Long-Term Effectiveness of a Smartphone App and a Smart Band on Arterial Stiffness and Central Hemodynamic Parameters in a Population with Overweight and Obesity (Evident 3 Study): Randomised Controlled Trial

mHealth technologies could help to improve cardiovascular health; however, their effect on arterial stiffness and hemodynamic parameters has not been explored to date. To evaluate the effect of a mHealth intervention, at 3 and 12 months, on arterial stiffness and central hemodynamic parameters in a...

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Autores: Gómez-Sánchez, Leticia, Gómez-Sánchez, Marta, Lugones-Sánchez, Cristina, Rodríguez-Sánchez, Emiliano, Tamayo-Morales, Olaya, Gonzalez-Sánchez, Susana, Magallón-Botaya, Rosa, Ramírez-Manent, José Ignacio, Recio-Rodriguez, Jose I, Agudo-Conde, Cristina, García-Ortiz, Luis, Gómez-Marcos, Manuel A
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/23471
Acceso en línea:https://hdl.handle.net/20.500.12105/23471
Access Level:acceso abierto
Palabra clave:Análisis de la Onda del Pulso
Índice Tobillo Braquial
Humanos
Obesidad
Presión Sanguínea
Rigidez Vascular
Adulto
Aplicaciones Móviles
Sobrepeso
Vascular Stiffness
Adult
Humans
Pulse Wave Analysis
Ankle Brachial Index
Overweight
Mobile Applications
Obesity
Blood Pressure
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spelling Long-Term Effectiveness of a Smartphone App and a Smart Band on Arterial Stiffness and Central Hemodynamic Parameters in a Population with Overweight and Obesity (Evident 3 Study): Randomised Controlled TrialGómez-Sánchez, LeticiaGómez-Sánchez, MartaLugones-Sánchez, CristinaRodríguez-Sánchez, EmilianoTamayo-Morales, OlayaGonzalez-Sánchez, SusanaMagallón-Botaya, RosaRamírez-Manent, José IgnacioRecio-Rodriguez, Jose IAgudo-Conde, CristinaGarcía-Ortiz, LuisGómez-Marcos, Manuel AAnálisis de la Onda del PulsoÍndice Tobillo BraquialHumanosObesidadPresión SanguíneaRigidez VascularAdultoAplicaciones MóvilesSobrepesoVascular StiffnessAdultHumansPulse Wave AnalysisAnkle Brachial IndexOverweightMobile ApplicationsObesityBlood PressuremHealth technologies could help to improve cardiovascular health; however, their effect on arterial stiffness and hemodynamic parameters has not been explored to date. To evaluate the effect of a mHealth intervention, at 3 and 12 months, on arterial stiffness and central hemodynamic parameters in a sedentary population with overweight and obesity. Randomised controlled clinical trial (Evident 3 study). 253 subjects were included: 127 in the intervention group (IG) and 126 in the control group (CG). The IG subjects were briefed on the use of the Evident 3 app and a smart band (Mi Band 2, Xiaomi) for 3 months to promote healthy lifestyles. All measurements were recorded in the baseline visit and at 3 and 12 months. The carotid-femoral pulse wave velocity (cfPWV) and the central hemodynamic parameters were measured using a SphigmoCor Systemﾮ device, whereas the brachial-ankle pulse wave velocity (baPWV) and the Cardio Ankle Vascular Index (CAVI) were measured using a VaSera VS-2000ﾮ device. Of the 253 subjects who attended the initial visit, 237 (93.7%) completed the visit at 3 months of the intervention, and 217 (85.3%) completed the visit at 12 months of the intervention. At 12 months, IG showed a decrease in peripheral augmentation index (PAIx) (-3.60; 95% CI -7.22 to -0.00) and ejection duration (ED) (-0.82; 95% CI -1.36 to -0.27), and an increase in subendocardial viability ratio (SEVR) (5.31; 95% CI 1.18 to 9.44). In CG, cfPWV decreased at 3 months (-0.28 m/s; 