关键词: Digital cardiac rehabilitation mhealth telerehabilitation virtual wearable devices

Mesh : Humans Cardiac Rehabilitation / methods Blood Pressure Body Mass Index Telemedicine Oxygen Consumption Quality of Life Walk Test Digital Health

来  源:   DOI:10.12688/f1000research.152315.1   PDF(Pubmed)

Abstract:
UNASSIGNED: Cardiovascular disease (CVD) continues to be the foremost mortality internationally. Cardiac rehabilitation has proven as an effective program in reducing CVD burden. Participation in cardiac rehabilitation programs is very low. Digital health intervention emerged as an alternative method to deliver Cardiac rehabilitation. This review aimed to investigate the impact of digital health intervention on the outcomes of interest.
UNASSIGNED: the following databases: PubMed, CINAHL, Scopus, and Cochrane Library have been searched to retrieve randomized controlled trials that examine the impact of digital health intervention on blood pressure, body mass index, lipid profile, blood glucose, Six-Minute Walk Test, and peak oxygen consumption. filters were set to include studies published in English between 2000-2023.
UNASSIGNED: Nineteen studies were included in this review. Six-Minute Walk Test (MD = 16.70; 95% CI: 6.00 to 27.39, p = 0.000) and maximal oxygen consumption (SMD = 0.27; 95% CI: 0.08 to 0.45, p = 0.004) significantly improved following digital health intervention, after employing the sensitivity analysis significant improvement was observed in systolic (MD = -2.54; 95% CI: -4.98 to -0.11, p = 0.04) and diastolic blood pressure (SMD = -2.0182; 95% CI: -3.9436 to -0.0928, p = 0.04) favoring experimental groups. Subgroup analysis revealed significant improvement in quality of life after three months of follow-up (SMD = 0.18; 95% CI: 0.05 to 0.31, p = 0.00), no significant differences have been observed in body mass index, lipid profile, and blood glucose.
UNASSIGNED: The findings emphasize the significant impact of digital vs CBCR or usual care on physical capacity, blood pressure, and quality of life. Despite the non-statistically significant differences in body mass index and lipid profile, the comparable effect between the two methods suggests the superiority of digital over CBCR or usual care due to its convenient nature, accessibility, and cost-effectiveness.
摘要:
心血管疾病(CVD)仍然是国际上死亡率最高的疾病。心脏康复已被证明是减少CVD负担的有效计划。参与心脏康复计划的比例很低。数字健康干预成为提供心脏康复的替代方法。这篇综述旨在调查数字健康干预对感兴趣的结果的影响。
以下数据库:PubMed、CINAHL,Scopus,和Cochrane图书馆已经被搜索到检索随机对照试验,研究数字健康干预对血压的影响,身体质量指数,血脂谱,血糖,六分钟步行测试,和峰值耗氧量。过滤器设置为包括2000年至2023年之间以英语发表的研究。
本综述包括19项研究。六分钟步行测试(MD=16.70;95%CI:6.00至27.39,p=0.000)和最大耗氧量(SMD=0.27;95%CI:0.08至0.45,p=0.004)在数字健康干预后显著改善,采用敏感性分析后,观察到收缩压(MD=-2.54;95%CI:-4.98~-0.11,p=0.04)和舒张压(SMD=-2.0182;95%CI:-3.9436~-0.0928,p=0.04)显著改善,有利于实验组.亚组分析显示随访3个月后生活质量显著改善(SMD=0.18;95%CI:0.05~0.31,p=0.00),体重指数没有观察到显著差异,血脂谱,和血糖。
研究结果强调了数字与CBCR或常规护理对身体能力的重大影响,血压,和生活质量。尽管在体重指数和血脂谱上没有统计学上的显著差异,两种方法之间的可比效果表明,由于其方便的性质,数字优于CBCR或常规护理,可访问性,和成本效益。
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