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The web platform PREDIRCAM2 was designed in a project funded by Instituto Carlos Tercero de Madrid (FIS PI12/00931) at the Endocrinology and Nutrition Department of Santa Creu I Sant Pau Hospital in Barcelona, and Centro de Tecnologia Biomedica, ETSI de Telecommunicacion at Universidad Politecnica de Madrid, Spain. V.A.-A. and A.L. have received scholarships from the Catalan administration (Departament d'Economia I Coneixement de la Generalitat de Catalunya, Fondo Social Europeo, AGAUR-FI-DGR). V.A.-A. received an award from Sociedad Espanola de Endocrinologia y Nutricion in alliance with MSD and the project received media resource collaboration from Roche Diabetes Care.

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Tapia, JoseAuthorManuel Iniesta, JoseAuthorElena Hernando, M.Author
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Article

Web Support for Weight-Loss Interventions: PREDIRCAM2 Clinical Trial Baseline Characteristics and Preliminary Results

Publicated to:Diabetes Technology & Therapeutics. 20 (5): 380-385 - 2018-05-01 20(5), DOI: 10.1089/dia.2017.0456

Authors: Alcantara-Aragon, Valeria; Rodrigo-Cano, Susana; Lupianez-Barbero, Ascension; Jose Martinez, Maria; Martinez, Carmen; Tapia, Jose; Manuel Iniesta, Jose; Tenes, Susana; Urgell, Eulalia; Navarro, Gemma; Elena Hernando, M; Francisco Merino-Torres, Juan; de Leiva, Alberto; Gonzalez, Cintia

Affiliations

Hosp Santa Creu & Sant Pau, Dept Biochem, Barcelona, Spain - Author
Hosp Santa Creu & Sant Pau, Dept Nutr & Dietet, Barcelona, Spain - Author
Hosp Santa Creu & Sant Pau, Endocrinol & Nutr Dept, St Antoni Maria Claret 167, Barcelona 08025, Spain - Author
Hosp Univ & Politecn La Fe, Endocrinol & Nutr Dept, Valencia, Spain - Author
HSP, EDUAB, Ctr Invest Biomed Red Bioingn Biomat & Nanomed, CIBER,BBN, Barcelona, Spain - Author
Univ Autonoma Barcelona, Barcelona, Spain - Author
Univ Politecn Madrid, ETSI Telecommun, Ctr Tecnol Biomed, Madrid, Spain - Author
Univ Valencia, Inst Invest Sanitaria La Fe, Unidad Mixta Invest Endocrinol Nutr & Dietet, Valencia, Spain - Author
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Abstract

An ongoing clinical trial is testing the efficacy of web telematic support in a structured program for obesity treatment and diabetes prevention. Participants were recruited from two tertiary-care hospitals and randomized to receive either a telematic intervention (TI) supported by PREDIRCAM2 web platform or a non-telematic intervention (NTI). All receive 1-year follow-up. Both interventions consist of tailored dietary and exercise prescriptions, based on a Mediterranean dietary pattern and general WHO exercise recommendations for adults. At 6 months, both groups have received 7 contacts, 3 exclusively telematic for the TI group. This is a preliminary result intention-to-treat analysis. One hundred eighty-three participants were recruited, with a mean body mass index of 34.75 +/- 2.75kg/m(2). General dropout rate at 6 months was 26.8%. Weight changes were statistically significant at months 3 and 6 compared to baseline, -2.915 +/- 0.24kg, -3.29 +/- 0.36kg, respectively (P<0.001), but not statistically significant between the 3- and 6-month time points -0.37 +/- 0.21kg (P=0.24). Mean group differences showed that the TI group lost 1.61 +/- 1.88kg more than the NTI group (P=0.39). Waist, waist/hip ratio, resting heart rate, blood pressure, HbA1c, and low-density lipoprotein cholesterol also showed statistically significant changes at 6 months, with no significant differences between groups. Weight loss in the TI group shows similar results as the usual care NTI group for weight loss and control of obesity comorbidities. At completion of the clinical trial, these results will be reevaluated to assess the potential role of web support in weight-loss maintenance and its cost-effectiveness.

Keywords
lifestyle modification.metabolic syndromeobesityAdultBody mass indexCancer survivorsDiet, mediterraneanExerciseFemaleHealthy lifestyleHumansLifestyle modificationLifestyle modification.MaleMetabolic syndromeMiddle agedObesityOverweightSystemTelemedicineTreatment outcomeWeight loss

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Diabetes Technology & Therapeutics due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2018, it was in position 29/144, thus managing to position itself as a Q1 (Primer Cuartil), in the category Endocrinology & Metabolism.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 1.84, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Apr 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-04-30, the following number of citations:

  • WoS: 5
  • Scopus: 5
  • Europe PMC: 1
  • Google Scholar: 6
  • OpenCitations: 4
Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-04-30:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 206.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 206 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 7.75.
  • The number of mentions on the social network X (formerly Twitter): 13 (Altmetric).