95% CI -0.54 to -0.02) and at 12 months (-0.30 m/s, 95% CI -0.54 to -0.05), central diastolic pressure (cDBP) decreased at 12 months (-1.64 mm/Hg; 95% CI -3.19 to -0.10). When comparing the groups we found no differences between any variables analyzed. In sedentary adults with overweight or obesity, the multicomponent intervention (Smartphone app and an activity-tracking band) for 3 months did not modify arterial stiffness or the central hemodynamic parameters, with respect to the control group. However, at 12 months, CG presented a decrease of cfPWV and cDBP, whereas IG showed a decrease of PAIx and ED and an increase of SEVR.Multidisciplinary Digital Publishing Institute (MDPI)20242024-10-0420222022-11-1020222022-11-10research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articlehttps://hdl.handle.net/20.500.12105/23471reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/234712026-06-12T12:43:37Z
dc.title.none.fl_str_mv Long-Term Effectiveness of a Smartphone App and a Smart Band on Arterial Stiffness and Central Hemodynamic Parameters in a Population with Overweight and Obesity (Evident 3 Study): Randomised Controlled Trial
title Long-Term Effectiveness of a Smartphone App and a Smart Band on Arterial Stiffness and Central Hemodynamic Parameters in a Population with Overweight and Obesity (Evident 3 Study): Randomised Controlled Trial
spellingShingle Long-Term Effectiveness of a Smartphone App and a Smart Band on Arterial Stiffness and Central Hemodynamic Parameters in a Population with Overweight and Obesity (Evident 3 Study): Randomised Controlled Trial
Gómez-Sánchez, Leticia
Análisis de la Onda del Pulso
Índice Tobillo Braquial
Humanos
Obesidad
Presión Sanguínea
Rigidez Vascular
Adulto
Aplicaciones Móviles
Sobrepeso
Vascular Stiffness
Adult
Humans
Pulse Wave Analysis
Ankle Brachial Index
Overweight
Mobile Applications
Obesity
Blood Pressure
title_short Long-Term Effectiveness of a Smartphone App and a Smart Band on Arterial Stiffness and Central Hemodynamic Parameters in a Population with Overweight and Obesity (Evident 3 Study): Randomised Controlled Trial
title_full Long-Term Effectiveness of a Smartphone App and a Smart Band on Arterial Stiffness and Central Hemodynamic Parameters in a Population with Overweight and Obesity (Evident 3 Study): Randomised Controlled Trial
title_fullStr Long-Term Effectiveness of a Smartphone App and a Smart Band on Arterial Stiffness and Central Hemodynamic Parameters in a Population with Overweight and Obesity (Evident 3 Study): Randomised Controlled Trial
title_full_unstemmed Long-Term Effectiveness of a Smartphone App and a Smart Band on Arterial Stiffness and Central Hemodynamic Parameters in a Population with Overweight and Obesity (Evident 3 Study): Randomised Controlled Trial
title_sort Long-Term Effectiveness of a Smartphone App and a Smart Band on Arterial Stiffness and Central Hemodynamic Parameters in a Population with Overweight and Obesity (Evident 3 Study): Randomised Controlled Trial
dc.creator.none.fl_str_mv Gómez-Sánchez, Leticia
Gómez-Sánchez, Marta
Lugones-Sánchez, Cristina
Rodríguez-Sánchez, Emiliano
Tamayo-Morales, Olaya
Gonzalez-Sánchez, Susana
Magallón-Botaya, Rosa
Ramírez-Manent, José Ignacio
Recio-Rodriguez, Jose I
Agudo-Conde, Cristina
García-Ortiz, Luis
Gómez-Marcos, Manuel A
author Gómez-Sánchez, Leticia
author_facet Gómez-Sánchez, Leticia
Gómez-Sánchez, Marta
Lugones-Sánchez, Cristina
Rodríguez-Sánchez, Emiliano
Tamayo-Morales, Olaya
Gonzalez-Sánchez, Susana
Magallón-Botaya, Rosa
Ramírez-Manent, José Ignacio
Recio-Rodriguez, Jose I
