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Journal : Narra X

Can smartphone-based diabetes control apps improve cardiovascular risk among patients with diabetes? A systematic review and meta-analysis Refin, Randa Y.; Andika, Fina F.; Abudurrahman, Muhammad F.; Maidar, Maidar; Yufika, Amanda; Mulya, Intan C.; Parperis, Konstantinos; Abdeen, Ziad
Narra X Vol. 2 No. 1 (2024): April 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narrax.v2i1.123

Abstract

Despite being the most prevalent complication, cardiovascular risk factors such as blood pressure, weight, and lipid profile have been less considered in digital health studies. The aim of this systematic review and meta-analysis was to gather evidence regarding the impact of digital health applications on cardiovascular risk factors in patients with diabetes. Literature search was conducted following the PRISMA guideline on September 4, 2023, using databases including PubMed, Scilit, Scopus, Embase, and Web of Science, with a pre-planned combination of keywords. Selected studies were original research reporting the influence of smartphone applications on cardiovascular risk factors in diabetic patients. Standardized mean differences (SMD) between the intervention and control groups were analyzed using fixed or random-effects models. Eighteen studies met the criteria, consisting of 1152 patients in the intervention group and 1072 patients in the control group. The results of the meta-analysis showed that the smartphone applications significantly controlled systolic blood pressure (SMD: -5.03 mmHg; 95%CI: -7.018, -3.041, p<0.001). There was no significance effect on weight, body mass index, total cholesterol, low-density lipoprotein cholesterol (LDL-c), high-density lipoprotein cholesterol (HDL-c) and diastolic blood pressure. In the subgroup analysis, triglycerides were lower in the intervention group compared to the control group (SMD: -0.459%; 95%CI: -0.787, -0.132, p=0.006). Publication bias and the limited number of studies suggest that the evidence from this study is in moderate level. In conclusion, smartphone apps are not only effective in aiding blood sugar control but also in preventing cardiovascular issues in diabetic patients. Further research is still needed to confirm these findings.
Can smartphone-based diabetes control apps improve cardiovascular risk among patients with diabetes? A systematic review and meta-analysis Refin, Randa Y.; Andika, Fina F.; Abudurrahman, Muhammad F.; Maidar, Maidar; Yufika, Amanda; Mulya, Intan C.; Parperis, Konstantinos; Abdeen, Ziad
Narra X Vol. 2 No. 1 (2024): April 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narrax.v2i1.123

Abstract

Despite being the most prevalent complication, cardiovascular risk factors such as blood pressure, weight, and lipid profile have been less considered in digital health studies. The aim of this systematic review and meta-analysis was to gather evidence regarding the impact of digital health applications on cardiovascular risk factors in patients with diabetes. Literature search was conducted following the PRISMA guideline on September 4, 2023, using databases including PubMed, Scilit, Scopus, Embase, and Web of Science, with a pre-planned combination of keywords. Selected studies were original research reporting the influence of smartphone applications on cardiovascular risk factors in diabetic patients. Standardized mean differences (SMD) between the intervention and control groups were analyzed using fixed or random-effects models. Eighteen studies met the criteria, consisting of 1152 patients in the intervention group and 1072 patients in the control group. The results of the meta-analysis showed that the smartphone applications significantly controlled systolic blood pressure (SMD: -5.03 mmHg; 95%CI: -7.018–(-3.041), p<0.001). There was no significance effect on weight, body mass index, total cholesterol, low-density lipoprotein cholesterol (LDL-c), high-density lipoprotein cholesterol (HDL-c) and diastolic blood pressure. In the subgroup analysis, triglycerides were lower in the intervention group compared to the control group (SMD: -0.459%; 95%CI: -0.787–(-0.132), p=0.006). Publication bias and the limited number of studies suggest that the evidence from this study is in moderate level. In conclusion, smartphone apps are not only effective in aiding blood sugar control but also in preventing cardiovascular issues in diabetic patients. Further research is still needed to confirm these findings.
Co-Authors Abdeen, Ziad Abdul Malik Abudurrahman, Muhammad F. Adamy, Aulina Alam, Tahjul Amin Haris, Amin Amiruddin Amiruddin Andika, Fina F. Ansari, Putri Aripin Ahmad, Aripin Ariscassari , Putri Ariska, Tasya Arlianti, Nopa Asnawi Abdullah Baharuddin, Dharina Bahrizal Bahrizal Basri Aramico, Basri Bella, Natha Cholila, Cholila Darwin Darwin Desy Purnamasari Dharina, Dharina Eka Mulyana, Eka Elviza Elviza Fahmi Ichwansyah Faisal Faisal Farrah Fahdhienie Fatma, Surya Hafnidar A. Rani Hastuti, Sastri Hendrawan, Yoni Heramuliati, Heramuliati Hermansyah Hermansyah Hermansyah Hermansyah Hidayat, Melania Indradewa, Rhian Ismail, Nizam Isnani, Ayu Jalaluddin Jalaluddin Juana, Maulizar Julimas, Alovin Leo Kamelya, Vitrah karmila karmila Khairunnisa Khairunnisa Lisnayana, Lisnayana M. Marthoenis Mailiana, Mailiana Makshal, Teuku Rival Manan, Maidar Abdul Marlina Marlina Masitoh Masitoh Maya Agustina Meutia Zahara Muhammad Iqbal Muhammad Rizki Mulia, Syarifah Sulfira Mulya, Intan C. Muna, Rouzatul Mursalin . Mutia, Sri Alna Nauval, M. Dharma Nazifa, Naurah Nisa, Nurul Hafizatun Nisak, Badraton Nora Usrina Novianti, Hernia Nurhayati Nurhayati Nurjannah Nurjannah Nuryandini, Nuryandini Pamaila, Sri Reski Parperis, Konstantinos Raihan, Siti Luluk Raiyan, Deka Ramadhani, Putri Nur Rani, Hafnidar Ar Rasmi, Rika Irma Raudhatul Jannah Refin, Randa Y. Reza Kurnia Risnawati Risnawati Rita Sari Rita, Lisa RMR, Fahrul Rozi Rosa, Virda Saputra, Irwan Saputri, Delfi Sari, Shinta Maya Savitri, Hidayati Sugisni, Susi Suhermawan, Suhermawan Sutifa, Cut Yuliza Syakur, Syabburin syamsidar syamsidar Syawal Gultom Tahara Dilla Santi Tari, Nadalia Indah Taufiq, Tengku Wardiati, Wardiati Wartini, Sari Yufika, Amanda yunina, fitri Zahara, Amelia Zakaria, Radhiah Zaman, Nasrul Zuriati, Nura