Evidence map›Paper›PMID 42893986›Full record

SynthesisNutrition & diabetes2026

Effectiveness of eHealth lifestyle interventions on management of metabolic dysfunction-associated steatotic liver disease: a systematic review and meta-analysis.

Yangguo Zhao, Xinrui Yang, Yang Bai, Dorothy Ngo Sheung Chan, Caixia Li

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nutrition & diabetes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Yangguo ZhaoThe Department of Nursing, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.ORCID http://orcid.org/0009-0000-4957-8135
Xinrui YangThe Department of Nursing, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Yang BaiThe School of Nursing, Sun Yat-sen University, Guangzhou, China.
Dorothy Ngo Sheung ChanThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Caixia LiThe Department of Nursing, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China. licx23@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0002-8170-432X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

eHealth lifestyle interventions have emerged as promising management strategies for metabolic dysfunction-associated steatotic liver disease (MASLD). Our review aimed to synthesize the most recent evidence to evaluate the effectiveness of eHealth lifestyle interventions on clinical and behavioral outcomes in adults with MASLD. Twelve databases (Medline, Web of Science Core Collection, Embase, Cochrane Central Register of Controlled Trials, ProQuest Health & Medical Collection, CINAHL Complete, Academic Search Complete, Scopus, Emerald, China National Knowledge Infrastructure, Wanfang Data, and VIP Database) were searched from inception to April 2, 2025. Thirteen randomized controlled trials and fifteen quasi-experimental trials comprising 2579 adult patients with MASLD were included. Seven intervention components were identified: goal setting, health education, consultation, self- and device-monitoring, feedback, patient reminders, and social support. Meta-analysis of randomized controlled trials demonstrated that eHealth lifestyle interventions were significantly superior to standard care in reducing weight, body mass index, waist circumference, alanine aminotransferase, aspartate aminotransferase, and γ-glutamyl transferase levels, and improving MASLD status. Improvements in self-management, dietary adherence, physical activity, exercise, and quality of life were also observed. Our findings suggest that ehealth intervention is a better choice for the patients with MASLD to achieve precise and scalable management. PROSPERO CRD420251001470.

trial registrationPROSPERO CRD420251001470; https://www.crd.york.ac.uk/PROSPERO/view/CRD420251001470 .

Indexed as

Fatty LiverLife StyleMetabolic DiseasesNon-alcoholic Fatty Liver DiseaseTelemedicineDigital HealthExerciseHumansQuality of LifeRandomized Controlled Trials as Topic

Identifiers

PMID42893986
PMCPMC13677714

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.