 3-year pragmatic clinical trial.

IF 4.2 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

International Journal of Obesity Pub Date : 2025-03-12 DOI:10.1038/s41366-025-01738-0

Emilia Hagman, Louise Lindberg, Resthie R Putri, Andreas Drangel, Claude Marcus, Pernilla Danielsson

{"title":"Long-term results of a digital treatment tool as an add-on to pediatric obesity lifestyle treatment: a 3-year pragmatic clinical trial.","authors":"Emilia Hagman, Louise Lindberg, Resthie R Putri, Andreas Drangel, Claude Marcus, Pernilla Danielsson","doi":"10.1038/s41366-025-01738-0","DOIUrl":null,"url":null,"abstract":"Background: The integration of mobile health technology with physical visits shows promising one-year treatment outcomes, but long-term evidence is lacking.Objectives: To assess three-year treatment outcomes for patients utilizing the digital treatment tool Evira in combination with physical visits, compared with standard obesity care.Methods: In a pragmatic trial, children with obesity aged 4.0-17.9 years receiving digi-physical treatment with Evira (n = 107) were compared with a group receiving standard treatment (n = 321). Evira comprises a digitless body scale for home-weighing, a mobile application, and a web-based clinic interface, enabling easy family-clinic communication and continuous visual treatment feedback.Results: At the three-year follow-up, the adjusted average change in body mass index Z-score was -0.29 [95% confidence interval: -0.40, -0.18] units in the digi-physical treatment group vs. -0.12 [-0.21, -0.03] in the standard treatment group, p = 0.02, and 31.8% vs. 18.7% obtained obesity remission respectively, p = 0.0046.Conclusion: Over a three-year period, the digi-physical treatment generated superior treatment effect and higher obesity remission rate than standard treatment.","PeriodicalId":14183,"journal":{"name":"International Journal of Obesity","volume":" ","pages":""},"PeriodicalIF":4.2000,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Obesity","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1038/s41366-025-01738-0","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}

引用次数: 0

Abstract

Background: The integration of mobile health technology with physical visits shows promising one-year treatment outcomes, but long-term evidence is lacking.

Objectives: To assess three-year treatment outcomes for patients utilizing the digital treatment tool Evira in combination with physical visits, compared with standard obesity care.

Methods: In a pragmatic trial, children with obesity aged 4.0-17.9 years receiving digi-physical treatment with Evira (n = 107) were compared with a group receiving standard treatment (n = 321). Evira comprises a digitless body scale for home-weighing, a mobile application, and a web-based clinic interface, enabling easy family-clinic communication and continuous visual treatment feedback.

Results: At the three-year follow-up, the adjusted average change in body mass index Z-score was -0.29 [95% confidence interval: -0.40, -0.18] units in the digi-physical treatment group vs. -0.12 [-0.21, -0.03] in the standard treatment group, p = 0.02, and 31.8% vs. 18.7% obtained obesity remission respectively, p = 0.0046.

Conclusion: Over a three-year period, the digi-physical treatment generated superior treatment effect and higher obesity remission rate than standard treatment.

查看原文本刊更多论文

数字治疗工具作为儿童肥胖生活方式治疗的补充的长期结果：一项为期3年的实用临床试验

背景：移动医疗技术与上门就诊的整合显示出有希望的一年治疗结果，但缺乏长期证据。目的：与标准肥胖治疗相比，评估使用数字治疗工具Evira结合物理就诊的患者的三年治疗结果。方法：在一项实用试验中，接受Evira数字物理治疗的4.0-17.9岁肥胖儿童（n = 107）与接受标准治疗的组（n = 321）进行比较。Evira包括一个用于家庭称重的数字体重秤、一个移动应用程序和一个基于网络的诊所界面，使家庭诊所之间的沟通变得容易，并提供连续的视觉治疗反馈。结果：随访3年，数字物理治疗组体重指数Z-score调整平均变化为-0.29[95%可信区间：-0.40,-0.18]单位，标准治疗组为-0.12[-0.21,-0.03]单位，p = 0.02，肥胖缓解分别为31.8%和18.7%,p = 0.0046。结论：在3年的时间里，数字物理治疗比标准治疗有更好的治疗效果和更高的肥胖缓解率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Obesity 医学-内分泌学与代谢

CiteScore

10.00

自引率

2.00%

发文量

221

审稿时长

3 months

期刊介绍： The International Journal of Obesity is a multi-disciplinary forum for research describing basic, clinical and applied studies in biochemistry, physiology, genetics and nutrition, molecular, metabolic, psychological and epidemiological aspects of obesity and related disorders. We publish a range of content types including original research articles, technical reports, reviews, correspondence and brief communications that elaborate on significant advances in the field and cover topical issues.