Text messages for primary prevention of cardiovascular disease: The TextMe2 randomized clinical trial

Klimis, Harry; Thiagalingam, Aravinda; McIntyre, Daniel; Marschner, Simone; Huben, Amy Von; Chow, Clara K

doi:10.1016/j.ahj.2021.08.009

Cited by 14 publications

(16 citation statements)

References 34 publications

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“…In concordance with ESCI, the TextMe 2 study performed in a moderate-high CV risk primary prevention cohort also showed no significant differences with an SMS intervention in the primary endpoint. Klimis et al 28 claimed sample size and loss of follow-up as the main reasons for their results. We had a significant loss of follow-up, with a discontinuation rate of over 20%, that primarily affected our estimated sample size calculation to have differences between groups.…”

Section: Discussionmentioning

confidence: 99%

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Mobile-phone text messaging to promote ideal cardiovascular health in women

et al. 2023

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ObjectiveIdeal cardiovascular health (CVH) was developed to promote CVH as a key component of primordial prevention. Mobile short message service (SMS) is useful for improving health behaviours. We aim to test the effectiveness of SMS intervention in women to improve CVH.MethodsIn a single-blinded, randomised, controlled study, 620 women, aged 35–70 years, without cardiovascular disease, were enrolled in SMS intervention versus no SMS. CVH metrics by self-report, and biochemical laboratory, anthropometric and blood pressure measurements were collected during home visits at baseline and 9 months. Women were categorised as having poor (0–2), intermediate (3–4) or ideal (5–7) CVH according to the number of ideal CVH metrics. Participants were randomised 1:1 to SMS intervention versus control. SMS was sent every 5–6 days for 9 months. The primary outcome was the difference in the proportion of women with ideal CVH between SMS and control groups at 9 months. Rates of intermediate CVH, poor CVH and each of the seven ideal CV health metrics at 9 months were key secondary endpoints.ResultsAt 9 months, there was no significant difference between groups for the primary outcome (16.3% at baseline and 13.3% at 9 months, and 10.1% and 11.1%, in SMS and control groups, respectively, adjusted RR 1.0; 95% CI 0.6 to 1.6). Similarly, there were no significant differences between groups for the key secondary endpoints. SMS had an acceptance rate of 94.9%.ConclusionsBehavioural SMS intervention did not improve rates of ideal CVH in women, despite being feasible and well received.Trial registration number6377.

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Section: Discussionmentioning

confidence: 99%

“…We tried to surpass this limitation by adjusting the results by binomial logarithm regression as done by other similar studies. 28 …”

Section: Discussionmentioning

confidence: 99%

Mobile-phone text messaging to promote ideal cardiovascular health in women

et al. 2023

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“…Eighteen studies [ 26 , 28 – 30 , 33 , 37 – 47 , 51 , 52 ] reported data on BMI in 7574 subjects. Eight studies [ 26 , 27 , 29 , 34 , 38 , 46 , 51 , 52 ] reported data on waist circumference (WC) in 624 subjects. Four studies [ 26 , 46 , 52 , 53 ] reported data on the hip circumference (HC) in 177 subjects.…”

Section: Methodsmentioning

confidence: 99%

Effects of a vegetarian diet combined with aerobic exercise on glycemic control, insulin resistance, and body composition: a systematic review and meta-analysis

Yang

et al. 2023

Eat Weight Disord

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Background Vegetarian diets and aerobic exercise are increasingly accepted as a common way to improve lifestyle. Several studies have shown that vegetarian diets combined with aerobic exercise interventions have a significant effect on preventing and reducing the risk of metabolic diseases. Methods A search of the PubMed, EBSCO, Embase, CENTRAL, and Web of Science databases was conducted for comparative studies of pre- and post-vegetarian diet adoption combined with aerobic exercise interventions on glycemic control and body composition. Qualitative reviews and meta-analyses of fixed and random effects were conducted to pool available data. The results were validated by sensitivity analysis. Results A total of 27 studies were selected for meta-analysis. Combining the studies included in the meta-analysis showed a mean difference for homeostasis model assessment of insulin resistance of − 0.75 (− 1.08 to − 0.42), fasting plasma glucose of − 0.27(− 0.30 to − 0.23), waist circumference of − 1.10 (− 5.06 to 2.86) and body mass index of − 0.70 (− 1.38 to − 0.01). Conclusion In summary, our findings suggest that participants who adopted a vegetarian diet combined with aerobic exercise intervention had significantly lower fasting plasma glucose and insulin levels and improved body composition compared to preintervention participants. Level of evidence Level I, systematic review and meta-analysis.

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“…The Australian RCT TEXTME studied lifestyle-focused SMS in patients with previous coronary heart disease and found significant improvement in several cardiovascular risk factors including reduced low density lipoprotein cholesterol and systolic blood pressure [ 11 ]. However, the following RCT TEXTME2 that studied lifestyle SMS for primary prevention found no significant reduction of uncontrolled cardiovascular risk factors [ 12 ]. Yet, the participants in the intervention group improved cardiovascular risk factor control overall during the study period and were less likely to be physically inactive [ 12 ].…”

mentioning

confidence: 99%

“…However, the following RCT TEXTME2 that studied lifestyle SMS for primary prevention found no significant reduction of uncontrolled cardiovascular risk factors [ 12 ]. Yet, the participants in the intervention group improved cardiovascular risk factor control overall during the study period and were less likely to be physically inactive [ 12 ].…”

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confidence: 99%