Department of Internal Medicine, Division of Dietetics, Erasmus MC, University Medical Centre Rotterdam, Doctor Molewaterplein 40, 3015 GD Rotterdam, The Netherlands.
Department of Internal Medicine, Division of Endocrinology, Erasmus MC, University Medical Centre Rotterdam, 3015 GD Rotterdam, The Netherlands.
Nutrients. 2023 Aug 29;15(17):3776. doi: 10.3390/nu15173776.
eHealth has a growing impact on the delivery of healthcare, making health systems more efficient. This study examined the effect of dietary interventions using eHealth compared to face-to-face contact in patients with (pre-) type 2 diabetes (T2D) and who are overweight/obese. Literature databases were searched upon November 2022. Inclusion criteria: randomized controlled trial; duration ≥ 6 months; involving dietary interventions; performed in adults with (pre-) T2D and who are overweight/obese; using eHealth compared to face-to-face contact; and report outcomes on weight loss, glycemic regulation, and/or cost-effectiveness. Selection of articles was performed manually and using ASReviewLab. Fifteen studies were included for data extraction, investigating a wide variety of eHealth interventions. Seven studies reporting on weight loss showed a significant between-group difference (-1.18 to -5.5 kg); five studies showed a trend in favor of the eHealth programs. Eleven studies reported on HbA1c; three found a significant between-group difference (-0.23 to -0.70%) in favor of the eHealth programs and six studies showed non-significant improvements. Interaction with healthcare professionals led to better results of the dietary interventions. Two studies reported incomplete data on cost-effectiveness. In conclusion, eHealth shows better results of dietary interventions in (pre-) T2D patients compared to face-to-face, especially when combined with interaction with healthcare professionals.
电子健康对医疗保健的提供产生了越来越大的影响，使卫生系统更加高效。本研究考察了与面对面接触相比，电子健康在超重/肥胖的（前）2 型糖尿病（T2D）患者中进行饮食干预的效果。在 2022 年 11 月对文献数据库进行了检索。纳入标准：随机对照试验；持续时间≥6 个月；涉及饮食干预；在超重/肥胖的（前）T2D 成年人中进行；与面对面接触相比使用电子健康；并报告体重减轻、血糖调节和/或成本效益方面的结果。文章的选择是手动和使用 ASReviewLab 进行的。有 15 项研究被纳入进行数据提取，调查了各种电子健康干预措施。有 7 项研究报告体重减轻有显著的组间差异（-1.18 至-5.5 公斤）；5 项研究表明电子健康方案有优势的趋势。有 11 项研究报告了 HbA1c；有 3 项研究发现电子健康方案有显著的组间差异（-0.23 至-0.70%），6 项研究显示无显著改善。与医疗保健专业人员的互动导致饮食干预的结果更好。有两项研究报告了成本效益的不完整数据。总之，与面对面相比，电子健康在（前）T2D 患者中进行饮食干预的效果更好，尤其是与与医疗保健专业人员的互动相结合时。
