The Use of Mobile Health Interventions for Outcomes among Middle-Aged and Elderly Patients with Prediabetes: A Systematic Review.

The Use of Mobile Health Interventions for Outcomes among Middle-Aged and Elderly Patients with Prediabetes: A Systematic Review.
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DOI:
10.3390/ijerph192013638
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发表时间:
2022-10-20
影响因子:
--
通讯作者:
Koesnanto, Hari
Koesnanto, Hari
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Jeem, Yaltafit Abror;Andriani, Russy Novita;Nabila, Refa;Emelia, Dwi Ditha;Lazuardi, Lutfan;Koesnanto, Hari

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背景资料:目前,针对试验研究中的中老年糖尿病前期患者的移动的健康干预措施的系统评价有限。本综述旨在收集和分析来自实验研究的信息,这些研究调查了移动的健康可用性对中老年糖尿病前期患者结局的有效性。方法:我们在5个数据库中进行了文献检索:Clinicaltrials.gov、国际临床试验注册平台(ICTRP)、PubMed、ProQuest和EBSCO,日期范围为2007年1月至2022年7月,以英文书写,遵循PROSPERO注册方案(CRD 42022354351)。使用Jadad评分评估偏倚的质量和可能性。数据提取和分析是以系统的方式进行的。结果如下:共有25项研究被纳入定性综合,其中19项研究采用随机试验设计,6项研究采用非随机设计。研究结果包括糖尿病发病率、人体测量、实验室检查、体力活动和饮食行为。在长期随访中,移动的健康干预和对照在降低2型糖尿病发病率方面没有显著差异。体重变化、体重减轻≥3%和≥5%、体重指数和腰围变化的研究结果不一致。移动的健康作为身体活动和饮食变化的干预措施的有效性缺乏结论。大多数研究发现,移动的健康缺乏足够的证据来改变HbA1c。根据这些研究中的大多数,血脂水平降低没有显著差异。结论:使用移动的健康还没有被充分证明对中老年糖尿病前期患者有效。
Background: There are currently limited systematic reviews of mobile health interventions for middle-aged and elderly patients with prediabetes from trial studies. This review aimed to gather and analyze information from experimental studies investigating the efficacy of mobile health usability for outcomes among middle-aged and elderly patients with prediabetes. Methods: We conducted a literature search in five databases: Clinicaltrials.gov, the International Clinical Trials Registry Platform (ICTRP), PubMed, ProQuest, and EBSCO, with a date range of January 2007 to July 2022 written in English, following a registered protocol on PROSPERO (CRD42022354351). The quality and possibility of bias were assessed using the Jadad score. The data extraction and analysis were conducted in a methodical manner. Results: A total of 25 studies were included in the qualitative synthesis, with 19 studies using randomized trial designs and 6 studies with non-randomized designs. The study outcomes were the incidence of diabetes mellitus, anthropometric measures, laboratory examinations, measures of physical activity, and dietary behavior. During long-term follow-up, there was no significant difference between mobile health interventions and controls in reducing the incidence of type 2 diabetes. The findings of the studies for weight change, ≥3% and ≥5% weight loss, body mass index, and waist circumference changes were inconsistent. The efficacy of mobile health as an intervention for physical activity and dietary changes was lacking in conclusion. Most studies found that mobile health lacks sufficient evidence to change hbA1c. According to most of these studies, there was no significant difference in blood lipid level reduction. Conclusions: The use of mobile health was not sufficiently proven to be effective for middle-aged and elderly patients with prediabetes.
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