Effectiveness of mHealth diet interventions in cancer survivors: A systematic review and meta-analysis of randomized controlled trials

GONG, Yabo; Jiang, Xiaohan; CHEN, Xijie; CHEN, Shi; WEN, Yuee; Yuan, Xiuhong; CHEN, Jiamin; Peng, Junsheng

doi:10.1016/j.apjon.2023.100196

Cited by 2 publications

(1 citation statement)

References 58 publications

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“…29 Lifestyle modification interventions delivered remotely utilizing the Internet and mobile technology have shown great promise in improving lifestyle behaviors including dietary intake, PA, and behavioral modification. [30][31][32][33] Here, we report results from the WTC-Nutrition Study, a 10-week prospective randomized control trial implementing the MedDiet with a PA component to improve eating behaviors among WTC responders with overweight and obesity and an active diagnosis of chronic PTSD. The intervention was mainly delivered using the Internet and a mobile technology with minimal in person counseling.…”

Section: Introductionmentioning

confidence: 99%

Mediterranean diet intervention among World Trade Center responders with post‐traumatic stress disorder: Feasibility and outcomes of a pilot randomized controlled trial

Arcan,

Hou,

Hoffman

et al. 2023

Obesity Science & Practice

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ObjectiveResponders of the World Trade Center (WTC) disaster suffer from co‐morbidities. A Mediterranean Diet (MedDiet) nutrition intervention with physical activity was implemented among WTC responders with overweight/obesity and post‐traumatic stress disorder (PTSD).MethodsWTC Health Program members (N = 62), 45–65 years, males 87%, body mass index (BMI) 27–45 kg/m2 randomized to MedDiet (n = 31) or usual nutrition counseling (n = 31). The 10‐week intervention included online nutrition education, text messages, and group experiential cooking; both groups had three in‐person individual nutrition counseling. Anthropometrics, serum biomarkers, psychosocial factors, MedDiet score, and PTSD symptoms were assessed at baseline, post‐intervention, and 3‐months (follow‐up). The primary outcome was intervention feasibility and secondary outcomes were within‐ and between‐group changes of all measures at post‐intervention and follow‐up. Nonparametric Wilcoxon rank sum tests for between‐group comparisons and Wilcoxon signed rank tests for pre‐post within‐group comparisons.ResultsA total of 58(94%) and 46(74%) participants completed the post‐intervention and follow‐up measurements, respectively. Both groups experienced significant improvements in anthropometrics, MedDiet score, oxidized low‐density lipoprotein, and PTSD symptoms. Baseline median (range) were weight 100.42 (73.66–135.17) kg, BMI 33.20 (27.50–41.75) kg/m2, and Waist circumference (WC) 109.22 (90.17–150.62) cm. Median % weight loss at post‐intervention was MedDiet: −3% (−11%–7%), p = 0.0002; Control: −1% (−13%–4%), p = 0.008 and at follow‐up MedDiet: −2% (−14%–12%), p = 0.07; Control: −2% (−20%–3%), p = 0.006. The overall BMI was reduced by −0.68 kg/m2 (−4.61–2.09) kg/m2 p < 0.0001 at post‐intervention and by −0.60 kg/m2 (−6.91–3.39) kg/m2, p < 0.0009 at follow‐up. Overall, median WC was reduced (p < 0.0001); post‐intervention −3.81 cm (−33.00–3.30)cm and follow‐up −4.45(−38.10–4.57)cm. There were group differences in HbA1c (p = 0.019) and serum ω6/ω3 (p = 0.029) at post‐intervention.ConclusionOnline intervention with personal counseling was feasible in this population. Improvements in anthropometrics, MedDiet score, selected serum biomarkers and PTSD symptoms were found in both groups; group differences in HbA1c and serum ω6/ω3. A larger study with a delayed control is needed to better assess intervention effects.

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Section: Introductionmentioning

confidence: 99%

Mediterranean diet intervention among World Trade Center responders with post‐traumatic stress disorder: Feasibility and outcomes of a pilot randomized controlled trial

Arcan,

Hou,

Hoffman

et al. 2023

Obesity Science & Practice

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Home-based exercise interventions’ impact on breast cancer survivors’ functional performance: a systematic review

Ramos,

Júdice,

Nobre

et al. 2024

J Cancer Surviv

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Introduction Home-based exercise (HBE) programs can be a feasible strategy to enhance functional performance and promote physical activity (PA) in breast cancer survivors. A deeper analysis of the effects of HBE interventions, structured by HBE program type and treatment phase, is needed. This systematic review aimed to synthesize the evidence on HBE interventions’ impact on breast cancer survivors’ functional performance, PA levels, and program adherence rates, according to HBE intervention type and treatment phase. Methods A comprehensive search of peer-reviewed articles reporting HBE interventions’ effects on the outcomes of interest was performed in Pubmed, Google Scholar, EBSCO, Web of Science, Science Direct, and B-ON until January 15th, 2024. Data were synthesized according to Denton’s domains to classify HBE interventions (prescription: structured vs. unstructured; Delivery method: supervised vs. facilitated vs. unsupervised) and treatment phase. Methodological quality appraisal was performed using the Effective Public Health Practice Project tool. Results Twenty-six studies were included. Most studies conducted structured/facilitated interventions and reported positive effects on functional performance (particularly aerobic capacity), increases in PA levels, and high adherence rates (> 70%) during and post-treatment. Conclusion HBE interventions may be feasible to improve functional performance and promote physical activity among breast cancer survivors. Further studies are needed to confirm which HBE intervention type is more appropriate for each treatment phase. More evidence applying HBE interventions with different designs is required to allow the drawing of more solid conclusions. Studies exploring the effects of HBE interventions on the pre-treatment phase are needed.

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Effectiveness of mHealth diet interventions in cancer survivors: A systematic review and meta-analysis of randomized controlled trials

Cited by 2 publications

References 58 publications

Mediterranean diet intervention among World Trade Center responders with post‐traumatic stress disorder: Feasibility and outcomes of a pilot randomized controlled trial

Mediterranean diet intervention among World Trade Center responders with post‐traumatic stress disorder: Feasibility and outcomes of a pilot randomized controlled trial

Home-based exercise interventions’ impact on breast cancer survivors’ functional performance: a systematic review

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