Evidence map›Paper›PMID 40799285›Full record

SynthesisFrontiers in digital health2025

The effectiveness of digital health intervention on glycemic control and physical activity in patients with type 2 diabetes: a systematic review and meta-analysis.

Haoyuan Xue, Lin Zhang, Yarong Shi, Hao Zhang, Chuanrong Zhang, Yang Liu, Wenshu Tan, Yaorong Liu

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Haoyuan XueSchool of Physical Education, Xi'an Physical Education University, Xi'an, China.
Lin ZhangInformatization Construction Office, Xi'an Physical Education University, Xi'an, China.
Yarong ShiSchool of Physical Education, Xi'an Physical Education University, Xi'an, China.
Hao ZhangSchool of Physical Education, Xi'an Physical Education University, Xi'an, China.
Chuanrong ZhangSchool of Animation and Digital Arts, Shanxi Communication University, Taiyuan, China.
Yang LiuSchool of Physical Education, Xi'an Physical Education University, Xi'an, China.
Wenshu TanSchool of Physical Education, Xi'an Physical Education University, Xi'an, China.
Yaorong LiuSchool of Physical Education, Xi'an Physical Education University, Xi'an, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Digital health interventions (DHIs) offer promising strategies for managing type 2 diabetes mellitus (T2DM), yet their efficacy on physical activity remains inconsistent. This systematic review and meta-analysis evaluates DHIs' effectiveness across key clinical endpoints. Methods: Following PRISMA guidelines and PROSPERO registration (CRD420251032375), five databases (Web of Science, Embase, Scopus, Cochrane, PubMed) were searched through February 2025. Randomized controlled trials (RCTs) assessing DHIs (mobile applications, phone calls or SMS, online platforms, remote monitoring) versus usual care in T2DM patients were included. Primary outcomes were HbA1c, fasting blood glucose (FBG), postprandial blood glucose (PBG), HOMA-IR, and physical activity. Risk of bias was evaluated using Cochrane RoB 2. Meta-analyses employed random/fixed-effect models in Review Manager 5.3, with subgroup and sensitivity analyses for heterogeneity ( Results: From 9,499 records, 118 RCTs (21,662 participants) were analyzed. DHIs significantly reduced HbA1c (MD = -0.32% to -0.54%), FBG (MD = -0.30 to -0.85), and PBG (SMD = -0.58) versus controls ( Discussion: DHIs demonstrate robust efficacy for glycemic management in T2DM, particularly through online platforms and remote monitoring. However, they fail to enhance physical activity or insulin resistance. Future studies should prioritize adaptive designs for sustained behavioral change and investigate long-term cost-effectiveness. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251032375, identifier (CRD420251032375).

Indexed as

digital health interventionglycemic controlmeta-analysisphysical activitytype 2 diabetes

Identifiers

PMID40799285
PMCPMC12340998

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.