PMID- 35258463 OWN - NLM STAT- MEDLINE DCOM- 20220331 LR - 20220716 IS - 1438-8871 (Electronic) IS - 1439-4456 (Print) IS - 1438-8871 (Linking) VI - 24 IP - 3 DP - 2022 Mar 8 TI - The Effectiveness of Mobile Phone Messaging-Based Interventions to Promote Physical Activity in Type 2 Diabetes Mellitus: Systematic Review and Meta-analysis. PG - e29663 LID - 10.2196/29663 [doi] LID - e29663 AB - BACKGROUND: The prevalence of type 2 diabetes mellitus (T2DM) is increasing worldwide. Physical activity (PA) is an important aspect of self-care and first line management for T2DM. SMS text messaging can be used to support self-management in people with T2DM, but the effectiveness of mobile text message-based interventions in increasing PA is still unclear. OBJECTIVE: This study aims to assess the effectiveness of mobile phone messaging on PA in people with T2DM by summarizing and pooling the findings of previous literature. METHODS: A systematic review was conducted to accomplish this objective. Search sources included 5 bibliographic databases (MEDLINE, Cochrane Library, CINAHL, Web of Science, and Embase), the search engine Google Scholar (Google Inc), and backward and forward reference list checking of the included studies and relevant reviews. A total of 2 reviewers (MA and AA) independently carried out the study selection, data extraction, risk of bias assessment, and quality of evidence evaluation. The results of the included studies were synthesized narratively and statistically, as appropriate. RESULTS: We included 3.8% (6/151) of the retrieved studies. The results of individual studies were contradictory regarding the effectiveness of mobile text messaging on PA. However, a meta-analysis of the results of 5 studies showed no statistically significant effect (P=.16) of text messages on PA in comparison with no intervention. A meta-analysis of the findings of 2 studies showed a nonsignificant effect (P=.14) of text messages on glycemic control. Of the 541 studies, 2 (0.4%) found a nonsignificant effect of text messages on anthropometric measures (weight and BMI). CONCLUSIONS: We could not draw a definitive conclusion regarding the effectiveness of text messaging on PA, glycemic control, weight, or BMI among patients with T2MD, given the limited number of included studies and their high risk of bias. Therefore, there is a need for more high-quality primary studies. TRIAL REGISTRATION: PROSPERO International Prospective Register of Systematic Reviews CRD42020156465; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=156465. CI - (c)Mohammed Alsahli, Alaa Abd-Alrazaq, Mowafa Househ, Stathis Konstantinidis, Holly Blake. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 08.03.2022. FAU - Alsahli, Mohammed AU - Alsahli M AUID- ORCID: 0000-0002-6504-9759 AD - School of Health Sciences, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, United Kingdom. AD - Division of Health Informatics, College of Health Science, Saudi Electronic University, Riyadh, Saudi Arabia. FAU - Abd-Alrazaq, Alaa AU - Abd-Alrazaq A AUID- ORCID: 0000-0001-7695-4626 AD - Division of Information and Computing Technology, College of Science and Engineering, Hamad Bin Khalifa University, Qatar Foundation, Doha, Qatar. AD - AI Center for Precision Health, Weill Cornell Medicine-Qatar, Doha, Qatar. FAU - Househ, Mowafa AU - Househ M AUID- ORCID: 0000-0002-3648-6271 AD - Division of Information and Computing Technology, College of Science and Engineering, Hamad Bin Khalifa University, Qatar Foundation, Doha, Qatar. FAU - Konstantinidis, Stathis AU - Konstantinidis S AUID- ORCID: 0000-0002-3680-4559 AD - School of Health Sciences, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, United Kingdom. AD - Nottingham Biomedical Research Centre, National Institute for Health Research, Nottingham, United Kingdom. FAU - Blake, Holly AU - Blake H AUID- ORCID: 0000-0003-3080-2306 AD - School of Health Sciences, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, United Kingdom. AD - Nottingham Biomedical Research Centre, National Institute for Health Research, Nottingham, United Kingdom. LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Review PT - Systematic Review DEP - 20220308 PL - Canada TA - J Med Internet Res JT - Journal of medical Internet research JID - 100959882 SB - IM MH - *Cell Phone MH - *Diabetes Mellitus, Type 2/therapy MH - Exercise MH - Humans MH - Self Care MH - *Text Messaging PMC - PMC8941442 OTO - NOTNLM OT - meta-analysis OT - mobile phone messaging OT - physical activity OT - systematic review OT - type 2 diabetes mellitus COIS- Conflicts of Interest: None declared. EDAT- 2022/03/09 06:00 MHDA- 2022/04/01 06:00 PMCR- 2022/03/08 CRDT- 2022/03/08 12:38 PHST- 2021/04/15 00:00 [received] PHST- 2021/10/29 00:00 [accepted] PHST- 2021/09/30 00:00 [revised] PHST- 2022/03/08 12:38 [entrez] PHST- 2022/03/09 06:00 [pubmed] PHST- 2022/04/01 06:00 [medline] PHST- 2022/03/08 00:00 [pmc-release] AID - v24i3e29663 [pii] AID - 10.2196/29663 [doi] PST - epublish SO - J Med Internet Res. 2022 Mar 8;24(3):e29663. doi: 10.2196/29663.