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Effect of Health Information Technologies on Cardiovascular Risk Factors among Patients with Diabetes
Yilin Yoshida1,2, Suzanne A Boren1, Jesus Soares3
1Department of Health Management and Informatics, School of Medicine, University of Missouri-Columbia, CE707 CS&E Bldg., One Hospital Drive, Columbia, MO, 65212, USA.
Insights
Health information technologies (HIT) significantly improve cardiovascular disease (CVD) risk factors in type 2 diabetes (T2D) patients. These digital tools aid in managing blood pressure, cholesterol, and weight, complementing standard care.
Area of Science:
- Cardiology
- Endocrinology
- Health Informatics
Background:
- Cardiovascular disease (CVD) is a leading cause of death in type 2 diabetes (T2D) patients.
- Health Information Technologies (HIT) have shown efficacy in managing glycemia (HbA1c).
- The impact of HIT on broader CVD risk factor management in T2D remains under-evaluated.
Purpose of the Study:
- To systematically review randomized controlled trials (RCTs).
- To determine the common effects of HIT on CVD risk factors in T2D.
- To assess HIT's role in managing SBP, DBP, HDL, LDL, triglycerides, and weight.
Main Methods:
- Systematic review of 21 eligible randomized controlled trials (RCTs).
- Meta-analysis of data on systolic blood pressure (SBP), diastolic blood pressure (DBP), HDL, LDL, triglycerides (TG), and weight.
- Inclusion of studies measuring specific CVD risk factors.
Main Results:
- Significant reductions observed in SBP, DBP, LDL, and TG.
- Significant improvements noted in HDL levels.
- HIT demonstrated effectiveness in managing multiple CVD risk factors.
Conclusions:
- HIT serves as an effective adjunct to standard T2D treatment.
- HIT can significantly improve CVD risk factors in T2D patients.
- HIT is particularly beneficial for individuals whose CVD risk factors are not at their target goals.
Purpose Of Review:
To identify a common effect of health information technologies (HIT) on the management of cardiovascular disease (CVD) risk factors among people with type 2 diabetes (T2D) across randomized control trials (RCT).
Recent Findings:
CVD is the most frequent cause of morbidity and mortality among patients with diabetes. HIT are effective in reducing HbA1c; however, their effect on cardiovascular risk factor management for patients with T2D has not been evaluated. We identified 21 eligible studies (23 estimates) with measurement of SBP, 20 (22 estimates) of DBP, 14 (17 estimates) of HDL, 14 (17 estimates) of LDL, 15 (18 estimates) of triglycerides, and 10 (12 estimates) of weight across databases. We found significant reductions in SBP, DBP, LDL, and TG, and a significant improvement in HDL associated with HIT. As adjuvants to standard diabetic treatment, HIT can be effective tools for improving CVD risk factors among patients with T2D, especially in those whose CVD risk factors are not at goal.
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