Cargando…

Effectiveness of Mobile Health Interventions Promoting Physical Activity and Lifestyle Interventions to Reduce Cardiovascular Risk Among Individuals With Metabolic Syndrome: Systematic Review and Meta-Analysis

BACKGROUND: Physical activity and lifestyle interventions, such as a healthy diet, have been proven to be effective approaches to manage metabolic syndrome. However, these interventions require great commitment from patients and clinicians owing to their economic costs, time consumption, and lack of...

Descripción completa

Detalles Bibliográficos
Autores principales: Sequi-Dominguez, Irene, Alvarez-Bueno, Celia, Martinez-Vizcaino, Vicente, Fernandez-Rodriguez, Rubén, del Saz Lara, Alicia, Cavero-Redondo, Iván
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7490678/
https://www.ncbi.nlm.nih.gov/pubmed/32865503
http://dx.doi.org/10.2196/17790
_version_ 1783582078179213312
author Sequi-Dominguez, Irene
Alvarez-Bueno, Celia
Martinez-Vizcaino, Vicente
Fernandez-Rodriguez, Rubén
del Saz Lara, Alicia
Cavero-Redondo, Iván
author_facet Sequi-Dominguez, Irene
Alvarez-Bueno, Celia
Martinez-Vizcaino, Vicente
Fernandez-Rodriguez, Rubén
del Saz Lara, Alicia
Cavero-Redondo, Iván
author_sort Sequi-Dominguez, Irene
collection PubMed
description BACKGROUND: Physical activity and lifestyle interventions, such as a healthy diet, have been proven to be effective approaches to manage metabolic syndrome. However, these interventions require great commitment from patients and clinicians owing to their economic costs, time consumption, and lack of immediate results. OBJECTIVE: The aim of this systematic review and meta-analysis was to analyze the effect of mobile-based health interventions for reducing cardiometabolic risk through the promotion of physical activity and healthy lifestyle behaviors. METHODS: PubMed, Scopus, Web of Science, Cochrane Central Register of Controlled Trials, and SPORTdiscus databases were searched for experimental studies evaluating cardiometabolic risk indicators among individuals with metabolic syndrome who were included in technology-assisted physical activity and lifestyle interventions. Effect sizes, pooled mean changes, and their respective 95% CIs were calculated using the DerSimonian and Laird method. Outcomes included the following clinical and biochemical parameters: body composition (waist circumference [WC] and BMI), blood pressure (systolic blood pressure [SBP] and diastolic blood pressure [DBP]), glucose tolerance (fasting plasma glucose [FPG] and glycated hemoglobin A1c [HbA(1c)]), and lipid profile (total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol [HDL-C], and triglycerides). RESULTS: A total of nine studies were included in the meta-analysis. Owing to the scarcity of studies, only pooled mean pre-post changes in the intervention groups were estimated. Significant mean changes were observed for BMI (−1.70 kg/m2, 95% CI −3.20 to −0.20; effect size: −0.46; P=.03), WC (−5.77 cm, 95% CI −9.76 to −1.77; effect size: −0.54; P=.005), SBP (−7.33 mmHg, 95% CI −13.25 to −1.42; effect size: −0.43; P=.02), DBP (−3.90 mmHg, 95% CI −7.70 to −0.11; effect size: −0.44; P=.04), FPG (−3.65 mg/dL, 95% CI −4.79 to −2.51; effect size: −0.39; P<.001), and HDL-C (4.19 mg/dL, 95% CI 2.43-5.95; effect size: 0.23; P<.001). CONCLUSIONS: Overall, mobile-based health interventions aimed at promoting physical activity and healthy lifestyle changes had a strong positive effect on cardiometabolic risk indicators among individuals with metabolic syndrome. Nevertheless, further research is required to compare this approach with usual care in order to support the incorporation of these technologies in health systems. TRIAL REGISTRATION: PROSPERO CRD42019125461; https://tinyurl.com/y3t4wog4.
format Online
Article
Text
id pubmed-7490678
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher JMIR Publications
record_format MEDLINE/PubMed
spelling pubmed-74906782020-10-01 Effectiveness of Mobile Health Interventions Promoting Physical Activity and Lifestyle Interventions to Reduce Cardiovascular Risk Among Individuals With Metabolic Syndrome: Systematic Review and Meta-Analysis Sequi-Dominguez, Irene Alvarez-Bueno, Celia Martinez-Vizcaino, Vicente Fernandez-Rodriguez, Rubén del Saz Lara, Alicia Cavero-Redondo, Iván J Med Internet Res Review BACKGROUND: Physical activity and lifestyle interventions, such as a healthy diet, have been proven to be effective approaches to manage metabolic syndrome. However, these interventions require great commitment from patients and clinicians owing to their economic costs, time consumption, and lack of immediate results. OBJECTIVE: The aim of this systematic review and meta-analysis was to analyze the effect of mobile-based health interventions for reducing cardiometabolic risk through the promotion of physical activity and healthy lifestyle behaviors. METHODS: PubMed, Scopus, Web of Science, Cochrane Central Register of Controlled Trials, and SPORTdiscus databases were searched for experimental studies evaluating cardiometabolic risk indicators among individuals with metabolic syndrome who were included