Agudo-Conde, Cristina
García-Ortiz, Luis
Gómez-Marcos, Manuel A
author_role author
author2 Gómez-Sánchez, Marta
Lugones-Sánchez, Cristina
Rodríguez-Sánchez, Emiliano
Tamayo-Morales, Olaya
Gonzalez-Sánchez, Susana
Magallón-Botaya, Rosa
Ramírez-Manent, José Ignacio
Recio-Rodriguez, Jose I
Agudo-Conde, Cristina
García-Ortiz, Luis
Gómez-Marcos, Manuel A
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Análisis de la Onda del Pulso
Índice Tobillo Braquial
Humanos
Obesidad
Presión Sanguínea
Rigidez Vascular
Adulto
Aplicaciones Móviles
Sobrepeso
Vascular Stiffness
Adult
Humans
Pulse Wave Analysis
Ankle Brachial Index
Overweight
Mobile Applications
Obesity
Blood Pressure
topic Análisis de la Onda del Pulso
Índice Tobillo Braquial
Humanos
Obesidad
Presión Sanguínea
Rigidez Vascular
Adulto
Aplicaciones Móviles
Sobrepeso
Vascular Stiffness
Adult
Humans
Pulse Wave Analysis
Ankle Brachial Index
Overweight
Mobile Applications
Obesity
Blood Pressure
description mHealth technologies could help to improve cardiovascular health; however, their effect on arterial stiffness and hemodynamic parameters has not been explored to date. To evaluate the effect of a mHealth intervention, at 3 and 12 months, on arterial stiffness and central hemodynamic parameters in a sedentary population with overweight and obesity. Randomised controlled clinical trial (Evident 3 study). 253 subjects were included: 127 in the intervention group (IG) and 126 in the control group (CG). The IG subjects were briefed on the use of the Evident 3 app and a smart band (Mi Band 2, Xiaomi) for 3 months to promote healthy lifestyles. All measurements were recorded in the baseline visit and at 3 and 12 months. The carotid-femoral pulse wave velocity (cfPWV) and the central hemodynamic parameters were measured using a SphigmoCor Systemﾮ device, whereas the brachial-ankle pulse wave velocity (baPWV) and the Cardio Ankle Vascular Index (CAVI) were measured using a VaSera VS-2000ﾮ device. Of the 253 subjects who attended the initial visit, 237 (93.7%) completed the visit at 3 months of the intervention, and 217 (85.3%) completed the visit at 12 months of the intervention. At 12 months, IG showed a decrease in peripheral augmentation index (PAIx) (-3.60; 95% CI -7.22 to -0.00) and ejection duration (ED) (-0.82; 95% CI -1.36 to -0.27), and an increase in subendocardial viability ratio (SEVR) (5.31; 95% CI 1.18 to 9.44). In CG, cfPWV decreased at 3 months (-0.28 m/s; 95% CI -0.54 to -0.02) and at 12 months (-0.30 m/s, 95% CI -0.54 to -0.05), central diastolic pressure (cDBP) decreased at 12 months (-1.64 mm/Hg; 95% CI -3.19 to -0.10). When comparing the groups we found no differences between any variables analyzed. In sedentary adults with overweight or obesity, the multicomponent intervention (Smartphone app and an activity-tracking band) for 3 months did not modify arterial stiffness or the central hemodynamic parameters, with respect to the control group. However, at 12 months, CG presented a decrease of cfPWV and cDBP, whereas IG showed a decrease of PAIx and ED and an increase of SEVR.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-11-10
2022
2022-11-10
2024
2024-10-04
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.12105/23471
url https://hdl.handle.net/20.500.12105/23471
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Multidisciplinary Digital Publishing Institute (MDPI)
publisher.none.fl_str_mv Multidisciplinary Digital Publishing Institute (MDPI)
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.812429

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