PMID- 36649940 OWN - NLM STAT- MEDLINE DCOM- 20230125 LR - 20230202 IS - 1753-0407 (Electronic) IS - 1753-0393 (Print) IS - 1753-0407 (Linking) VI - 15 IP - 1 DP - 2023 Jan TI - Effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: A systematic review and meta-analysis. PG - 47-57 LID - 10.1111/1753-0407.13346 [doi] AB - BACKGROUND: Type 2 diabetes mellitus (T2DM) is a chronic metabolic condition that is associated with multiple comorbidities. Apart from pharmacological approaches, patient self-management remains the gold standard of care for diabetes. Improving patients' self-management among the elderly with mobile health (mHealth) interventions is critical, especially in times of the COVID-19 pandemic. However, the extent of mHealth efficacy in managing T2DM in the older population remains unknown. Hence, the present review examined the effectiveness of mHealth interventions on cardiometabolic outcomes in older adults with T2DM. METHODS: A systematic search from the inception till May 31, 2021, in the MEDLINE, Embase, and PubMed databases was conducted, and 16 randomized controlled trials were included in the analysis. RESULTS: The results showed significant benefits on glycosylated hemoglobin (HbA1c) (mean difference -0.24%; 95% confidence interval [CI]: -0.44, -0.05; p = 0.01), postprandial blood glucose (-2.91 mmol/L; 95% CI: -4.78, -1.03; p = 0.002), and triglycerides (-0.09 mmol/L; 95% CI: -0.17, -0.02; p = 0.010), but not on low-density lipoprotein cholesterol (-0.06 mmol/L; 95% CI: -0.14, 0.02; p = 0.170), high-density lipoprotein cholesterol (0.05 mmol/L; 95% CI: -0.03, 0.13; p = 0.220), and blood pressure (systolic blood pressure -0.82 mm Hg; 95% CI: -4.65, 3.00; p = 0.670; diastolic blood pressure -1.71 mmHg; 95% CI: -3.71, 0.29; p = 0.090). CONCLUSIONS: Among older adults with T2DM, mHealth interventions were associated with improved cardiometabolic outcomes versus usual care. Its efficacy can be improved in the future as the current stage of mHealth development is at its infancy. Addressing barriers such as technological frustrations may help strategize approaches to further increase the uptake and efficacy of mHealth interventions among older adults with T2DM. CI - (c) 2023 The Authors. Journal of Diabetes published by Ruijin Hospital, Shanghai JiaoTong University School of Medicine and John Wiley & Sons Australia, Ltd. FAU - Lee, Jovin Jie Ning AU - Lee JJN AUID- ORCID: 0000-0003-1741-1001 AD - Bia-Echo Asia Center for Reproductive Longevity & Equality (ACRLE), Yong Loo Lin School of Medicine, National University of Singapore, Singapore. FAU - Abdul Aziz, Alia AU - Abdul Aziz A AUID- ORCID: 0000-0001-5889-8309 AD - Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. FAU - Chan, Sok-Teng AU - Chan ST AD - Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. FAU - Raja Abdul Sahrizan, Raja Syazwani Farhanah Binti AU - Raja Abdul Sahrizan RSFB AD - Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. FAU - Ooi, Angeline Ying Ying AU - Ooi AYY AD - Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. FAU - Teh, Yi-Ting AU - Teh YT AD - Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. FAU - Iqbal, Usman AU - Iqbal U AD - Global Health & Health Security Department, College of Public Health, Taipei Medical University, Taipei, Taiwan. AD - Health ICT, Department of Health, Tasmania, Australia. FAU - Ismail, Noor Azina AU - Ismail NA AD - Department of Economics and Applied Statistics, Faculty of Business and Economics, University of Malaya, Kuala Lumpur, Malaysia. FAU - Yang, Aimin AU - Yang A AD - Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China. FAU - Yang, Jingli AU - Yang J AD - College of Earth and Environmental Sciences, Lanzhou University, Lanzhou, China. AD - School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia. FAU - Teh, Daniel Boon Loong AU - Teh DBL AD - Bia-Echo Asia Center for Reproductive Longevity & Equality (ACRLE), Yong Loo Lin School of Medicine, National University of Singapore, Singapore. AD - Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. AD - Department of Anatomy, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. AD - Neurobiology Programme, Life Science Institute, National University of Singapore, Singapore. FAU - Lim, Lee-Ling AU - Lim LL AUID- ORCID: 0000-0002-6214-6924 AD - Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. AD - Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China. AD - Asia Diabetes Foundation, Hong Kong, China. LA - eng GR - ST018-2020/Southeast and South Asia and Taiwan Universities (SATU) Joint Research Scheme/ PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20230117 PL - Australia TA - J Diabetes JT - Journal of diabetes JID - 101504326 RN - 97C5T2UQ7J (Cholesterol) SB - IM MH - Humans MH - Aged MH - *Diabetes Mellitus, Type 2 MH - Pandemics MH - *COVID-19/complications MH - *Cardiovascular Diseases/complications MH - *Telemedicine MH - Cholesterol PMC - PMC9870745 OTO - NOTNLM OT - 2型糖尿病 OT - digital health intervention OT - older adults OT - type 2 diabetes mellitus OT - 数字健康干预 OT - 老年人 COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/01/18 06:00 MHDA- 2023/01/26 06:00 PMCR- 2023/01/17 CRDT- 2023/01/17 20:32 PHST- 2022/09/29 00:00 [revised] PHST- 2022/04/12 00:00 [received] PHST- 2022/12/02 00:00 [accepted] PHST- 2023/01/18 06:00 [pubmed] PHST- 2023/01/26 06:00 [medline] PHST- 2023/01/17 20:32 [entrez] PHST- 2023/01/17 00:00 [pmc-release] AID - JDB13346 [pii] AID - 10.1111/1753-0407.13346 [doi] PST - ppublish SO - J Diabetes. 2023 Jan;15(1):47-57. doi: 10.1111/1753-0407.13346. Epub 2023 Jan 17.