医学
随机对照试验
维生素
维生素D与神经学
袖状胃切除术
临床试验
外科
物理疗法
内科学
胃分流术
减肥
肥胖
作者
Kristina Spetz,Mari Hult,Torsten Olbers,Stephanie E. Bonn,Sanna Svedjeholm,Ylva Trolle Lagerros,Ellen Andersson
出处
期刊:Obesity
[Wiley]
日期:2022-09-01
卷期号:30 (10): 1973-1982
被引量:6
摘要
Abstract Objective This trial evaluated a smartphone application's effectiveness in improving adherence to vitamin and mineral supplementation postoperatively. Methods This study was a randomized controlled trial comprising 140 patients undergoing bariatric surgery (gastric bypass or sleeve gastrectomy). Participants were randomized 1:1 to the 12‐week intervention, using the smartphone application PromMera, or to standard care. The primary end point was adherence to vitamin and mineral supplementation. Results Initiation rate and overall adherence to supplementation were high in both groups. Change in objectively measured adherence rate from before the intervention to 1 year post surgery, measured with pharmacy refill data, did not differ between groups for vitamin B 12 (−9.6% [SD = 27%] vs. −9.3% [SD = 30%]; p = 0.48) or calcium/vitamin D (−12.3% [SD = 29%] vs. −11.5% [SD = 32%]; p = 0.44). A modest effect on the secondary end point (subjectively measured adherence, using the Medication Adherence Report Scale‐5) was seen immediately after the intervention (intervention group 0.00 [SD = 1.3] vs. control group −1.2 [SD = 3.5]; p = 0.021), but this effect did not persist 1 year post surgery. No differences were detected in the prevalence of biochemical deficiencies. Conclusions The use of the smartphone application PromMera did not obtain a lasting improvement in adherence to vitamin and mineral supplementation 1 year post bariatric surgery.
科研通智能强力驱动
Strongly Powered by AbleSci AI