Comprehensive Cardiovascular Risk Factor Control With a Mobile Health Cardiovascular Risk Self-Management Program

Area of Science:

• Cardiology
• Digital Health
• Preventive Medicine

Background:

• The impact of mobile health technology on cardiovascular risk factor control remains under-explored.
• This study investigates the link between mobile health app interaction and changes in key cardiovascular risk factors.

Purpose of the Study:

• To evaluate the association between engagement with a mobile health application and the modification of cardiovascular risk factors.
• To assess the effectiveness of a digital coaching program in managing hypertension, dyslipidemia, and obesity.

Main Methods:

• A retrospective evaluation of 102,475 participants in a workplace mobile health program (January 2018 - December 2022).
• Analysis of changes in blood pressure (BP), total cholesterol (TC), LDL-C, and weight.
• Multiple regression analyses adjusted for confounders to examine the impact of digital coaching.

Main Results:

• Participants with elevated baseline systolic BP (≥140 mmHg) achieved an 18.6 mmHg reduction.
• Significant reductions were observed in TC (65.7 mg/dL), LDL-C (66.6 mg/dL), and body weight (5.1%) for those with elevated baseline levels.
• Greater reductions in all outcomes were associated with higher interaction with digital coaching features.

Conclusions:

• A mobile health application-based self-management program demonstrated favorable reductions in BP, TC, LDL-C, and weight.
• This technology shows potential for comprehensive cardiovascular risk factor control.
• Digital coaching within mobile health platforms can enhance outcomes for cardiovascular risk management.