Krystal Lu Shin Ng, Murallitharan Munisamy, Joanne Bee Yin Lim, Mustafa Alshagga
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Studies were eligible for inclusion if they involved (1) patients with or survivors of cancer and (2) nutrition-related mobile apps. Studies were excluded if the nutrition intervention was not delivered via mobile app or the app intervention was accompanied by dietary counseling. The review process was conducted based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The Risk of Bias 2 and Risk of Bias in Nonrandomized Studies tools were used to assess the study quality. The Cochrane Review Manager (version 5.4) software was used to synthesize the results of the bias assessment.</p><p><strong>Results: </strong>A total of 13 interventions were included, comprising 783 adults or teenagers with cancer. Most studies focused on breast cancer (6/13, 46%), overweight (6/13, 46%), and survivors (9/13, 69%). Data on anthropometry and body composition (7/13, 54%; 387 participants), nutritional status (3/13, 23%; 249 participants), dietary intake (7/13, 54%; 352 participants), and quality of life (6/13, 46%; 384 participants) were gathered. Experimental groups were more likely to report significant improvements in body weight or composition, dietary compliance, nutritional status, and quality of life than control groups.</p><p><strong>Conclusions: </strong>Although mobile app platforms are used to deliver nutrition interventions, the evidence for long-term efficacy, particularly in populations with cancer, remains elusive. More robust randomized controlled trials with larger sample sizes, as well as more homogeneous population characteristics and outcome measures, are warranted.</p><p><strong>Trial registration: </strong>PROSPERO CRD42023330575; https://tinyurl.com/55v56yaj.</p>","PeriodicalId":45538,"journal":{"name":"JMIR Cancer","volume":"11 ","pages":"e50662"},"PeriodicalIF":3.3000,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840368/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Effect of Nutritional Mobile Apps on Populations With Cancer: Systematic Review.\",\"authors\":\"Krystal Lu Shin Ng, Murallitharan Munisamy, Joanne Bee Yin Lim, Mustafa Alshagga\",\"doi\":\"10.2196/50662\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Limited access to nutrition support among populations with cancer is a major barrier to sustainable and quality cancer care. 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引用次数: 0
摘要
背景：癌症患者获得营养支持的机会有限是实现可持续和高质量癌症治疗的主要障碍。在卫生保健中越来越多地使用移动医疗，引起了人们对其有效性和健康影响的关切。目的：本系统综述旨在确定商业或癌症特定营养移动应用程序对癌症患者的有效性。方法：于2024年5月系统检索CENTRAL、Embase、PubMed （MEDLINE）和Scopus数据库。除了观察性研究、灰色文献和关键系统评价的参考文献外，所有类型的干预研究都被纳入。如果研究涉及(1)癌症患者或幸存者，(2)与营养相关的移动应用程序，则有资格纳入研究。如果营养干预没有通过移动应用程序提供，或者应用程序干预伴随着饮食咨询，则排除研究。评审过程是根据PRISMA（系统评价和荟萃分析首选报告项目）指南进行的。使用Risk of Bias 2和Risk of Bias in非随机研究工具评估研究质量。采用Cochrane Review Manager （version 5.4）软件对偏倚评价结果进行综合。结果：共纳入13项干预措施，包括783名患有癌症的成人或青少年。大多数研究集中在乳腺癌（6/13,46%）、超重（6/13,46%）和幸存者（9/13,69%）。人体测量和身体成分数据(7/13,54%；387名参与者)，营养状况(3/13,23%；249名参与者)、饮食摄入(7/13,54%；352名参与者)和生活质量(6/13,46%；384名参与者)。实验组比对照组更有可能报告在体重或组成、饮食依从性、营养状况和生活质量方面的显著改善。结论：尽管移动应用平台被用于提供营养干预，但长期疗效的证据，特别是在癌症人群中，仍然难以捉摸。有必要进行更大样本量、更均匀的人群特征和结果测量的更可靠的随机对照试验。试验注册：PROSPERO CRD42023330575；https://tinyurl.com/55v56yaj。
The Effect of Nutritional Mobile Apps on Populations With Cancer: Systematic Review.
Background: Limited access to nutrition support among populations with cancer is a major barrier to sustainable and quality cancer care. Increasing use of mobile health in health care has raised concerns about its validity and health impacts.
Objective: This systematic review aimed to determine the effectiveness of commercial or cancer-specific nutritional mobile apps among people living with cancer.
Methods: A systematic search of the CENTRAL, Embase, PubMed (MEDLINE), and Scopus databases was carried out in May 2024. All types of intervention studies were included, except observational studies, gray literature, and reference lists of key systematic reviews. Studies were eligible for inclusion if they involved (1) patients with or survivors of cancer and (2) nutrition-related mobile apps. Studies were excluded if the nutrition intervention was not delivered via mobile app or the app intervention was accompanied by dietary counseling. The review process was conducted based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The Risk of Bias 2 and Risk of Bias in Nonrandomized Studies tools were used to assess the study quality. The Cochrane Review Manager (version 5.4) software was used to synthesize the results of the bias assessment.
Results: A total of 13 interventions were included, comprising 783 adults or teenagers with cancer. Most studies focused on breast cancer (6/13, 46%), overweight (6/13, 46%), and survivors (9/13, 69%). Data on anthropometry and body composition (7/13, 54%; 387 participants), nutritional status (3/13, 23%; 249 participants), dietary intake (7/13, 54%; 352 participants), and quality of life (6/13, 46%; 384 participants) were gathered. Experimental groups were more likely to report significant improvements in body weight or composition, dietary compliance, nutritional status, and quality of life than control groups.
Conclusions: Although mobile app platforms are used to deliver nutrition interventions, the evidence for long-term efficacy, particularly in populations with cancer, remains elusive. More robust randomized controlled trials with larger sample sizes, as well as more homogeneous population characteristics and outcome measures, are warranted.
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