Abstract: TH-PO599
Improved Diet, Sleep, and Strength Among CKD Patients Following 6-Week App Intervention with Personalized Mentoring
Session Information
- Health Maintenance, Nutrition, Metabolism - I
November 07, 2019 | Location: Exhibit Hall, Walter E. Washington Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Health Maintenance, Nutrition, and Metabolism
- 1300 Health Maintenance, Nutrition, and Metabolism
Authors
- Karpenko, Nataliia, Livzo, Campbell, California, United States
- Dorn, Benjamin T., Livzo, Campbell, California, United States
Background
CKD is a long-term condition which affects approximately 14% of the general population in the United States. CKD influences circulatory dysfunction, anaemia, malnourishment, strength degeneration, muscle integrity, glucose imbalance, and decreased bone thickness. Additionally, up to one third of CKD patients have depression. For CKD patients, adherence to the CKD diet is critical for maintaining quality of life, yet few studies have focused on methods to improve and maintain patients’ adherence
Methods
In our trial 6-week “Remote Chronic Disease Management” Programme, nine (9) patients at various stages of CKD consented to participate and were provided with a smartphone app called RenalMate. The app allows for daily monitoring of self-reported data (Food log, Sleep, Stress and Activity Level), as well as a remote connection to fitness, dietician, and health mentors. Importantly, the social community and mentoring team provided accountability for the self-reported data tracking and diet/exercise adherence. In addition to daily feedback from coaches and other patients, participants were given weekly progress reports during individualized teleconference sessions with their coach
Results
By the end of the 6-week program, 78% of participants lost weight, and of those 14% lost 17-20 pounds and 72% lost 3-6 pounds. 89% of participants improved their strength during the programme. 71% of participants reduced their stress level from high/ very high to medium/ low. 89% either increased their nightly hours of sleep or maintained a healthy 7-8 hours. These improvements were also seen by the participants. 89% felt more restful with higher levels of energy by the end of the programme. 72% felt they improved their diet overall. And most importantly, 100% said they would recommend the programme to a friend
Conclusion
This combination of self-reporting, comprehensiveness of data tracking, as well as the use of a specialized social app and weekly teleconferences with coaches represents a novel and scalable approach to CKD management. Participants improved in both quantitative and qualitative measures of health. Future studies should expand on the role of education and the long-term impact of such programmes, involving wider multidisciplinary teams (MDT) for example, healthcare scientists to provide CKD patients education surrounding laboratory parameters