Endocrine Abstracts

Introduction: It is too much easier and cheaper to prevent a decrease a bone density and fractures, than in the future to treat osteoporosis and its complications.

Materials and methods: We used an online system for patient education based on the video lessons to convey the necessary information on good nutrition, necessary to do exercises and the need for exposure to the sun. Also we added individual online doctors management.

Study results: Watching the short movies, the patients formed the habits of good nutrition during the first month already, which includes a diet with restriction of fat, digestible carbohydrates and daily consumption of low-fat dairy products, slow carbohydrates, protein and fiber. Were also presented recommendations for compliance with the physical activity, as well as vitamin D and calcium consumption. Also we added individual online doctors management, which include everyday motivation and chatting with doctors 24 hours a day. We examined data from a survey of 520 patients registered in the online system www.rightdiet.ru and 50 patients control group who were given the same recommendations on the appointment and 67 patients with online management. Surprisingly, the consumption of milk and dairy products increased by 2.6 times, compared with patients in the control group and 3.4 in management group. The exposure to the sun was observed 15–30 min daily, compared with the control group 5 min. Regular physical activity were the main group of 260 min per week, in control group 80 min and 380 min in management group.

Conclusions: Very important how we can make delivery of the material. We live in a World of high technologies and lack of time. Often the patient has no opportunity to go to the doctor for an appointment, and during reception it is not always possible to discuss all aspects, and even if it was possible, some information is forgotten by patients. Everyday management group has better results because of increasing motivation and reminders. So, we would like to use online bots for everyday motivation and answer a simply questions to improve the quality and duration of life of more our patients.