Evidence map›Paper›PMID 27581172›Full record

SynthesisJournal of the American Heart Association2016

Information Technology and Lifestyle: A Systematic Evaluation of Internet and Mobile Interventions for Improving Diet, Physical Activity, Obesity, Tobacco, and Alcohol Use.

Ashkan Afshin, Damilola Babalola, Mireille Mclean, Zhi Yu, Wenjie Ma, Cheng-Yu Chen, Mandana Arabi, Dariush Mozaffarian

Registry-linked trialAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of the American Heart Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03788915 (Facilitating Weight Loss and Reversing Type 2 Diabetes), which is not on this map. Cited by 118 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 14 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03788915 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Facilitating Weight Loss and Reversing Type 2 Diabetes (T2D) by Means of a Collaborative eHealth Lifestyle Coaching Intervention in Primary Care - A 2-year Randomised Controlled Trial

TypeinterventionalSponsorUniversity of Southern DenmarkRan2018 to 2021Enrolled340ConditionsObesityArmsOnline dietetic lifestyle counseling, Usual care
3 · Its place in the literature

Who cites it

118 citing papers in PubMed, 14 syntheses or guidelines pooled it.

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  6. Informational support for depression and quality of life improvements in older patients with cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
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  11. The effectiveness of app-based mobile interventions on nutrition behaviours and nutrition-related health outcomes: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2019
    Pooled it
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  18. An exploratory study to understand how rurality status and demographic characteristics are associated with enrollment, engagement, and retention in a digital health intervention targeting the Appalachian region.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
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58 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ashkan AfshinInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA Friedman School of Nutrition Science & Policy, Tufts University, Boston, MA aafshin@uw.edu.
Damilola BabalolaSaint Joseph Hospital, Chicago, IL.
Mireille McleanSackler Institute for Nutrition Science, New York Academy of Sciences, New York, NY.
Zhi YuDivision of Rheumatology, Allergy and Immunology, Brigham and Women's Hospital, Boston, MA.
Wenjie MaDepartment of Epidemiology, Harvard School of Public Health, Boston, MA.
Cheng-Yu ChenDivision of Chest Medicine, Department of Internal Medicine, National Yang-Ming University Hospital, Ilan, Taiwan Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan Cardinal Tien College of Healthcare and Management, New Taipei, Taiwan.
Mandana ArabiGlobal Alliance for Improved Nutrition, New York, NY.
Dariush MozaffarianFriedman School of Nutrition Science & Policy, Tufts University, Boston, MA.

Funding

Cost-Effectiveness of Health System and State-Level Strategies to Improve Diet and Reduce Cardiometabolic DiseasesR01HL115189 · NHLBI · TUFTS UNIVERSITY BOSTON · PI DARIUSH MOZAFFARIAN · 2013 to 2026
$8.2M
NHLBI NIH HHS R01 HL115189
6 · The paper itself

Abstract

backgroundNovel interventions are needed to improve lifestyle and prevent noncommunicable diseases, the leading cause of death and disability globally. This study aimed to systematically review, synthesize, and grade scientific evidence on effectiveness of novel information and communication technology to reduce noncommunicable disease risk. METHODS AND

resultsWe systematically searched PubMed for studies evaluating the effect of Internet, mobile phone, personal sensors, or stand-alone computer software on diet, physical activity, adiposity, tobacco, or alcohol use. We included all interventional and prospective observational studies conducted among generally healthy adults published between January 1990 and November 2013. American Heart Association criteria were used to evaluate and grade the strength of evidence. From 8654 abstracts, 224 relevant reports were identified. Internet and mobile interventions were most common. Internet interventions improved diet (N=20 studies) (Class IIa A), physical activity (N=33), adiposity (N=35), tobacco (N=22), and excess alcohol (N=47) (Class I A each). Mobile interventions improved physical activity (N=6) and adiposity (N=3) (Class I A each). Evidence limitations included relatively brief durations (generally <6 months, nearly always <1 year), heterogeneity in intervention content and intensity, and limited representation from middle/low-income countries.

conclusionsInternet and mobile interventions improve important lifestyle behaviors up to 1 year. This systematic review supports the need for long-term interventions to evaluate sustainability.

Indexed as

Diet, HealthyExerciseInternetMobile ApplicationsText MessagingAlcohol DrinkingHumansInformation TechnologyLife StyleObesityTherapy, Computer-AssistedTobacco SmokingalcoholdietInternetmobileobesityphysical activitysmoking

Identifiers

PMID27581172
PMCPMC5079005

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.