An Overview of the Effectiveness of Digital Apps and Devices in the Management or Prevention of Cardiovascular Diseases

Dr Z Iqbal, Dr J Ochogwu, S Thomas, Dr I Ugwa, Dr K Johal 1.9.2020

OVERALL SUMMARY

Evidence suggests that digital interventions can reduce cardiovascular disease outcomes and have a positive impact on risk factors for cardiovascular diseases. Mobile health apps for diet and weight management show positive outcomes in the form of reduction in weight and improved nutrition. Mobile app interventions led to weight loss in patients with type 2 diabetes and are worth recommending for weight loss promotion.

Mobile health app interventions can promote changes in sedentary time and physical activity over the short term. E.g. physical activity programmes lasting less than 3 months were more effective than apps evaluated across more than 3 months, and that physical activity apps that targeted just physical activity were more effective than apps that targeted physical activity as well as diet. Wearable technologies offer innovative platforms of physical activity interventions and an efficient method for weight control and play a role as a facilitator in motivating and accelerating physical activity. Mobile health apps for lifestyle modification in type 2 diabetes can improve lifestyle factors and help with weight loss, especially to decrease glycated haemoglobin (HbA1c).

There is moderate-certainty evidence that automated text message-based smoking cessation interventions result in greater quit rates than minimal smoking cessation support; and of the benefits of text messaging interventions in addition to other smoking cessation support in comparison with that of smoking cessation support alone. But the effects of apps aiding alcohol reduction interventions were inconclusive.

Interactive mobile health interventions may be a useful tool for improving blood pressure control among adults, especially among those with inadequate blood pressure control. Mobile health apps can be beneficial in terms of improving hypertension self-assessment, treatment and control, being especially useful to help differentiate and manage true and pseudo-resistant hypertension. Digital interventions lower both systolic and diastolic blood pressure compared to usual care. Results suggest these findings can be applied to a wide range of healthcare systems and populations.

With more intense studies and future research, the advancement in technology, especially that of mobile health apps and interventions can be harnessed for the effective prevention and management of cardiovascular diseases – take a look at the full review.

There is an emerging trend to empower patients to support hypertension screening and diagnosis. Novel technology including smartphones and Bluetooth®-enabled tele-monitoring are evolving as key players in hypertension management. Interactive mobile health intervention may be a useful tool for improving BP control among adults, especially among those with inadequate BP control. Mobile health apps can be beneficial in terms of improving hypertension self-assessment, treatment and control, being especially useful to help differentiate and manage true and pseudo-resistant hypertension.

Telehealth interventions can yield positive outcomes in lifestyle changes for secondary prevention of cardiovascular diseases. Mobile health intervention tools can improve medication adherence in patients with cardiovascular diseases. Mobile health delivery has the potential to improve access to cardiac rehabilitation and heart failure management for patients unable to attend traditional cardiac rehabilitation programmes.

Take a look at the full evidence review by downloading the file below – it’s a good read…..