A Case Study on the Impact of Virtual Dietetic Counseling on Weight Management among Obese Adolescents: A Triumph Story

24 Jun 2019 10:50 11:00
Aishah Zafirah Abdul Azim Presenter

Aishah Zafirah A.A., Zalina A. Z. and Zulfitri 'Azuan M.D
Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, University Putra Malaysia

Assessment: Background: Virtual nutrition counseling is in high demands, in parallel with the rapid advancement in digital technology. Dietitians play pivotal role in keeping abreast with digital technology in delivering dietetic services to tech-savvy clients. Therefore, we exemplify the feasibility of a weight management in obese adolescents via virtual nutrition counseling. Client History: Clients were Malay siblings with 17-years old female (Ms. N) and 13-years old boy (Mr. M). They were obese and experiencing asthma since childhood. Assessment: Their BMI were more than 97th-centile (M=34kg/m and N=32.3kg/m). Diet history illustrated a predominantly large carbohydrate portion, excessive sweetened beverages and fatty foods intake, contributed to an average of 2600 kcal/day (53% carbohydrate, 8.5% protein and 38.4% fat) for both M & N. Both clients had sedentary life style.

Diagnosis: Excessive oral intake related to food- and nutrition-related knowledge deficit concerning appropriate oral food/beverage intake as evidence by 25-38% exceed from requirement with inappropriate macronutrients distribution

Intervention: Nutrition Prescription: Energy requirement: 1660kcal (N) and 1930kcal (M). Virtual nutrition counseling was given via messenger and email (education module emphasized on energy balance, menu planning with portion control, smarter alternative to sweetened drinks/foods, high-fat food and the use of mobile health applications). Support from family member were emphasized to ensure their compliance

Monitoring and Evaluation: Monitoring & Evaluation: N and Ms weight decreased significantly (14% and 25.2%, respectively) within 16 months with final BMI of 28.6kgm and 21.4kgm, respectively. Energy intake decreased to 1600 kcal/day, with more apparent healthier food choices. Family members provided relentless support especially in incorporating healthier cooking modification at home. They consistently exercise for 1-hour treadmill, plus circuit training every day. Learning Points: Remote intervention by virtual dietitian is feasible if specifically tailored to the clients needs. Dietitians are encouraged to embark in digital dietetics to provide positive reinforcement on healthy lifestyle changes.

Nothing to display here