Effectiveness of wearable technology‐based physical activity interventions for adults with type 2 diabetes mellitus: A systematic review and meta‐regression
Abstract Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder with the increasing prevalence of a modern sedentary lifestyle. Wearable technology‐based physical activity interventions (WT‐BPAI) might provide a channel to improve diabetic self‐management. The study aimed to (1) evaluate th...
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| Format: | Article |
| Language: | English |
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Wiley
2024-10-01
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| Series: | Journal of Diabetes |
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| Online Access: | https://doi.org/10.1111/1753-0407.70002 |
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| author | Rachael Ern Ching Chua Ying Lau Wen Wei Ang Allison Ann Ying Faustina Boey Siew Tiang Lau |
| author_facet | Rachael Ern Ching Chua Ying Lau Wen Wei Ang Allison Ann Ying Faustina Boey Siew Tiang Lau |
| author_sort | Rachael Ern Ching Chua |
| collection | DOAJ |
| description | Abstract Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder with the increasing prevalence of a modern sedentary lifestyle. Wearable technology‐based physical activity interventions (WT‐BPAI) might provide a channel to improve diabetic self‐management. The study aimed to (1) evaluate the effectiveness of WT‐BPAI on PA levels, glycemic levels, and other outcomes (blood pressure [BP], body mass index [BMI], and serum lipid profile) in adults with T2DM, and (2) investigate the potential covariates affecting aforementioned outcomes. Eight databases were searched thoroughly using three steps from inception until January 16, 2024. The quality of the studies and overall evidence were evaluated. The package meta of the R software program version 4.3.1. was utilized for meta‐analyses, subgroup analyses, and meta‐regression analyses. A total of 19 randomized controlled trials (RCTs) were found. Meta‐analyses revealed that WT‐BPAI significantly increased 1583 steps per day and decreased systolic BP (SBP) by 2.46 mmHg. Subgroup and meta‐regression analyses found that function, duration of intervention, and age were significant covariates. According to the risk of bias version 2, more than half of the trials raised some concerns about the randomization process, deviations from the intended intervention, and missing outcome data. The certainty of the evidence was very low for all outcomes based on the Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria. WT‐BPAI can be considered a supplementary intervention to increase the steps per day and decrease SBP, especially when used for short periods in young adults with T2DM. However, we need more well‐designed research with long‐term outcomes. |
| format | Article |
| id | doaj-art-23fe15d8ba984870b4e8d2b1f7ddd03f |
| institution | Kabale University |
| issn | 1753-0393 1753-0407 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes |
| spelling | doaj-art-23fe15d8ba984870b4e8d2b1f7ddd03f2024-12-26T11:52:04ZengWileyJournal of Diabetes1753-03931753-04072024-10-011610n/an/a10.1111/1753-0407.70002Effectiveness of wearable technology‐based physical activity interventions for adults with type 2 diabetes mellitus: A systematic review and meta‐regressionRachael Ern Ching Chua0Ying Lau1Wen Wei Ang2Allison Ann Ying Faustina Boey3Siew Tiang Lau4Changi General Hospital, Department of Nursing, SingHealth System Singapore SingaporeThe Nethersole School of Nursing, Faculty of Medicine The Chinese University of Hong Kong Hong Kong, SAR Hong KongAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine National University of Singapore Singapore SingaporeChangi General Hospital, Department of Nursing, SingHealth System Singapore SingaporeAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine National University of Singapore Singapore SingaporeAbstract Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder with the increasing prevalence of a modern sedentary lifestyle. Wearable technology‐based physical activity interventions (WT‐BPAI) might provide a channel to improve diabetic self‐management. The study aimed to (1) evaluate the effectiveness of WT‐BPAI on PA levels, glycemic levels, and other outcomes (blood pressure [BP], body mass index [BMI], and serum lipid profile) in adults with T2DM, and (2) investigate the potential covariates affecting aforementioned outcomes. Eight databases were searched thoroughly using three steps from inception until January 16, 2024. The quality of the studies and overall evidence were evaluated. The package meta of the R software program version 4.3.1. was utilized for meta‐analyses, subgroup analyses, and meta‐regression analyses. A total of 19 randomized controlled trials (RCTs) were found. Meta‐analyses revealed that WT‐BPAI significantly increased 1583 steps per day and decreased systolic BP (SBP) by 2.46 mmHg. Subgroup and meta‐regression analyses found that function, duration of intervention, and age were significant covariates. According to the risk of bias version 2, more than half of the trials raised some concerns about the randomization process, deviations from the intended intervention, and missing outcome data. The certainty of the evidence was very low for all outcomes based on the Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria. WT‐BPAI can be considered a supplementary intervention to increase the steps per day and decrease SBP, especially when used for short periods in young adults with T2DM. However, we need more well‐designed research with long‐term outcomes.https://doi.org/10.1111/1753-0407.70002meta‐analysismeta‐regressionphysical activity interventionstype 2 diabetes mellituswearable technology |
| spellingShingle | Rachael Ern Ching Chua Ying Lau Wen Wei Ang Allison Ann Ying Faustina Boey Siew Tiang Lau Effectiveness of wearable technology‐based physical activity interventions for adults with type 2 diabetes mellitus: A systematic review and meta‐regression Journal of Diabetes meta‐analysis meta‐regression physical activity interventions type 2 diabetes mellitus wearable technology |
| title | Effectiveness of wearable technology‐based physical activity interventions for adults with type 2 diabetes mellitus: A systematic review and meta‐regression |
| title_full | Effectiveness of wearable technology‐based physical activity interventions for adults with type 2 diabetes mellitus: A systematic review and meta‐regression |
| title_fullStr | Effectiveness of wearable technology‐based physical activity interventions for adults with type 2 diabetes mellitus: A systematic review and meta‐regression |
| title_full_unstemmed | Effectiveness of wearable technology‐based physical activity interventions for adults with type 2 diabetes mellitus: A systematic review and meta‐regression |
| title_short | Effectiveness of wearable technology‐based physical activity interventions for adults with type 2 diabetes mellitus: A systematic review and meta‐regression |
| title_sort | effectiveness of wearable technology based physical activity interventions for adults with type 2 diabetes mellitus a systematic review and meta regression |
| topic | meta‐analysis meta‐regression physical activity interventions type 2 diabetes mellitus wearable technology |
| url | https://doi.org/10.1111/1753-0407.70002 |
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