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Effect of Mobile Health Interventions on Lifestyle and Anthropometric Characteristics of Uncontrolled Hypertensive Participants: Secondary Analyses of a Randomized Controlled Trial

Our objective was to evaluate the effect of a mobile health (mHealth) intervention on lifestyle adherence and anthropometric characteristics among individuals with uncontrolled hypertension. We performed a randomized controlled trial (ClinicalTrials.gov NCT03005470) where all participants received l...

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Autores principales: David, Caroline Nespolo, Iochpe, Cirano, Harzheim, Erno, Sesin, Guilhermo Prates, Gonçalves, Marcelo Rodrigues, Moreira, Leila Beltrami, Fuchs, Flavio Danni, Fuchs, Sandra Costa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10138120/
https://www.ncbi.nlm.nih.gov/pubmed/37107903
http://dx.doi.org/10.3390/healthcare11081069
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author David, Caroline Nespolo
Iochpe, Cirano
Harzheim, Erno
Sesin, Guilhermo Prates
Gonçalves, Marcelo Rodrigues
Moreira, Leila Beltrami
Fuchs, Flavio Danni
Fuchs, Sandra Costa
author_facet David, Caroline Nespolo
Iochpe, Cirano
Harzheim, Erno
Sesin, Guilhermo Prates
Gonçalves, Marcelo Rodrigues
Moreira, Leila Beltrami
Fuchs, Flavio Danni
Fuchs, Sandra Costa
author_sort David, Caroline Nespolo
collection PubMed
description Our objective was to evaluate the effect of a mobile health (mHealth) intervention on lifestyle adherence and anthropometric characteristics among individuals with uncontrolled hypertension. We performed a randomized controlled trial (ClinicalTrials.gov NCT03005470) where all participants received lifestyle counseling at baseline and were randomly allocated to receive (1) an automatic oscillometric device to measure and register blood pressure (BP) via a mobile application, (2) personalized text messages to stimulate lifestyle changes, (3) both mHealth interventions, or (4) usual clinical treatment (UCT) without technology (control). The outcomes were achieved for at least four of five lifestyle goals (weight loss, not smoking, physical activity, moderate or stopping alcohol consumption, and improving diet quality) and improved anthropometric characteristics at six months. mHealth groups were pooled for the analysis. Among 231 randomized participants (187 in the mHealth group and 45 in the control group), the mean age was 55.4 ± 9.5 years, and 51.9% were men. At six months, achieving at least four of five lifestyle goals was 2.51 times more likely (95% CI: 1.26; 5.00, p = 0.009) to be achieved among participants receiving mHealth interventions. The between-group difference reached clinically relevant, but marginally significant, reduction in body fat (−4.05 kg 95% CI: −8.14; 0.03, p = 0.052), segmental trunk fat (−1.69 kg 95% CI: −3.50; 0.12, p = 0.067), and WC (−4.36 cm 95% CI: −8.81; 0.082, p = 0.054), favoring the intervention group. In conclusion, a six-month lifestyle intervention supported by application-based BP monitoring and text messages significantly improves adherence to lifestyle goals and is likely to reduce some anthropometric characteristics in comparison with the control without technology support.
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spelling pubmed-101381202023-04-28 Effect of Mobile Health Interventions on Lifestyle and Anthropometric Characteristics of Uncontrolled Hypertensive Participants: Secondary Analyses of a Randomized Controlled Trial David, Caroline Nespolo Iochpe, Cirano Harzheim, Erno Sesin, Guilhermo Prates Gonçalves, Marcelo Rodrigues Moreira, Leila Beltrami Fuchs, Flavio Danni Fuchs, Sandra Costa Healthcare (Basel) Article Our objective was to evaluate the effect of a mobile health (mHealth) intervention on lifestyle adherence and anthropometric characteristics among individuals with uncontrolled hypertension. We performed a randomized controlled trial (ClinicalTrials.gov NCT03005470) where all participants received lifestyle counseling at baseline and were randomly allocated to receive (1) an automatic oscillometric device to measure and register blood pressure (BP) via a mobile application, (2) personalized text messages to stimulate lifestyle changes, (3) both mHealth interventions, or (4) usual clinical treatment (UCT) without technology (control). The outcomes were achieved for at least four of five lifestyle goals (weight loss, not smoking, physical activity, moderate or stopping alcohol consumption, and improving diet quality) and improved anthropometric characteristics at six months. mHealth groups were pooled for the analysis. Among 231 randomized participants (187 in the mHealth group and 45 in the control group), the mean age was 55.4 ± 9.5 years, and 51.9% were men. At six months, achieving at least four of five lifestyle goals was 2.51 times more likely (95% CI: 1.26; 5.00, p = 0.009) to be achieved among participants receiving mHealth interventions. The between-group difference reached clinically relevant, but marginally significant, reduction in body fat (−4.05 kg 95% CI: −8.14; 0.03, p = 0.052), segmental trunk fat (−1.69 kg 95% CI: −3.50; 0.12, p = 0.067), and WC (−4.36 cm 95% CI: −8.81; 0.082, p = 0.054), favoring the intervention group. In conclusion, a six-month lifestyle intervention supported by application-based BP monitoring and text messages significantly improves adherence to lifestyle goals and is likely to reduce some anthropometric characteristics in comparison with the control without technology support. MDPI 2023-04-08 /pmc/articles/PMC10138120/ /pubmed/37107903 http://dx.doi.org/10.3390/healthcare11081069 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
David, Caroline Nespolo
Iochpe, Cirano
Harzheim, Erno
Sesin, Guilhermo Prates
Gonçalves, Marcelo Rodrigues
Moreira, Leila Beltrami
Fuchs, Flavio Danni
Fuchs, Sandra Costa
Effect of Mobile Health Interventions on Lifestyle and Anthropometric Characteristics of Uncontrolled Hypertensive Participants: Secondary Analyses of a Randomized Controlled Trial
title Effect of Mobile Health Interventions on Lifestyle and Anthropometric Characteristics of Uncontrolled Hypertensive Participants: Secondary Analyses of a Randomized Controlled Trial
title_full Effect of Mobile Health Interventions on Lifestyle and Anthropometric Characteristics of Uncontrolled Hypertensive Participants: Secondary Analyses of a Randomized Controlled Trial
title_fullStr Effect of Mobile Health Interventions on Lifestyle and Anthropometric Characteristics of Uncontrolled Hypertensive Participants: Secondary Analyses of a Randomized Controlled Trial
title_full_unstemmed Effect of Mobile Health Interventions on Lifestyle and Anthropometric Characteristics of Uncontrolled Hypertensive Participants: Secondary Analyses of a Randomized Controlled Trial
title_short Effect of Mobile Health Interventions on Lifestyle and Anthropometric Characteristics of Uncontrolled Hypertensive Participants: Secondary Analyses of a Randomized Controlled Trial
title_sort effect of mobile health interventions on lifestyle and anthropometric characteristics of uncontrolled hypertensive participants: secondary analyses of a randomized controlled trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10138120/
https://www.ncbi.nlm.nih.gov/pubmed/37107903
http://dx.doi.org/10.3390/healthcare11081069
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