通过移动应用程序进行生活方式咨询对炎症性关节炎疾病活动控制的影响:单盲随机对照研究
Türker Kurt1,2, Diana Vossen3, Falk Schumacher4,5
1Department of Rheumatology, St. Elisabeth-Hospital Meerbusch-Lank, Hauptstr. 74-76, 40668 Meerbusch, Germany.
Nutrients
|May 25, 2024
概括
移动应用程序生活方式咨询改善了炎症性关节炎患者的疾病活动,包括类风湿性关节炎,脊髓关节炎和牛皮性关节炎. 这种干预措施显示了更好的疾病控制的显著几率比率.
科学领域:
- 类风湿病学 类风湿病学
- 数字健康数字健康
- 生活方式 医学 医疗
背景情况:
- 移动应用程序为生活方式和营养信息提供了宝贵的资源,积极影响炎症性关节炎的结果.
- 生活方式因素显著影响炎症性关节炎的管理和进展.
研究的目的:
- 通过移动应用程序提供的有针对性的生活方式咨询在炎症性关节炎患者中改善疾病活动的有效性.
- 评估基于应用程序的干预措施对类风湿性关节炎,脊椎关节炎和牛皮性关节炎疾病控制的影响.
主要方法:
- 一项随机对照试验,涉及158名患有类风湿性关节炎,脊椎关节炎或牛皮关节炎的患者.
- 参与者通过Mida应用程序获得了12周的生活方式咨询,重点是地中海饮食,体育活动和心理健康.
- 疾病活动由盲目医生评估,并使用地中海饮食坚持选器 (MEDAS) 测量饮食坚持.
主要成果:
- 积极辅导组 (ACG) 的患者在疾病活动中显著改善,实现缓解或低疾病活动 (OR = 2.8,p = 0.035).
- 该ACG显示了一种趋势,即改善了对地中海饮食的坚持 (MEDAS得分,β = 0.35,p = 0.086).
- 对照组的MEDAS分数为4或更高的可能性较小 (OR = 0.16,p = 0.02).
结论:
- 通过移动应用程序提供的个性化生活方式和饮食咨询可以成为改善炎症性关节炎患者疾病控制的有效策略.
- 基于应用程序的干预措施有望增强患者的参与度和在治疗慢性风湿性疾病时坚持健康的生活方式的修改.
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