在癌症中研究心血管健康的研究中使用mHealth技术:系统性审查
Roberto M Benzo1,2, Anvitha Gogineni1, Macy K Tetrick1
1Division of Cancer Prevention and Control, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, Ohio, United States of America.
PLOS digital health
|September 25, 2025
概括
移动健康 (mHealth) 工具可以跟踪癌症幸存者的心血管健康状况,监测身体活动和心率. 然而,缺乏与电子健康记录的整合,这阻碍了临床使用.
科学领域:
- 心血管医学 心血管医学
- 在瘤学瘤学.
- 数字健康数字健康
背景情况:
- 癌症幸存者由于治疗和生活方式因素,心血管疾病 (CVD) 风险更高.
- 监测心血管 (CV) 健康对于改善癌症幸存者的生活质量和结果至关重要.
- 移动健康 (mHealth) 提供了连续跟踪的潜力,但其在癌症幸存者的应用还没有得到很好的定义.
研究的目的:
- 系统地审查用于监测癌症幸存者的心血管健康的mHealth技术.
- 描述收集的数据 (CV事件,风险因素,代用终点) 和收集方法 (主动与被动).
主要方法:
- 在2016-2024年主要数据库 (PubMed,Scopus,Embase,Web of Science) 的系统文献搜索.
- 包括使用mHealth评估CV结果的观察和干预研究.
- 使用Cochrane RoB-2和ROBINS-I工具对偏差风险的评估.
主要成果:
- 14项研究 (13项干预研究,1项观察研究) 符合纳入标准.
- 身体活动和心率 (HR) 是最常被监测的;移动应用程序和可穿戴设备是常见的.
- 被动的mHealth捕获了体力活动 (PA) 和HR;积极的方法捕获了PA,症状和饮食.
- 一个显著的差距是缺乏与电子医疗记录的整合.
结论:
- mHealth提供可扩展的工具,用于跟踪癌症幸存者的CV健康指标.
- 存在着远程监控行为和指导生活方式干预的潜力.
- 缺口包括生物标志物的不足利用 (例如,心率变化) 和电子记忆录的不良整合,需要未来的研究.
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