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O c t o b e r 1 5 - 1 6 , 2 0 1 8 | T o k y o , J a p a n
Obesity Congress 2018, Diabetes Congress 2018 & Vaccines Congress 2018 Biomedical Research | ISSN: 0976-1683| Volume 29
2nd WORLD OBESITY CONGRESS
2nd WORLD VACCINES AND IMMUNOLOGY CONGRESS
&
&
DIABETES AND ENDOCRINOLOGY
International Conference on
Joint Event on
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
Eduardo J Simoes et al., Biomed Res 2018, Volume 29 | DOI: 10.4066/biomedicalresearch-C5-013
HEALTH INFORMATION TECHNOLOGY AND
CARDIOVASCULAR HEALTH OF DIABETES
PATIENTS
Eduardo J Simoes, Yilin Yoshida, Jesus Soares, Mihail Popescu,
S D Nielson and Susan A Boren
University of Missouri School of Medicine, USA
Background: Cardiovascular disease (CVD) is the most frequent cause of
morbidity and mortality in type 2 diabetes (T2D) patients. Effective control of
blood pressure, lipid profiles and weight can reduce cardiovascular compli-
cations significantly. Health information technologies (HITs) in the manage-
ment of diabetes, appears effective in reducing HbA1c, however, their effect
on T2D patients’ cardiovascular health has not been well evaluated.
Objective: We used meta-analysis to identify a common effect of HIT on CVD
management across randomized control trails (RCT).
Methods: We systematically searched Medline, Cumulative Index of Nursing
and Allied Health Literature and the Cochrane Library for peer reviewed RCTs
that studied the effect of HITs (i.e. mobile phone-based applications, web-
based applications, SMS/Text and others) on systolic blood pressure (SBP),
diastolic blood pressure (DBP), HDL, LDL and triglycerides. We hand searched
reference lists of eligible articles and reviewed articles to identify missed ar-
ticles. To address the concern that the trials’ effect on CVD outcomes may be
a mixed product of HITs and standard treatment (e.g. medication regimens
and/or lifestyle therapies), we restricted analysis to studies that compared
effects between HITs intervention plus standard care and standard care. We
analyzed data using random effects meta-analytic models.
Results: We included in the final analyses six eligible studies (six estimates)
with measurement of SBP, five (five estimates) of DBP, five (five estimates)
of HDL, four (four estimates) of LDL and five (five estimates) of triglycerides.
HITs are associated with significant reductions in SBP, DBP and LDL. Stan-
dardized mean differences were =-0.58, 95% CI (-1.06, -0.10), -0.70 (-1.34,
-0.07) and -0.30 (-0.47, -0.14), respectively.
Conclusions: HIT are effective in CVD management, especially in blood pres-
sure control and LDL management for T2D patients. HIT should be promoted
for the prevention of diabetes complication, especially among T2D patients
whose CVD health is not properly managed.
Eduardo J Simoes has completed his MD fromUniversity
of Pernambuco, Brazil, his MSc from University of Lon-
don, England and MPH from Emory University, USA. He
is the Chair and Distinguished Professor of University of
Missouri, USA. He has over 120 publications that have
been cited 4691 times (Google Scholar), and his publi-
cation H-index are 33 (Google Scholar) and 27 (Scopus).
He has been serving as an editorial board member of five
reputed journals.
BIOGRAPHY