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Yufika, Amanda
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Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Physics Public Health

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Journal : Narra X

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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 Abbas, Kirellos Said Abdalla, Rashed YA. Abdeen, Ziad Abdul Malik Setiawan Abudurrahman, Muhammad F. Aburto, José TO. Acharya, Yogesh Adam, Rashed Y. Adejumo, Esther N. Akel, Kaitlyn B. Aloui , Khaoula Anak Agung Dewi Megawati, Anak Agung Dewi Anandu, Sunil Andika, Fina F. Andri Frediansyah, Andri Arab-Zozani, Morteza Babadi, Elham Bakhtiar Bakhtiar Balogun, Emmanuel O. Bondarenko, Anastasia Castillo-Briones, María F. Chandran, Deepak Dababseh, Deema Dahman, Nesrine Ben Hadj Dahman, Nesrine BH. Deeb, Dalia Durosinmi, Abiodun Elfrida Ratnawati Emad , Dina Emran, Talha B. Enitan , Seyi S. Enitan, Seyi S. Enitan, Seyi Samson Ezigbo, Eyiuche D. Fadya, Vannisa Fahriani, Marhami Fauzi Yusuf, Fauzi Ferjani, Manel Ferreto, Lirane ED. Firzan Nainu Gachabayov, Mahir Gunawan, Felicia A. Hafsi , Montacer Hafsi, Montacer Handayani, Yoshimi Haque , Md A. Haque, Md Ariful Harapan Harapan Husnah, Milda Ikram, Aamer Inostroza-Morales, Rocío B. Iqhrammullah, Muhammad Ismaeil, Mohajer IH. Ismail, Asma Y. Kacem, Wajdi Kakemam, Edris Khader, Yousef Khiri, Namareg ME. Kotfis, Katarzyna Koyanagi, Ai Kretchy, James-Paul Kurnia F. Jamil Kusuma, Hendrix I. Lazcano-Díaz, Sebastián A. Lemu, Yohannes K. Lestari, Lazulfa Inda Maidar, Maidar Malik, Najma I. Mamada, Sukamto S. Memish, Ziad A. Monib, Fatma A Monib, Fatma A. Mudatsir Mudatsir Müller, Ruth Mulya, Intan C. Nabila, Amira Qisthy Nur Wahyuniati, Nur Ordóñez-Aburto, José T. Panchawagh, Suhrud Parperis, Konstantinos R , Subramaniam R, Subramaniam Raad, Rawan Rademaker, Marius Ramadana, Rizki R. Ramadhan, Roy N. Rampengan, Derren DCH. Rampengan, Jade AH. Refin, Randa Y. Reza Maulana Rojas, Jorge ET. Rosiello, Dott F. Rosiello, Francesco Safira, Siti Sarah Sallam, Dina E. Sallam, Malik Sami, Farah S. Samsul Anwar Setiono, Steven Sharun, Khan Sirinam, Salin Smith, Lee Te, Haypheng Teyeb, Zeineb Torres-Roman, J. Smith Troncoso-Rojas, Jorge E. Ullah, Irfan Utomo, Prattama S. Vento, Sandro Wagner, Abram L. Wendt, Guilherme W. Wira Winardi, Wira Wiwik Handayani Yomi, Akele R.