The Effect of Including eHealth in Dietary Interventions for Patients with Type 2 Diabetes with Overweight or Obesity: A Systematic Review
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 we...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-08-01
|
| Series: | Nutrients |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6643/15/17/3776 |
| _version_ | 1797582053800148992 |
|---|---|
| author | Karlijn A. M. Geurts Sandra Woodcock-Nekeman Mitchell Hummel Carmen A. W. Dietvorst Elisabeth F. C. van Rossum Kirsten A. Berk |
| author_facet | Karlijn A. M. Geurts Sandra Woodcock-Nekeman Mitchell Hummel Carmen A. W. Dietvorst Elisabeth F. C. van Rossum Kirsten A. Berk |
| author_sort | Karlijn A. M. Geurts |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-10T23:15:27Z |
| format | Article |
| id | doaj.art-6f20e899e72b490d90769c2c81719aef |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T23:15:27Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-6f20e899e72b490d90769c2c81719aef2023-11-19T08:38:59ZengMDPI AGNutrients2072-66432023-08-011517377610.3390/nu15173776The Effect of Including eHealth in Dietary Interventions for Patients with Type 2 Diabetes with Overweight or Obesity: A Systematic ReviewKarlijn A. M. Geurts0Sandra Woodcock-Nekeman1Mitchell Hummel2Carmen A. W. Dietvorst3Elisabeth F. C. van Rossum4Kirsten A. Berk5Department of Internal Medicine, Division of Dietetics, Erasmus MC, University Medical Centre Rotterdam, Doctor Molewaterplein 40, 3015 GD Rotterdam, The NetherlandsDepartment of Internal Medicine, Division of Dietetics, Erasmus MC, University Medical Centre Rotterdam, Doctor Molewaterplein 40, 3015 GD Rotterdam, The NetherlandsDepartment of Internal Medicine, Division of Dietetics, Erasmus MC, University Medical Centre Rotterdam, Doctor Molewaterplein 40, 3015 GD Rotterdam, The NetherlandsDepartment of Internal Medicine, Division of Dietetics, Erasmus MC, University Medical Centre Rotterdam, Doctor Molewaterplein 40, 3015 GD Rotterdam, The NetherlandsDepartment of Internal Medicine, Division of Endocrinology, Erasmus MC, University Medical Centre Rotterdam, 3015 GD Rotterdam, The NetherlandsDepartment of Internal Medicine, Division of Dietetics, Erasmus MC, University Medical Centre Rotterdam, Doctor Molewaterplein 40, 3015 GD Rotterdam, The NetherlandseHealth 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.https://www.mdpi.com/2072-6643/15/17/3776eHealthtype 2 diabetesdietary interventiondietoverweightobesity |
| spellingShingle | Karlijn A. M. Geurts Sandra Woodcock-Nekeman Mitchell Hummel Carmen A. W. Dietvorst Elisabeth F. C. van Rossum Kirsten A. Berk The Effect of Including eHealth in Dietary Interventions for Patients with Type 2 Diabetes with Overweight or Obesity: A Systematic Review Nutrients eHealth type 2 diabetes dietary intervention diet overweight obesity |
| title | The Effect of Including eHealth in Dietary Interventions for Patients with Type 2 Diabetes with Overweight or Obesity: A Systematic Review |
| title_full | The Effect of Including eHealth in Dietary Interventions for Patients with Type 2 Diabetes with Overweight or Obesity: A Systematic Review |
| title_fullStr | The Effect of Including eHealth in Dietary Interventions for Patients with Type 2 Diabetes with Overweight or Obesity: A Systematic Review |
| title_full_unstemmed | The Effect of Including eHealth in Dietary Interventions for Patients with Type 2 Diabetes with Overweight or Obesity: A Systematic Review |
| title_short | The Effect of Including eHealth in Dietary Interventions for Patients with Type 2 Diabetes with Overweight or Obesity: A Systematic Review |
| title_sort | effect of including ehealth in dietary interventions for patients with type 2 diabetes with overweight or obesity a systematic review |
| topic | eHealth type 2 diabetes dietary intervention diet overweight obesity |
| url | https://www.mdpi.com/2072-6643/15/17/3776 |
| work_keys_str_mv | AT karlijnamgeurts theeffectofincludingehealthindietaryinterventionsforpatientswithtype2diabeteswithoverweightorobesityasystematicreview AT sandrawoodcocknekeman theeffectofincludingehealthindietaryinterventionsforpatientswithtype2diabeteswithoverweightorobesityasystematicreview AT mitchellhummel theeffectofincludingehealthindietaryinterventionsforpatientswithtype2diabeteswithoverweightorobesityasystematicreview AT carmenawdietvorst theeffectofincludingehealthindietaryinterventionsforpatientswithtype2diabeteswithoverweightorobesityasystematicreview AT elisabethfcvanrossum theeffectofincludingehealthindietaryinterventionsforpatientswithtype2diabeteswithoverweightorobesityasystematicreview AT kirstenaberk theeffectofincludingehealthindietaryinterventionsforpatientswithtype2diabeteswithoverweightorobesityasystematicreview AT karlijnamgeurts effectofincludingehealthindietaryinterventionsforpatientswithtype2diabeteswithoverweightorobesityasystematicreview AT sandrawoodcocknekeman effectofincludingehealthindietaryinterventionsforpatientswithtype2diabeteswithoverweightorobesityasystematicreview AT mitchellhummel effectofincludingehealthindietaryinterventionsforpatientswithtype2diabeteswithoverweightorobesityasystematicreview AT carmenawdietvorst effectofincludingehealthindietaryinterventionsforpatientswithtype2diabeteswithoverweightorobesityasystematicreview AT elisabethfcvanrossum effectofincludingehealthindietaryinterventionsforpatientswithtype2diabeteswithoverweightorobesityasystematicreview AT kirstenaberk effectofincludingehealthindietaryinterventionsforpatientswithtype2diabeteswithoverweightorobesityasystematicreview |