Key result
Digital health lifestyle intervention linked to ~1.2 fewer metabolic syndrome risk factors at 26 weeks.
Why the study?
Although digital health-based lifestyle interventions are widely used to manage metabolic syndrome, the utility of self-care for the prevention or management of metabolic syndrome required confirmation.
Does a digital health-based lifestyle intervention using healthcare devices reduce risk factors in adults with metabolic syndrome?
Cohort (n=106)
No
Does a digital health-based lifestyle intervention using healthcare devices reduce risk factors in adults with metabolic syndrome?
Absolute Event Rate: 2.4% vs 3.6%
p-value: p=<0.01
A 26-week digital health lifestyle intervention utilizing wearable devices and mobile applications significantly reduced metabolic syndrome risk factors in an adult cohort.
Supports digital health tools in metabolic syndrome; hypothesis-generating and should not yet change practice pending randomized trials.
Digital health-based lifestyle interventions (e.g., mobile applications, short messaging service, wearable devices, social media, and interactive websites) are widely used to manage metabolic syndrome (MetS). This study aimed to confirm the utility of self-care for prevention or management of MetS. We recruited 106 participants with one or more MetS risk factors from December 2019 to September 2020. Participants were provided five healthcare devices and applications. Characteristics were compared at baseline and follow-up to examine changes in risk factors, engagement, persistence, and physical activity (analyzed through device use frequency and lifestyle interventions performed). Participants with 1-2 MetS risk factors showed statistically significant reductions in waist circumference (WC) and blood pressure (BP). Participants with ≥3 MetS risk factors showed statistically significant reductions in risk factors including weight, body mass index, WC, BP, and fasting blood sugar (FBS). The prevention and improvement groups used more healthcare devices than the other groups. Smartwatch was the most frequently used device (5 times/week), and physical activity logged more than 7000 steps/week. WC, BP, and FBS of the improvement group were reduced by more than 40%. Based on engagement, persistence, and physical activity, digital health-based lifestyle interventions could be helpful for MetS prevention and management.
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Lee et al. (2022) conducted a cohort in Metabolic Syndrome (MetS) and pre-MetS (n=106). Digital health-based lifestyle interventions (5 healthcare devices and application) was evaluated on Change in average number of metabolic syndrome risk factors from baseline to 26 weeks (in MetS participants) (p=<0.01). Digital health-based lifestyle interventions significantly reduced the average number of metabolic syndrome risk factors from 3.6 to 2.4 (p<0.01) over 26 weeks in participants with metabolic syndrome.
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