Effectiveness of mobile health for exercise promotion on cardiorespiratory fitness after a cancer diagnosis: A systematic review and meta‐analysis
Abstract Background Cancer survivors are at greater risk for cardiovascular‐related mortality. Mobile health (mHealth) is an increasingly prevalent strategy for health promotion, but whether it consistently improves cardiorespiratory outcomes after a cancer diagnosis is unknown. We sought to determi...
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| Format: | Article |
| Language: | English |
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Wiley
2024-09-01
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| Series: | Cancer Medicine |
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| Online Access: | https://doi.org/10.1002/cam4.7079 |
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| author | Megan E. Gregory Weidan Cao Saurabh Rahurkar Fadi Haroun James C. Stock Sanam M. Ghazi Daniel Addison |
| author_facet | Megan E. Gregory Weidan Cao Saurabh Rahurkar Fadi Haroun James C. Stock Sanam M. Ghazi Daniel Addison |
| author_sort | Megan E. Gregory |
| collection | DOAJ |
| description | Abstract Background Cancer survivors are at greater risk for cardiovascular‐related mortality. Mobile health (mHealth) is an increasingly prevalent strategy for health promotion, but whether it consistently improves cardiorespiratory outcomes after a cancer diagnosis is unknown. We sought to determine the effectiveness of mHealth fitness/physical activity interventions on cardiorespiratory fitness outcomes among cancer patients and survivors. Methods Leveraging MEDLINE/PubMed, Scopus, and ClinicalTrials.gov, we identified studies through May 2023. Included studies provided a quantitative evaluation of an mHealth intervention in a primary or secondary capacity on cardiorespiratory fitness (6‐minute walk test, VO2max, 3‐minute step test, or systolic blood pressure; or any mention of cardiac measure) and were meta‐analyzed (using a random effects model) if they were a randomized controlled trial with sufficient quantitative information. Four coders were involved in applying inclusion/exclusion criteria, coding using a standardized data extraction sheet, and assessing study quality, with each study coded by at least two. Results Of 656 articles, nine (n = 392) met systematic review inclusion criteria (mean age range 19–62 years, 71.9% female, 60.9% breast cancer). Interventions included mobile apps (k = 6), smartwatches (k = 2), or a smartwatch plus a supplemental web/mobile/tablet app (k = 1); median duration of mHealth‐use was 12 weeks. Seven (n = 341) fit criteria for meta‐analysis. mHealth was associated with improved cardiorespiratory fitness (d = 0.33; 95% CI = 0.07–0.60) compared to a control group. Relationships remained after accounting for lipid‐based outcomes (d = 0.30; 95% CI = 0.03–0.56). There was no evidence for heterogeneity or publication‐bias. Conclusions mHealth exercise interventions appear to be a viable strategy for improving cardiorespiratory fitness after a cancer diagnosis. |
| format | Article |
| id | doaj-art-d3585dd8a54948769c5a8233da2ae966 |
| institution | Kabale University |
| issn | 2045-7634 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj-art-d3585dd8a54948769c5a8233da2ae9662025-02-07T09:08:08ZengWileyCancer Medicine2045-76342024-09-011317n/an/a10.1002/cam4.7079Effectiveness of mobile health for exercise promotion on cardiorespiratory fitness after a cancer diagnosis: A systematic review and meta‐analysisMegan E. Gregory0Weidan Cao1Saurabh Rahurkar2Fadi Haroun3James C. Stock4Sanam M. Ghazi5Daniel Addison6Department of Health Outcomes & Biomedical Informatics University of Florida Gainesville Florida USADepartment of Biomedical Informatics, College of Medicine The Ohio State University Columbus Ohio USADepartment of Biomedical Informatics, College of Medicine The Ohio State University Columbus Ohio USACardio‐Oncology Program, Division of Cardiovascular Medicine The Ohio State University College of Medicine Columbus Ohio USACardio‐Oncology Program, Division of Cardiovascular Medicine The Ohio State University College of Medicine Columbus Ohio USACardio‐Oncology Program, Division of Cardiovascular Medicine The Ohio State University College of Medicine Columbus Ohio USACardio‐Oncology Program, Division of Cardiovascular Medicine The Ohio State University College of Medicine Columbus Ohio USAAbstract Background Cancer survivors are at greater risk for cardiovascular‐related mortality. Mobile health (mHealth) is an increasingly prevalent strategy for health promotion, but whether it consistently improves cardiorespiratory outcomes after a cancer diagnosis is unknown. We sought to determine the effectiveness of mHealth fitness/physical activity interventions on cardiorespiratory fitness outcomes among cancer patients and survivors. Methods Leveraging MEDLINE/PubMed, Scopus, and ClinicalTrials.gov, we identified studies through May 2023. Included studies provided a quantitative evaluation of an mHealth intervention in a primary or secondary capacity on cardiorespiratory fitness (6‐minute walk test, VO2max, 3‐minute step test, or systolic blood pressure; or any mention of cardiac measure) and were meta‐analyzed (using a random effects model) if they were a randomized controlled trial with sufficient quantitative information. Four coders were involved in applying inclusion/exclusion criteria, coding using a standardized data extraction sheet, and assessing study quality, with each study coded by at least two. Results Of 656 articles, nine (n = 392) met systematic review inclusion criteria (mean age range 19–62 years, 71.9% female, 60.9% breast cancer). Interventions included mobile apps (k = 6), smartwatches (k = 2), or a smartwatch plus a supplemental web/mobile/tablet app (k = 1); median duration of mHealth‐use was 12 weeks. Seven (n = 341) fit criteria for meta‐analysis. mHealth was associated with improved cardiorespiratory fitness (d = 0.33; 95% CI = 0.07–0.60) compared to a control group. Relationships remained after accounting for lipid‐based outcomes (d = 0.30; 95% CI = 0.03–0.56). There was no evidence for heterogeneity or publication‐bias. Conclusions mHealth exercise interventions appear to be a viable strategy for improving cardiorespiratory fitness after a cancer diagnosis.https://doi.org/10.1002/cam4.7079cancer survivorshipcardio‐oncologycardiorespiratory fitnessmobile health applications |
| spellingShingle | Megan E. Gregory Weidan Cao Saurabh Rahurkar Fadi Haroun James C. Stock Sanam M. Ghazi Daniel Addison Effectiveness of mobile health for exercise promotion on cardiorespiratory fitness after a cancer diagnosis: A systematic review and meta‐analysis Cancer Medicine cancer survivorship cardio‐oncology cardiorespiratory fitness mobile health applications |
| title | Effectiveness of mobile health for exercise promotion on cardiorespiratory fitness after a cancer diagnosis: A systematic review and meta‐analysis |
| title_full | Effectiveness of mobile health for exercise promotion on cardiorespiratory fitness after a cancer diagnosis: A systematic review and meta‐analysis |
| title_fullStr | Effectiveness of mobile health for exercise promotion on cardiorespiratory fitness after a cancer diagnosis: A systematic review and meta‐analysis |
| title_full_unstemmed | Effectiveness of mobile health for exercise promotion on cardiorespiratory fitness after a cancer diagnosis: A systematic review and meta‐analysis |
| title_short | Effectiveness of mobile health for exercise promotion on cardiorespiratory fitness after a cancer diagnosis: A systematic review and meta‐analysis |
| title_sort | effectiveness of mobile health for exercise promotion on cardiorespiratory fitness after a cancer diagnosis a systematic review and meta analysis |
| topic | cancer survivorship cardio‐oncology cardiorespiratory fitness mobile health applications |
| url | https://doi.org/10.1002/cam4.7079 |
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