Evidence map›Paper›PMID 40764400›Full record

SynthesisJournal of human hypertension2025

A systematic review and meta-analysis of digital interventions targeting lifestyle factors in patients with hypertension.

Alexandra Lindsay-Perez, Rebecca Jurdon, Thomas King, Lydia Koffman, Nia Roberts, Richard J McManus, David McCartney

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of human hypertension, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM guideline for the prevention, detection, evaluation and management of high blood pressure in adults: a commentary from the European Renal Best Practice (ERBP).Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Article
  5. Review
  6. Review
  7. Article
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

7 authors.

Alexandra Lindsay-PerezAgeing and Movement Research Group, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK. alexandra.lindsay-perez@nhs.net.ORCID http://orcid.org/0000-0001-9378-2408
Rebecca JurdonFrimley Park Hospital, Frimley Health NHS Foundation Trust, Surrey, UK.
Thomas KingNorthwick Park Hospital, London North West University Healthcare NHS Trust, Harrow, UK.
Lydia KoffmanJohn Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Nia RobertsBodleian Health Care Libraries, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-1142-6440
Richard J McManusBrighton and Sussex Medical School, University of Brighton and University of Sussex, Brighton, UK.ORCID http://orcid.org/0000-0003-3638-028X
David McCartneySchool of Medicine and Biomedical Sciences, University of Oxford, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypertension is a major risk factor for cardiovascular disease, for which the management involves both lifestyle modification (diet, exercise etc) and medication. Digital interventions (mobile applications, websites, and SMS messages) are being developed to facilitate lifestyle change, but their effectiveness remains uncertain. This review aimed to establish whether digital interventions targeting lifestyle factors are effective in reducing blood pressure in individuals with hypertension. A systematic search was run through MEDLINE, EMBASE and the Cochrane Library. 5302 records were screened for eligibility and data on the primary outcome (systolic blood pressure (SBP)) and secondary outcomes (diastolic blood pressure (DBP) and change in lifestyle factors) were extracted from eligible papers. Where sufficient data were available, meta-analysis was undertaken using a random effects model. 17 randomised controlled trials were eligible for inclusion (3040 patients). 12 studies were suitable for meta-analysis. Lifestyle change mediated by digital interventions were associated with a larger SBP reduction than controls (mean difference (MD) -2.91 mmHg; 95% confidence interval (CI) -4.11, -1.71; p value (p) <0.0001). A significant difference was also seen in DBP reduction between groups (MD -1.13 mmHg; CI -1.91, -0.35; p = 0.005). Reporting of other secondary outcomes relating to lifestyle change was too heterogenous for meta-analysis. Digital interventions targeting lifestyle factors were associated with an improvement in blood pressure in patients with hypertension, but interpretation of the results is limited by significant heterogeneity between studies. Further research is required to understand which lifestyle factors, when targeted with digital interventions, result in maximal blood pressure reduction.

Indexed as

Blood PressureHealthy LifestyleHypertensionLife StyleMobile ApplicationsRisk Reduction BehaviorHumansTelemedicineText MessagingTreatment Outcome

Identifiers

PMID40764400
PMCPMC12500467

What OpenQuestion holds

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Registered trials

None linked

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.