身体活动和饮食即时适应性干预降低血压:一项随机对照试验
Michael P Dorsch1, Jessica R Golbus2,3, Rachel Stevens2
1Department of Clinical Pharmacy, College of Pharmacy, University of Michigan, Ann Arbor, MI, USA. mdorsch@med.umich.edu.
NPJ digital medicine
|July 14, 2025
概括
在高血压患者中,myBPmyLife移动健康应用程序没有降低缩血压 (SBP). 虽然它增加了每日步骤和减少了摄入量,但与对照组相比,SBP变化在统计上没有显著意义.
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
- 行为变化科学行为变化科学
背景情况:
- 移动健康 (mHealth) 干预措施对行为改变有希望,但需要强有力的临床验证.
- 高血压管理需要有效的策略来促进生活方式的修改,如身体活动和饮食改变.
研究的目的:
- 评估myBPmyLife移动应用程序在高血压患者中降低缩血压 (SBP) 的有效性.
- 评估应用程序对二次结果的影响,包括身体活动水平 (每日步数) 和饮食摄入量.
主要方法:
- 进行了一项随机对照试验,涉及602名高血压患者.
- 参与者被分配到使用myBPmyLife应用程序的干预组或对照组.
- 主要结局是6个月内SBP的变化.
主要成果:
- 干预组 (-5.2 mmHg) 和对照组 (-5.7 mmHg) (p=0.76) 之间没有观察到SBP降低的显著差异.
- 干预组显示,与对照组的减少 (-319步) 相比,干预组的每日步数 (+170步) 在统计学上显著增加 (p=0.040).
- 两组人都减少了摄入量,干预组的摄入量下降更大 (1145毫克 vs 860毫克) (p=0.002).
结论:
- myBPmyLife应用程序没有实现其主要目标,即在6个月内降低高血压患者的SBP.
- 尽管对身体活动和减少的积极影响,但该应用程序对血压的临床益处在本试验中没有被证明.
- 可能需要进一步的研究来优化mHealth干预措施,以显著减少高血压管理中的SBP.
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