Mobile Tele-rehabilitation Solution for Obese Patients.
Mobile Tele-rehabilitation Solution for Obese Patients.
Published data indicate that rehabilitation in obese patients can result in a loss of body
 fat and weight that is correlated to improved physical and psychological condition and
 reduced morbidity and mortality.

 the Ivestigators hypothezise that the use of a mobile telerehabilitation solution will
 encourage the patient to adopt behavioral modifications allowing a reduction of fat mass
Obesity is one of the most important public health care problems worldwide and is associated
 with increased morbidity and mortality and high healthcare costs. Not all obese patients have
 the same metabolic risk. It is pejorated in case of increase in the fat mass (FM) and
 especially when it predominates at the visceral abdominal level.

 Clinical trials have established the efficacy of lifestyle and behavioral interventions in
 obesity.

 The recent development of telerehabilitation is a promising approach that has only been the
 subject of pilot studies Therefore, the investigators aim to test the effects of 3 months of
 telerehabilitation solution on fat mass evaluated by impedance analysis.

 The telerehabilitation program Telemouv includes physical activity sessions with low
 intensity endurance training targeted at the level of maximal oxidation, nutritional
 monitoring, therapeutic education tools and motivational support

 Patients with BMI > 30 kg/m² will be randomized for the intervention.

 The investigators also will analyse the effects of the solution on different anthropometric,
 metabolic,cardiovascular and psychological parameters, and on rest and exercise metabolism.
 Moreover, we will assess behavioural changes in physical activity and nutrition

 At the end of the study, patients in the control group will be able to benefit from the
 telemouv solution in an ancillary study with a follow-up of three months.

 For a alpha threshold of 5% and a study power of 90%, the study should include 22 patients in
 each group. Taking in account a possible 10% of dropout the study will need to include 25
 patients by randomized arm to demonstrate an effect.
Inclusion criteria:

 -  Body Mass Index > 30 kg/m²

 -  Age 20-65 years

 Exclusion criteria:

 -  Unstabilized primary pathologies (cardiovascular, renal, metabolic, psychiatric)

 -  No internet access at home