Telehealth Vs. Face-to-Face Treatment for Children and Adolescents With Obesity: A Randomized Controlled Trial

IF 2.5 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2026-07-14 DOI:10.1111/ijpo.70136

Lior Friedman, Tzach Itzhak Gil, Amit Yaniv, Eylam Ziv-Av, Alon Manhart, Yftach Gepner, Gal Dubnov-Raz

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引用次数: 0

Abstract

Background

Telemedicine (TELE) may improve accessibility to paediatric obesity treatment, yet its effectiveness relative to face-to-face (FTF) care remains uncertain.

Objective

To compare the effects of a high-intensity, multidisciplinary TELE intervention with standard FTF care in children and adolescents with obesity.

Methods

Participants aged 10–18 years with obesity [body mass index (BMI) ≥ 2 standard deviations] were randomized to a 6-month TELE or FTF program in a tertiary-care centre paediatric obesity clinic. The TELE group received 30 weekly remote multidisciplinary consultations and a gamified step-monitoring application, along with three in-person visits. The FTF group attended six monthly in-clinic visits. The primary outcome was BMI z-score changes. Secondary outcomes included body composition, weight-related-quality-of-life (QOL), adherence, and satisfaction.

Results

One hundred participants were randomized 1:1 to TELE or FTF, of whom 65 completed the intervention (TELE n = 32; FTF n = 33). Baseline BMI z-scores were similar between groups (2.11 ± 0.32 vs. 2.11 ± 0.29). The reduction in BMI z-score was significantly greater in FTF than TELE (−0.16 ± 0.14 vs. −0.05 ± 0.15; p = 0.002), and any reduction was observed among 85% of FTF participants compared with 56% in TELE (p = 0.015). Body composition and QOL improved similarly in both groups, whereas satisfaction was higher in FTF.

Conclusions

TELE-based care was less effective than FTF in reducing BMI z-score in children with obesity. Hybrid models integrating TELE with FTF visits warrant further investigation.

Trial Registration: ClinicalTrials.gov identifier: NCT05700409

Abstract Image

查看原文本刊更多论文

远程医疗与面对面治疗儿童和青少年肥胖：一项随机对照试验。

背景：远程医疗（TELE）可以改善儿童肥胖治疗的可及性，但其相对于面对面治疗（FTF）的有效性仍不确定。目的：比较高强度、多学科远程干预与标准FTF治疗儿童和青少年肥胖的效果。方法：年龄在10-18岁的肥胖参与者[体重指数(BMI)≥2个标准差]被随机分配到一家三级保健中心的儿科肥胖诊所进行为期6个月的TELE或FTF计划。TELE组每周接受30次远程多学科咨询和游戏化步骤监测应用，以及3次亲自访问。FTF组每月参加6次门诊就诊。主要结局为BMI z-score变化。次要结局包括身体组成、体重相关生活质量（QOL）、依从性和满意度。结果：100名参与者按1:1的比例随机分为TELE或FTF，其中65人完成了干预（TELE n = 32; FTF n = 33）。基线BMI z评分组间相似（2.11±0.32 vs. 2.11±0.29）。FTF组BMI z-score的降低明显大于TELE组（-0.16±0.14 vs -0.05±0.15;p = 0.002）， FTF组85%的参与者有BMI z-score的降低，而TELE组56%有BMI z-score的降低（p = 0.015）。两组的身体成分和生活质量都有相似的改善，而FTF的满意度更高。结论：远程护理在降低肥胖儿童BMI z-score方面的效果不如FTF。将远程访问与FTF访问相结合的混合模式值得进一步研究。试验注册：ClinicalTrials.gov标识符：NCT05700409。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.