Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2026
[Impact of two nutritional monitoring strategies: conventional monitoring vs telemonitoring with a mobile application].
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Villafañe Hugo, Garrone Alicia, Pérez Hernán, Werbin Daniela, Urbaneja Belen, Ferreiro Eugenia, Seratoni Carolina, Cebreiro Cynthia, Laurent Mariana, Scruzzi Graciela Fabiana
Аннотация
INTRODUCTION: Treatment engagement is a key factor in the success of weight loss programs. Digital tools such as mobile applications have shown potential to improve nutritional follow-up, although their real impact still requires empirical validation.
METHODOLOGY: An open-label experimental study with random allocation to two parallel groups was conducted among adult patients with overweight or obesity attending the Nutrition Service of Clínica Universitaria Reina Fabiola (CURF), Córdoba, Argentina. One group received conventional nutritional follow-up (biweekly in-person visits), while the other combined monthly in-person visits with asynchronous monitoring through a mobile application for three months. Sociodemographic, anthropometric, and dietary variables were assessed. Treatment engagement was defined as completing the program with weight loss and/or reduction in caloric intake. Statistical analysis included parametric and non-parametric tests and logistic regression.
RESULTS: A total of 53 participants were included, with 30 completing the program. The app group showed a significantly higher treatment engagement rate (39% vs. 16%; p = 0.03). Only this group exhibited significant reductions in body weight, BMI, total caloric intake, carbohydrate, and total fat consumption. Logistic regression analysis showed that using the app increased the likelihood of treatment engagement by nearly five times (OR = 4.85; 95% CI: 1.03–22.63; p = 0.045).
CONCLUSIONS: The use of a mobile application in nutritional follow-up was associated with greater treatmente engagement and improved clinical outcomes. This hybrid model could be implemented in real-world clinical settings to enhance the effectiveness of behavior change programs.
METHODOLOGY: An open-label experimental study with random allocation to two parallel groups was conducted among adult patients with overweight or obesity attending the Nutrition Service of Clínica Universitaria Reina Fabiola (CURF), Córdoba, Argentina. One group received conventional nutritional follow-up (biweekly in-person visits), while the other combined monthly in-person visits with asynchronous monitoring through a mobile application for three months. Sociodemographic, anthropometric, and dietary variables were assessed. Treatment engagement was defined as completing the program with weight loss and/or reduction in caloric intake. Statistical analysis included parametric and non-parametric tests and logistic regression.
RESULTS: A total of 53 participants were included, with 30 completing the program. The app group showed a significantly higher treatment engagement rate (39% vs. 16%; p = 0.03). Only this group exhibited significant reductions in body weight, BMI, total caloric intake, carbohydrate, and total fat consumption. Logistic regression analysis showed that using the app increased the likelihood of treatment engagement by nearly five times (OR = 4.85; 95% CI: 1.03–22.63; p = 0.045).
CONCLUSIONS: The use of a mobile application in nutritional follow-up was associated with greater treatmente engagement and improved clinical outcomes. This hybrid model could be implemented in real-world clinical settings to enhance the effectiveness of behavior change programs.