in technology-assisted physical activity and lifestyle interventions. Effect sizes, pooled mean changes, and their respective 95% CIs were calculated using the DerSimonian and Laird method. Outcomes included the following clinical and biochemical parameters: body composition (waist circumference [WC] and BMI), blood pressure (systolic blood pressure [SBP] and diastolic blood pressure [DBP]), glucose tolerance (fasting plasma glucose [FPG] and glycated hemoglobin A1c [HbA(1c)]), and lipid profile (total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol [HDL-C], and triglycerides). RESULTS: A total of nine studies were included in the meta-analysis. Owing to the scarcity of studies, only pooled mean pre-post changes in the intervention groups were estimated. Significant mean changes were observed for BMI (−1.70 kg/m2, 95% CI −3.20 to −0.20; effect size: −0.46; P=.03), WC (−5.77 cm, 95% CI −9.76 to −1.77; effect size: −0.54; P=.005), SBP (−7.33 mmHg, 95% CI −13.25 to −1.42; effect size: −0.43; P=.02), DBP (−3.90 mmHg, 95% CI −7.70 to −0.11; effect size: −0.44; P=.04), FPG (−3.65 mg/dL, 95% CI −4.79 to −2.51; effect size: −0.39; P<.001), and HDL-C (4.19 mg/dL, 95% CI 2.43-5.95; effect size: 0.23; P<.001). CONCLUSIONS: Overall, mobile-based health interventions aimed at promoting physical activity and healthy lifestyle changes had a strong positive effect on cardiometabolic risk indicators among individuals with metabolic syndrome. Nevertheless, further research is required to compare this approach with usual care in order to support the incorporation of these technologies in health systems. TRIAL REGISTRATION: PROSPERO CRD42019125461; https://tinyurl.com/y3t4wog4. JMIR Publications 2020-08-31 /pmc/articles/PMC7490678/ /pubmed/32865503 http://dx.doi.org/10.2196/17790 Text en ©Irene Sequi-Dominguez, Celia Alvarez-Bueno, Vicente Martinez-Vizcaino, Rubén Fernandez-Rodriguez, Alicia del Saz Lara, Iván Cavero-Redondo. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 31.08.2020. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Review
Sequi-Dominguez, Irene
Alvarez-Bueno, Celia
Martinez-Vizcaino, Vicente
Fernandez-Rodriguez, Rubén
del Saz Lara, Alicia
Cavero-Redondo, Iván
Effectiveness of Mobile Health Interventions Promoting Physical Activity and Lifestyle Interventions to Reduce Cardiovascular Risk Among Individuals With Metabolic Syndrome: Systematic Review and Meta-Analysis
title Effectiveness of Mobile Health Interventions Promoting Physical Activity and Lifestyle Interventions to Reduce Cardiovascular Risk Among Individuals With Metabolic Syndrome: Systematic Review and Meta-Analysis
title_full Effectiveness of Mobile Health Interventions Promoting Physical Activity and Lifestyle Interventions to Reduce Cardiovascular Risk Among Individuals With Metabolic Syndrome: Systematic Review and Meta-Analysis
title_fullStr Effectiveness of Mobile Health Interventions Promoting Physical Activity and Lifestyle Interventions to Reduce Cardiovascular Risk Among Individuals With Metabolic Syndrome: Systematic Review and Meta-Analysis
title_full_unstemmed Effectiveness of Mobile Health Interventions Promoting Physical Activity and Lifestyle Interventions to Reduce Cardiovascular Risk Among Individuals With Metabolic Syndrome: Systematic Review and Meta-Analysis
title_short Effectiveness of Mobile Health Interventions Promoting Physical Activity and Lifestyle Interventions to Reduce Cardiovascular Risk Among Individuals With Metabolic Syndrome: Systematic Review and Meta-Analysis
title_sort effectiveness of mobile health interventions promoting physical activity and lifestyle interventions to reduce cardiovascular risk among individuals with metabolic syndrome: systematic review and meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7490678/
https://www.ncbi.nlm.nih.gov/pubmed/32865503
http://dx.doi.org/10.2196/17790
work_keys_str_mv AT sequidominguezirene effectivenessofmobilehealthinterventionspromotingphysicalactivityandlifestyleinterventionstoreducecardiovascularriskamongindividualswithmetabolicsyndromesystematicreviewandmetaanalysis
AT alvarezbuenocelia effectivenessofmobilehealthinterventionspromotingphysicalactivityandlifestyleinterventionstoreducecardiovascularriskamongindividualswithmetabolicsyndromesystematicreviewandmetaanalysis
AT martinezvizcainovicente effectivenessofmobilehealthinterventionspromotingphysicalactivityandlifestyleinterventionstoreducecardiovascularriskamongindividualswithmetabolicsyndromesystematicreviewandmetaanalysis
AT fernandezrodriguezruben effectivenessofmobilehealthinterventionspromotingphysicalactivityandlifestyleinterventionstoreducecardiovascularriskamongindividualswithmetabolicsyndromesystematicreviewandmetaanalysis
AT delsazlaraalicia effectivenessofmobilehealthinterventionspromotingphysicalactivityandlifestyleinterventionstoreducecardiovascularriskamongindividualswithmetabolicsyndromesystematicreviewandmetaanalysis
AT caveroredondoivan effectivenessofmobilehealthinterventionspromotingphysicalactivityandlifestyleinterventionstoreducecardiovascularriskamongindividualswithmetabolicsyndromesystematicreviewandmetaanalysis