短信作为改善心血管疾病风险因素控制的工具:随机临床试验的系统审查和元分析
Ernesto Calderon Martinez1, Stephin Zachariah Saji2, Jonathan Victor Salazar Ore3
1Digital Health, Universidad Nacional Autónoma de México, Mexico City, Mexico. ernestocalderon.mtz@gmail.com.
BMC public health
|April 4, 2025
概括
短信干预显著改善药物坚持和降低血压,为心血管疾病 (CVD) 风险控制提供了一个有希望的方法. 然而,它们对BMI和胆固醇等其他危险因素的有效性需要进一步研究.
科学领域:
- 心血管健康 心血管健康
- 数字健康干预措施 数字健康干预措施
- 预防医学 预防医学
背景情况:
- 心血管疾病 (CVD) 是全球主要的死亡原因之一,不健康的生活方式是其中的主要原因.
- 短信干预措施显示了管理心血管疾病风险因素和促进健康行为的潜力.
- 这次系统性审查和元分析评估了短信用于初级心血管疾病风险预防.
研究的目的:
- 评估短信干预措施在心血管疾病风险因素的初级预防中的有效性.
- 综合关于移动健康 (mHealth) 策略对心脏病风险管理的影响的证据.
主要方法:
- 按照PRISMA 2020指南进行系统审查和元分析.
- 2024年2月12日,在七个主要数据库 (PubMed,MEDLINE,Cochrane,Scopus,Web of Science,Embase,CINAHL) 进行了全面的文献搜索.
- 包括来自5,748篇识别文章的22项研究,评估CVD风险因素的短信.
主要成果:
- 短信显著改善了药物坚持 (MD:0.62,p <0.01).
- 观察到腹压血压 (MD: -2.66,p < 0.01) 和心压血压 (MD: -6.12,p < 0.01) 的显著降低.
- 在BMI,LDL,HDL,总胆固醇或HbA1c方面没有发现显著改善.
结论:
- 短信干预措施有效提高药物守和降低血压,将其定位为心血管疾病风险控制的有价值工具.
- 对其他心血管风险因素的影响有限,需要进一步研究长期影响和个性化方法.
- 将短信等数字健康工具整合到医疗保健策略中,可以加强心血管疾病预防和改善风险因素管理.
相关概念视频
01:23Assessment of the Cardiovascular System I: Subjective Data
245
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
245
01:20Lifestyle Factors and Health
30
Lifestyle factors play a critical role in maintaining overall health and preventing chronic diseases. Key elements, such as regular physical activity, a nutritious diet, and abstinence from smoking, can significantly enhance physical, mental, and emotional well-being while reducing the risk of several life-threatening conditions.
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
30
01:25Errors occurring during blood pressure monitoring
574
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
574
01:20Exercise and Cardiovascular Response
662
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
662
01:30Stress Prevention and Stress Management Techniques VI
23
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
23
01:26Stress Prevention and Stress Management Techniques I
27
Stress prevention and management are crucial for maintaining well-being and building resilience. Techniques to manage stress include cultivating qualities like conscientiousness, a sense of personal control, and self-efficacy. Each of these traits significantly reduces stress and promotes healthier lifestyle choices and outcomes.
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
27