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Sökning: WFRF:(Busschers Wim B.) > (2016) > Web-Based Intervent...

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FältnamnIndikatorerMetadata
00004853naa a2200553 4500
001oai:DiVA.org:su-134189
003SwePub
008161003s2016 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:134026399
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-1341892 URI
0247 a https://doi.org/10.2196/jmir.52182 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1340263992 URI
040 a (SwePub)sud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a for2 swepub-publicationtype
1001 a Beishuizen, Cathrien R. L.4 aut
2451 0a Web-Based Interventions Targeting Cardiovascular Risk Factors in Middle-Aged and Older People :b A Systematic Review and Meta-Analysis
264 c 2016-03-11
264 1b JMIR Publications Inc.c 2016
338 a print2 rdacarrier
520 a Background: Web-based interventions can improve single cardiovascular risk factors in adult populations. In view of global aging and the associated increasing burden of cardiovascular disease, older people form an important target population as well.Objective: In this systematic review and meta-analysis, we evaluated whether Web-based interventions for cardiovascular risk factor management reduce the risk of cardiovascular disease in older people.Methods: Embase, Medline, Cochrane and CINAHL were systematically searched from January 1995 to November 2014. Search terms included cardiovascular risk factors and diseases (specified), Web-based interventions (and synonyms) and randomized controlled trial. Two authors independently performed study selection, data-extraction and risk of bias assessment. In a meta-analysis, outcomes regarding treatment effects on cardiovascular risk factors (blood pressure, glycated hemoglobin A1c (HbA1C), low-density lipoprotein (LDL) cholesterol, smoking status, weight and physical inactivity) and incident cardiovascular disease were pooled with random effects models.Results: A total of 57 studies (N=19,862) fulfilled eligibility criteria and 47 studies contributed to the meta-analysis. A significant reduction in systolic blood pressure (mean difference -2.66 mmHg, 95% CI -3.81 to -1.52), diastolic blood pressure (mean difference -1.26 mmHg, 95% CI -1.92 to -0.60), HbA1c level (mean difference -0.13%, 95% CI -0.22 to -0.05), LDL cholesterol level (mean difference -2.18 mg/dL, 95% CI -3.96 to -0.41), weight (mean difference -1.34 kg, 95% CI -1.91 to -0.77), and an increase of physical activity (standardized mean difference 0.25, 95% CI 0.10-0.39) in the Web-based intervention group was found. The observed effects were more pronounced in studies with short (<12 months) follow-up and studies that combined the Internet application with human support (blended care). No difference in incident cardiovascular disease was found between groups (6 studies).Conclusions: Web-based interventions have the potential to improve the cardiovascular risk profile of older people, but the effects are modest and decline with time. Currently, there is insufficient evidence for an effect on incident cardiovascular disease. A focus on long-term effects, clinical endpoints, and strategies to increase sustainability of treatment effects is recommended for future studies.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
653 a eHealth
653 a cardiovascular disease
653 a prevention
653 a older people
653 a aging
653 a systematic review
653 a meta-analysis
7001 a Stephan, Blossom C. M.4 aut
7001 a van Gool, Willem A.4 aut
7001 a Brayne, Carol4 aut
7001 a Peters, Ron J. G.4 aut
7001 a Andrieu, Sandrine4 aut
7001 a Kivipelto, Miiau Karolinska Institutet,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI)4 aut
7001 a Soininen, Hilkka4 aut
7001 a Busschers, Wim B.4 aut
7001 a van Charante, Eric P. Moll4 aut
7001 a Richard, Edo4 aut
7102 a Stockholms universitetb Centrum för forskning om äldre och åldrande (ARC), (tills m KI)4 org
7730 t Journal of Medical Internet Researchd : JMIR Publications Inc.g 18:3q 18:3x 1438-8871
8564 u https://doi.org/10.2196/jmir.5218y Fulltext
8564 u https://www.jmir.org/2016/3/e55/PDF
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-134189
8564 8u https://doi.org/10.2196/jmir.5218
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:134026399

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