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Front Psychol. 2015 Oct 15;6:1557. doi: 10.3389/fpsyg.2015.01557. eCollection 2015.

Chronic care management of globesity: promoting healthier lifestyles in traditional and mHealth based settings.

Frontiers in psychology

Gianluca Castelnuovo, Giada Pietrabissa, Gian Mauro Manzoni, Stefania Corti, Martina Ceccarini, Maria Borrello, Emanuele M Giusti, Margherita Novelli, Roberto Cattivelli, Nicole A Middleton, Susan G Simpson, Enrico Molinari

Affiliations

  1. Psychology Research Laboratory, Istituto Auxologico Italiano, Istituti di Ricovero e Cura a Carattere Scientifico , Ospedale San Giuseppe, Verbania, Italy ; Department of Psychology, Catholic University of Milan , Milan, Italy.
  2. Psychology Research Laboratory, Istituto Auxologico Italiano, Istituti di Ricovero e Cura a Carattere Scientifico , Ospedale San Giuseppe, Verbania, Italy ; Faculty of Psychology, eCampus University , Milan, Italy.
  3. Psychology Research Laboratory, Istituto Auxologico Italiano, Istituti di Ricovero e Cura a Carattere Scientifico , Ospedale San Giuseppe, Verbania, Italy ; Department of Psychology, University of Bergamo , Bergamo, Italy.
  4. Department of Psychology, University of Bergamo , Bergamo, Italy.
  5. Department of Psychology, Catholic University of Milan , Milan, Italy.
  6. Psychology Research Laboratory, Istituto Auxologico Italiano, Istituti di Ricovero e Cura a Carattere Scientifico , Ospedale San Giuseppe, Verbania, Italy.
  7. School of Psychology, Social Work and Social Policy, University of South Australia , Adelaide, SA, Australia.

PMID: 26528215 PMCID: PMC4606044 DOI: 10.3389/fpsyg.2015.01557

Abstract

Obesity and being overweight could be real chronic conditions above all if there are other complications such as type 2 diabetes, cardiovascular diseases, hypertension, dyslipidemia, hypercholesterolemia, cancer, and various psychosocial and psychopathological disorders. Due to the multifactorial etiology of obesity, evidence-based interventions to improve weight loss, maintain a healthy weight, and reduce related comorbidities combine different treatment approaches: dietetic, nutritional, physical, behavioral, psychological, and, in some situations, pharmacological and surgical. There are significant limitations in this multidisciplinary chronic care management of obesity, most notably those regarding costs and long-term adherence and efficacy. Programs including eHealth platforms and new technologies could overcome limitations connected to the traditional in-patient chronic care management of obesity, thus providing promising opportunities in enhancing weight reduction and reducing complications in terms of long-term efficacy and effectiveness across clinical, organizational, and economic perspectives.

Keywords: clinical psychology; mHealth; obesity; rehabilitation; type 2 diabetes

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