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Effectiveness of Mobile Health Applications for Cardiometabolic Risk Reduction in Urban and Rural India: A Pilot,
Harish Ranjani1,2, Parizad Avari3,4, Sharma Nitika1,2
1Madras Diabetes Research Foundation, Chennai, India.
Journal of Diabetes Science and Technology
|January 15, 2025
Summary
Mobile health apps effectively reduced cardiometabolic risk factors in Indian adults. This intervention improved weight, blood pressure, and lifestyle behaviors, showing promise for diabetes prevention.
Area of Science:
- Digital Health
- Cardiometabolic Health
- Public Health Interventions
Background:
- Limited data exists on mHealth effectiveness for cardiometabolic risk factors.
- Personalized healthcare delivery via mHealth technology shows potential.
- High prevalence of diabetes risk in South Asian populations necessitates innovative solutions.
Purpose of the Study:
- To assess the effectiveness of mobile health applications (apps) in reducing cardiometabolic risk factors.
- To evaluate mHealth app efficacy in adults aged 25-60 years in urban and rural India.
- To investigate impacts on weight, blood pressure, and lifestyle behaviors.
Main Methods:
- Pilot randomized controlled trial conducted in Tamil Nadu, India.
- Recruited smartphone users (25-60 years) at high risk for diabetes.
- Evaluated four mHealth apps for cardiometabolic risk reduction; analyzed weight loss using intention-to-treat analysis.
Main Results:
- Significant body weight reduction observed in the intervention group (-2.40 kg urban, -1.19 kg rural).
- Improvements noted in body mass index, waist circumference, blood pressure, and fasting blood sugar (FBS).
- Positive changes in dietary and physical activity behaviors were reported compared to controls.
Conclusions:
- mHealth interventions demonstrate efficacy in reducing diabetes risk.
- Mobile health apps can significantly improve cardiometabolic health markers.
- Interventions positively influenced lifestyle behaviors in South Asian populations.

