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Two-Stage Evaluation of a Telehealth Nutrition Management Service in Support of Diabesity Therapy

机译：两阶段评估远程营养管理服务支持糖尿病疗法

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Background: Diabesity, a combination of diabetes mellitus type 2 and obesity, is one of the biggest global health problems. Individual nutrition therapy and physical activity are effective measures in prevention and treatment. Methods: Requirements for an integrated diabesity service were specified and evaluated in two stages. The aim of the first stage was to perform a feasibility trial in patients with diabesity, using separate diaries. DiabMemory for diabetes and Nutrinaut for nutrition. Based on the results of the first stage, a prototype of an integrated diabesity solution (KIT-Nutriton, AIT) was developed and evaluated. Results: First stage trial was performed with 10 diabesity patients (2f, med:53 y. (IQR:7), T2DM, BMI >28 kg/m~2) with 3 months follow-up and a significant reduction of BMI. Participants noticed concerns about using two separate diary solutions. Results of the field trial with KIT-Nutrition with 14 healthy subjects (3f, med:26 y (IQR: 20,25)) showed that overall, 77.6 % of the intended tasks had been achieved. Conclusion: Results show that the integrated KIT-Nutrition app, providing access to a nutrition database, is feasible and accepted by the users. Before further trials can be made, an extension for regional food terms is recommended.
机译：背景：糖尿病患者组合2型和肥胖，是最大的全球健康问题之一。个人营养治疗和身体活动是预防和治疗的有效措施。方法：在两个阶段指定和评估了对整合糖尿病性服务的要求。第一阶段的目的是使用单独日记进行糖尿病患者进行可行性试验。糖尿病和Nutrinaut的糖尿病营养。基于第一阶段的结果，开发并评估了综合糖尿病溶液（Kit-Nutriton，Ait）的原型。结果：初期试验用10例糖尿病患者进行（2F，MED：53 y。（IQR：7），T2DM，BMI> 28 kg / m〜2），3个月随访，BMI显着减少。参与者注意到关于使用两个单独的日记溶液的担忧。用14个健康受试者的实地试验结果（3F，MED：26 y（IQR：20,25）），表明，总体而言，已达到了77.6％的预期任务。结论：结果表明，综合套件 - 营养应用程序，提供对营养数据库的访问，是可行的，由用户可接受。在进行进一步审判之前，建议使用区域粮食术语的延期。

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