Change in cardiometabolic risk factors among Asian Indian adults recruited in a mHealth-based diabetes prevention trial
Shruti Muralidharan, Harish Ranjani, Ranjit Mohan Anjana, Yashdeep Gupta, Samita Ambekar, Varsha Koppikar, Narayanaswamy Jagannathan, Sidhant Jena, Nikhil Tandon, Steven Allender, Viswanathan Mohan
Abstract
OBJECTIVE: India is experiencing an increasing prevalence of type 2 diabetes and cardiovascular diseases. Mobile health technology may be a strategy to reduce the risk of cardiometabolic disorders. This paper reports on the effect of a mobile health intervention on cardiometabolic risk factors. METHODS: The mobile health and diabetes intervention was a 12-week reality television-based mobile health program application delivered via videos, short message service and infographics through a smartphone application followed-up weekly by health coach calls. mobile health and diabetes was conducted in a randomized control trial mode randomized controlled trial methodology in three Indian cities (Chennai, Bengaluru and New Delhi) with participants recruited via community screening events. This paper looks at the pre-post changes in cardiometabolic risks among the participants and the place of demography in influencing these. RESULTS: < 0.05). The improvements in cardiometabolic risk factors were more pronounced in individuals with obesity, although overall effects were very modest. CONCLUSIONS: Cardiometabolic risk factors can be reduced with a mobile health application using human coaching, especially in obese individuals, but the improvements are small. To be more effective and clinically meaningful, intensive engagement with the participants is probably required.