Publication
Telemedicine as a tool for dietary intervention in NAFLD-HIV patients during the COVID-19 lockdown: a randomized controlled trial
| dc.contributor.author | Policarpo, Sara | |
| dc.contributor.author | Machado, Mariana | |
| dc.contributor.author | Cortez-Pinto, Helena | |
| dc.date.accessioned | 2023-02-22T12:09:40Z | |
| dc.date.available | 2023-02-22T12:09:40Z | |
| dc.date.issued | 2021 | |
| dc.description | © 2021 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved. | pt_PT |
| dc.description.abstract | Background & aims: Given reports of changes in dietary habits during covid-19 lockdown, our aim was to assess weight changes, over a 3-month Covid-19 national lockdown in a cohort of NAFLD-HIV patients on a dietary intervention trial. Methods: After NAFLD screening in an outpatient Infectious Diseases Clinic, NAFLD patients were randomly allocated to general dietary recommendations (SC group) or to a structured dietary intervention based on the Mediterranean diet (intervention group). During lockdown, follow-up consultations in the intervention group were done by video and/or phone. After 3 months of lockdown, all patients (intervention and SC group) consented to a telephone interview which aimed to characterize eating habits and lifestyle changes and evaluate stress and depression. Biochemical data when available, was compared between the peri-period of confinement. Results: One hundred and twelve patients were screened. From the 55 NAFDL identified, 27 were allocated to dietary intervention and 28 to SC and were followed before lockdown for a mean period of 5.0 ± 1.5 months in which SC group gained a median of 0.65 kg vs. a median loss of 1.5 kg in the intervention group (p < 0.001). During lockdown, 93.3% of patients in the SC group referred that "diet got worse" vs. 6.7% in the intervention group p < 0.01), and 35.3% vs. 15.7% (p = 0.014) reported increase in appetite, respectively. Both groups gained weight, SC group vs. 0.7 ± 1.7 kg in the intervention group, p < 0.001). Higher weight gain was associated with changes in the dietary pattern (3.8 ± 2.1 kg vs. 2.0 ± 1.3 kg in "no change in dietary pattern"; p = 0.002). Glucose blood levels increased after lockdown in the SC group, with a mean increase of 15 mg/dl (p = 0.023). The remaining metabolic parameters remained unchanged. Conclusion: The maintenance of dietary intervention, using telemedicine, can mitigate the adverse change in dietary habits and physical activity pattern, preventing a substantial increase in body weight. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Clin Nutr ESPEN. 2021 Jun;43:329-33 | pt_PT |
| dc.identifier.doi | 10.1016/j.clnesp.2021.03.031 | pt_PT |
| dc.identifier.eissn | 2405-4577 | |
| dc.identifier.uri | http://hdl.handle.net/10451/56403 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Elsevier | pt_PT |
| dc.relation.publisherversion | https://www.sciencedirect.com/journal/clinical-nutrition-espen | pt_PT |
| dc.relation.publisherversion | https://clinicalnutritionespen.com/ | pt_PT |
| dc.subject | COVID-19 lockdown | pt_PT |
| dc.subject | Dietary intervention | pt_PT |
| dc.subject | NAFLD | pt_PT |
| dc.subject | Nutrition | pt_PT |
| dc.title | Telemedicine as a tool for dietary intervention in NAFLD-HIV patients during the COVID-19 lockdown: a randomized controlled trial | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 334 | pt_PT |
| oaire.citation.startPage | 329 | pt_PT |
| oaire.citation.title | Clinical Nutrition ESPEN | pt_PT |
| oaire.citation.volume | 43 | pt_PT |
| person.familyName | Policarpo | |
| person.familyName | Machado | |
| person.familyName | Cortez-Pinto | |
| person.givenName | Sara | |
| person.givenName | Mariana | |
| person.givenName | Helena | |
| person.identifier.ciencia-id | A01C-0511-C986 | |
| person.identifier.orcid | 0000-0001-8594-1720 | |
| person.identifier.orcid | 0000-0001-7769-7860 | |
| person.identifier.orcid | 0000-0002-8537-8744 | |
| rcaap.rights | restrictedAccess | pt_PT |
| rcaap.type | article | pt_PT |
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