Table 1.
Indication and prerequisites, contraindications and exclusion criteria for using the app zanadio.
Indication and Prerequisites | Contraindications and Exclusions |
---|---|
Patients with diagnosed obesity ICD-10: E66.- (body mass index from 30.0 to 40.0 kg/m2) | Body mass index outside the range of indication |
Age 18 years or older | Obesity surgery (e.g., bypass, sleeve) less than 1 year ago or still lying gastric band or gastric balloon |
Physical and mental ability to perform obesity treatment independently | Lack of resources for change (i.e., willingness and possibility to adapt lifestyle) and lack of motivation to undergo therapy |
Need-based support for the entire duration of the program by a physician is recommended, regardless of who prescribes zanadio (physician, psychotherapist, health insurance company) | Acute suicidal tendencies, parasuicidal behavior |
Fluency in written and spoken German | Use of compensatory measures such as vomiting, taking laxatives or diuretics, or abusive hormone use |
Presence of a smartphone with iOS version 13 or higher or with Android version 5 or higher plus knowledge of how to use it | Presence of self-injurious behavior |
Suspected or existing pregnancy | |
Full breastfeeding |