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Effect of m-Health-Based Interventions on Blood Pressure: An Updated Systematic Review with Meta-Analysis.
Bandeira, Antonio Cleilson Nobre; Gama de Melo, Paulo Urubatan; Johann, Eduardo Braghini; Ritti-Dias, Raphael Mendes; Rech, Cassiano Ricardo; Gerage, Aline Mendes.
Afiliação
  • Bandeira ACN; Graduate Program in Physical Education, Sports Center, Research Group in Clinical Exercise, Federal University of Santa Catarina, Florianópolis, Brazil.
  • Gama de Melo PU; Graduate Program in Physical Education, Sports Center, Research Group in Clinical Exercise, Federal University of Santa Catarina, Florianópolis, Brazil.
  • Johann EB; Graduate Program in Physical Education, Sports Center, Research Group in Clinical Exercise, Federal University of Santa Catarina, Florianópolis, Brazil.
  • Ritti-Dias RM; Graduate Program in Rehabilitation Sciences, University Nine of July, São Paulo, Brazil.
  • Rech CR; Graduate Program in Physical Education, Sports Center, Research Group in Clinical Exercise, Federal University of Santa Catarina, Florianópolis, Brazil.
  • Gerage AM; Graduate Program in Physical Education, Sports Center, Research Group in Clinical Exercise, Federal University of Santa Catarina, Florianópolis, Brazil.
Telemed J E Health ; 30(9): 2402-2418, 2024 Sep.
Article em En | MEDLINE | ID: mdl-38946603
ABSTRACT

Background:

In recent years, the integration of mobile health (m-Health) interventions has garnered increasing attention as a potential means to improve blood pressure (BP) management in adults. This updated systematic review with meta-analysis aimed to identify the effect of m-Health-based interventions on BP in adults and to evaluate the effect of m-Health on BP according to the characteristics of subjects, interventions, and countries.

Methods:

The search was carried out in PubMed, Embase, ResearchGate, and Cochrane databases in January 2022. Study selection and data extraction were performed by two independent reviewers. For analysis, random effects models were used with a confidence interval (CI) of 95% and p < 0.05.

Results:

Fifty studies were included in this review and in the meta-analysis. Interventions with m-Health reduced systolic BP in 3.5 mmHg (95% CI -4.3; -2.7; p < 0.001; I2 = 85.8%) and diastolic BP in 1.8 mmHg (95% CI -2.3; -1.4; p < 0.001; I2 = 78.9%) compared to usual care. The effects of m-Health interventions on BP were more evident in men and in older adults, in interventions lasting 6-8 weeks, with medication reminders, with the possibility of insertion of BP values (p < 0.05).

Conclusion:

The results of this study support the effectiveness of m-Health in reducing BP when compared to standard care. However, these effects are dependent on the characteristics of the subjects and interventions. Given the substantial heterogeneity among the results of this systematic review with meta-analysis, its interpretation should be cautious. Future research on this topic is warranted.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Telemedicina / Hipertensão Limite: Adult / Female / Humans / Male Idioma: En Revista: Telemed J E Health Assunto da revista: INFORMATICA MEDICA / SERVICOS DE SAUDE Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Telemedicina / Hipertensão Limite: Adult / Female / Humans / Male Idioma: En Revista: Telemed J E Health Assunto da revista: INFORMATICA MEDICA / SERVICOS DE SAUDE Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos