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1. Cardiovascular prevention and rehabilitation

Author

Jennings, Catriona, additional, Berra, Kathy, additional, Hayman, Laura L., additional, Gibson, Irene, additional, Jones, Jennifer, additional, Atrey, Alison, additional, Thompson, David R., additional, Ski, Chantal F., additional, Kerins, Mary, additional, Conboy, Tara, additional, Neubeck, Lis, additional, Gallagher, Robyn, additional, and Koob, Sue, additional

Published
2021
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3. Factors associated with weight loss and health gains in a structured lifestyle modification programme for adults with severe obesity: a prospective cohort study

Author

Finucane, Francis M., primary, Gibson, Irene, additional, Hughes, Robert, additional, Murphy, Enda, additional, Hynes, Lisa, additional, Harris, Aisling, additional, McGuire, Brian E., additional, Hynes, Mary, additional, Collins, Chris, additional, Cradock, Kevin, additional, Seery, Suzanne, additional, Jones, Jennifer, additional, O’Brien, Tim, additional, and O’Donnell, Martin J., additional

Published
2023
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5. Using a digital health intervention “INTERCEPT” to improve secondary prevention in coronary heart disease (CHD) patients: protocol for a mixed methods non-randomised feasibility study

Author

Gibson, Irene, primary, Jennings, Catriona, additional, Neubeck, Lis, additional, Corcoran, Marissa, additional, Wood, David, additional, Sharif, Faisal, additional, Hynes, Lisa, additional, Murphy, Andrew W, additional, Byrne, Molly, additional, and McEvoy, John William, additional

Published
2023
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7. Yeast β‐Glucan Improves Insulin Sensitivity and Hepatic Lipid Metabolism in Mice Humanized with Obese Type 2 Diabetic Gut Microbiota

Author

Mitchelson, Kathleen A. J., primary, Tran, Tam T. T., additional, Dillon, Eugene T., additional, Vlckova, Klara, additional, Harrison, Sabine M., additional, Ntemiri, Alexandra, additional, Cunningham, Katie, additional, Gibson, Irene, additional, Finucane, Francis M., additional, O'Connor, Eibhlís M., additional, Roche, Helen M., additional, and O'Toole, Paul W., additional

Published
2022
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8. The heart of the matter: advocacy in cardiovascular nursing and allied professions.

Author

Forsyth, Faye, Borregaard, Britt, Norekvål, Tone M, and Gibson, Irene

Subjects
HEALTH policy, PATIENT advocacy, NURSES' attitudes, COMMITTEES, ATTITUDES of medical personnel, SERIAL publications, CARDIOVASCULAR diseases, CARDIOVASCULAR disease nursing, PATIENT-professional relations, ALLIED health personnel
Abstract

An editorial is presented on the importance of advocacy in cardiovascular nursing and allied professions, and it emphasizes its historical context, categories, and activities. It mentions the need for empathy, honesty, and collaboration in effective advocacy. It reports that the Association of Cardiovascular Nurses and Allied Professions Advocacy Committee is highlighting efforts to define and promote advocacy.

Published
2023
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9. Obesity in Adults: A 2022 Adapted Clinical Practice Guideline for Ireland

Author

Breen, Cathy, primary, O’Connell, Jean, additional, Geoghegan, Justin, additional, O’Shea, Donal, additional, Birney, Susie, additional, Tully, Louise, additional, Gaynor, Karen, additional, O’Kelly, Mark, additional, O’Malley, Grace, additional, O’Donovan, Clare, additional, Lyons, Oonagh, additional, Flynn, Mary, additional, Allen, Suzanne, additional, Arthurs, Niamh, additional, Browne, Sarah, additional, Byrne, Molly, additional, Callaghan, Shauna, additional, Collins, Chris, additional, Courtney, Aoife, additional, Crotty, Michael, additional, Donohue, Ciara, additional, Donovan, Caroline, additional, Dunlevy, Colin, additional, Duggan, Diarmuid, additional, Fearon, Naomi, additional, Finucane, Francis, additional, Fitzgerald, Ita, additional, Foy, Siobhan, additional, Garvey, John, additional, Gibson, Irene, additional, Glynn, Liam, additional, Gregg, Edward, additional, Griffin, Anne, additional, Harrington, Janas M., additional, Heary, Caroline, additional, Heneghan, Helen, additional, Hogan, Andrew, additional, Hynes, Mary, additional, Kearney, Claire, additional, Kelly, Dervla, additional, Neff, Karl, additional, le Roux, Carel W., additional, Manning, Sean, additional, McAuliffe, Fionnuala, additional, Moore, Susan, additional, Moran, Niamh, additional, Murphy, Maura, additional, Murrin, Celine, additional, O’Brien, Sarah M., additional, O’Donnell, Caitríona, additional, O’Dwyer, Sarah, additional, O’Grada, Cara, additional, O’Malley, Emer, additional, O’Reilly, Orlaith, additional, O’Reilly, Sharleen, additional, Porter, Olivia, additional, Roche, Helen M., additional, Rhynehart, Amanda, additional, Ryan, Leona, additional, Seery, Suzanne, additional, Soare, Corina, additional, Shaamile, Ferrah, additional, Walsh, Abigail, additional, Woods, Catherine, additional, Woods, Conor, additional, and Yoder, Ruth, additional

Published
2022
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10. Improved Quality of Life, Fitness, Mental Health and Cardiovascular Risk Factors with a Publicly Funded Bariatric Lifestyle Intervention for Adults with Severe Obesity: A Prospective Cohort Study

Author

Brazil, John Francis, primary, Gibson, Irene, additional, Dunne, Denise, additional, Hynes, Lisa B., additional, Harris, Aisling, additional, Bakir, Mustafa, additional, Keegan, Dylan, additional, McGuire, Brian, additional, Hynes, Mary, additional, Collins, Chris, additional, Foy, Siobhan, additional, Seery, Suzanne, additional, Bassett, Paul, additional, Davenport, Colin, additional, Jones, Jennifer, additional, and Finucane, Francis M., additional

Published
2021
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13. Interhospital and interindividual variability in secondary prevention: a comparison of outpatients with a history of chronic coronary syndrome versus outpatients with a history of acute coronary syndrome (the iASPIRE Study)

Author

Curneen, James MG, primary, Judge, Conor, additional, Traynor, Bryan, additional, Buckley, Anthony, additional, Saiva, Lavanya, additional, Murphy, Laura, additional, Murray, Donal, additional, Fleming, Sean, additional, Kearney, Peter, additional, Murphy, Ross T, additional, Aleong, Godfrey, additional, Kiernan, Thomas J, additional, O'Neill, James, additional, Moore, David, additional, Nicaodhabhui, Bridog, additional, Birrane, John, additional, Hall, Patricia, additional, Crowley, James, additional, Gibson, Irene, additional, Jennings, Catriona S, additional, Wood, David, additional, Kotseva, Kornelia, additional, and McEvoy, John William, additional

Published
2021
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14. Effects of a single-centre lifestyle modification programme on anthropometric, metabolic, and cardiovascular risk factors in adults with severe obesity

Author

Brazil, John, primary, Finucane, Francis, additional, Gibson, Irene, additional, Collins, Chris, additional, Maguire, Brian, additional, Hynes, Mary, additional, Bakir, Mustafa, additional, Dunne, Denise, additional, Foy, Siobhan, additional, Seery, Suzanne, additional, Bassett, Paul, additional, and Davenport, Colin, additional

Published
2021
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15. EAPC Core Curriculum for Preventive Cardiology

Author

Wilhelm, Matthias, primary, Abreu, Ana, additional, Adami, Paolo Emilio, additional, Ambrosetti, Marco, additional, Antonopoulou, Maria, additional, Biffi, Alessandro, additional, Cavarretta, Elena, additional, D'Ascenzi, Flavio, additional, Gibson, Irene, additional, Grobbee, Diederick E, additional, Iliou, Marie-Christine, additional, Koskinas, Konstantinos, additional, Marques-Vidal, Pedro, additional, Nixdorff, Uwe, additional, Papadakis, Michael, additional, Piepoli, Massimo F, additional, Vassiliou, Vass, additional, Wood, David, additional, Dendale, Paul, additional, and Halle, Martin, additional

Published
2021
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18. Supplemental Material, sj-pdf-1-ahp-10.1177_0890117120931711 - Evaluation of a Community-Based Cardiovascular Prevention Program in Patients With Type 2 Diabetes

Author

Finn, Yvonne, Miroslawa Gorecka, Flaherty, Gerard, Dunne, Fidelma, O’Brien, Timothy, Crowley, James, Wood, David, Connolly, Susan, Jones, Jennifer, and Gibson, Irene

Subjects
111799 Public Health and Health Services not elsewhere classified, FOS: Health sciences
Abstract

Supplemental Material, sj-pdf-1-ahp-10.1177_0890117120931711 for Evaluation of a Community-Based Cardiovascular Prevention Program in Patients With Type 2 Diabetes by Yvonne Finn, Miroslawa Gorecka, Gerard Flaherty, Fidelma Dunne, Timothy O’Brien, James Crowley, David Wood, Susan Connolly, Jennifer Jones and Irene Gibson in American Journal of Health Promotion

Published
2020
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21. EAPC Core Curriculum for Preventive Cardiology.

Author

Wilhelm, Matthias, Abreu, Ana, Adami, Paolo Emilio, Ambrosetti, Marco, Antonopoulou, Maria, Biffi, Alessandro, Cavarretta, Elena, D'Ascenzi, Flavio, Gibson, Irene, Grobbee, Diederick E, Iliou, Marie-Christine, Koskinas, Konstantinos, Marques-Vidal, Pedro, Nixdorff, Uwe, Papadakis, Michael, Piepoli, Massimo F, Vassiliou, Vass, Wood, David, Dendale, Paul, and Halle, Martin

Published
2022
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27. Evaluation of a Community-Based Cardiovascular Prevention Program in Patients With Type 2 Diabetes

Author

Finn, Yvonne, Gorecka, Miroslawa, Flaherty, Gerard, Dunne, Fidelma, O’Brien, Timothy, Crowley, James, Wood, David, Connolly, Susan, Jones, Jennifer, and Gibson, Irene

Abstract

Purpose: An outcomes’ evaluation of a community-based cardiovascular disease (CVD) prevention program in persons with newly diagnosed type 2 diabetes.Design: A prospective, observational study.Setting: A community-setting in Ireland.Participants: Persons with newly diagnosed type 2 diabetes, aged 40 years or older, and 2 or more cardiovascular risk factors.Intervention: A 16-week community-based, cardiovascular prevention program, with health promotion seminars, group exercise, and individual consultations, delivered by a multidisciplinary team.Measures: Medical, lifestyle, and well-being measures.Analysis: Changes in categorical and continuous variables were analyzed using the paired exact test and the ttest/Wilcoxin matched-pairs test, respectively.Results: In total, 218 persons (134 men) participated, mean age was 59.8 (10.2) years. Completion rate was 75.2% (n = 164). The proportion achieving target glycosylated hemoglobin (HbA1c) increased from 53% at baseline to 75% (P< .001) at end of program. Systolic and diastolic blood pressures reduced by 8.8 mm Hg (95% CI: −11.2 to −6.4, P< .001) and 5.2 mm Hg (95% CI: −6.9 to −3.5, P< .001), respectively. Mean low-density lipoprotein cholesterol reduced from 2.45 to 2.05 mmol/L (P< .001). Significantly higher proportions met recommended targets in diet (6.9% vs 43.4%, P< .001) and physical activity (9.2% vs 56.6%, P< .001). Psychosocial measures significantly improved at end of program. The majority of improvements were sustained at 1 year.Conclusion: Participation in this CVD prevention program was associated with significant improvements in glycemia and CVD risk factors in newly diagnosed patients with type 2 diabetes.

Published
2021
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32. Effects of an eight-week supervised, structured lifestyle modification programme on anthropometric, metabolic and cardiovascular risk factors in severely obese adults

Author

Crowe, Catherine, primary, Gibson, Irene, additional, Cunningham, Katie, additional, Kerins, Claire, additional, Costello, Caroline, additional, Windle, Jane, additional, O′Shea, Paula M., additional, Hynes, Mary, additional, McGuire, Brian, additional, Kilkelly, Katriona, additional, Griffin, Helena, additional, O′Brien, Tim, additional, Jones, Jenni, additional, and Finucane, Francis M, additional

Published
2015
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34. Effects of an 8-week supervised, structured lifestyle modification programme on anthropometric, metabolic, and cardiovascular risk factors in severely obese adults

Author

Crowe, Catherine, primary, Gibson, Irene, additional, Cunningham, Katie, additional, Kerins, Claire, additional, Costello, Caroline, additional, Windle, Jane, additional, O'Shea, Paula, additional, Hynes, Mary, additional, McGuire, Brian, additional, Kilkelly, Katriona, additional, Griffin, Helena, additional, O'Brien, Timothy, additional, Jones, Jenni, additional, and Finucane, Francis, additional

Published
2015
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35. Can the onset of type 2 diabetes be delayed by a group-based lifestyle intervention in women with prediabetes following gestational diabetes mellitus? Findings from a randomised control mixed methods trial

Author

O'Dea, Angela, primary, Tierney, Marie, additional, McGuire, Brian, additional, Newell, John, additional, Gibson, Irene, additional, Glynn, Liam, additional, Noctor, Eoin, additional, Connolly, Susan, additional, and Dunne, Fidelma, additional

Published
2015
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37. Can the Onset of Type 2 Diabetes Be Delayed by a Group-Based Lifestyle Intervention in Women with Prediabetes following Gestational Diabetes Mellitus (GDM)? Findings from a Randomized Control Mixed Methods Trial

Author

O’Dea, Angela, primary, Tierney, Marie, additional, McGuire, Brian E., additional, Newell, John, additional, Glynn, Liam G., additional, Gibson, Irene, additional, Noctor, Eoin, additional, Danyliv, Andrii, additional, Connolly, Susan B., additional, and Dunne, Fidelma P., additional

Published
2015
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38. Jordanian Stereotypes of Americans: A Study at Yarmouk University in Irbid, Jordan.

Author

Gibson, Irene, Banihani, Mohammed Saleh, and Gibson, Peter Joseph

Subjects
STEREOTYPES, AMERICANS, JORDANIAN students
Abstract

This study investigates Jordanian student perceptions of Americans through a survey of Yarmouk University in Irbid, Jordan. Specifically, this study identifies pervading stereotypes held about Americans, and where these stereotypes were learned. Data was collected June through August of 2014 from Yarmouk University students through a distribution of surveys. Students reported learning the most about Americans through films (22%). For a majority of students, the response for a trait related to Americans had a significant association with the response for the same trait related to Jordanians. Traits commonly and significantly associated with Americans were lack of family values, women being promiscuous, wanting to invade other countries, and disliking Muslims. The trait commonly and significantly associated with Jordanians was being generous. [ABSTRACT FROM AUTHOR]

Published
2017

39. Effects of an icon-based menu labelling initiative on consumer food choice.

Author

Kerins, Claire, Cunningham, Katie, Finucane, Francis M., Gibson, Irene, Jones, Jenni, and Kelly, Colette

Abstract

Aims: The purpose of this study was to examine the impact of an icon-based menu labelling initiative on consumer buying behaviour.Methods: This quasi-experimental study recruited a convenience sample of eight food service establishments, all with at least one menu item meeting the heart healthy criteria. Data from sales of all menu items sold over an 8-week period were collated 4 weeks prior to and 4 weeks during the display of information icons related to healthy food choices on menus.Results: The absolute change in menu item sales showed a non-significant trend towards an increase in healthier menu item selections. Furthermore, there was no association between the type of food service establishment and the percentage change in labelled menu item sales.Conclusion: The study did not find a statistically significant influence of the icon-based menu labels on consumer food choice. Given the limited amount of research that examines alternative menu labelling formats in real-world settings, more studies are necessary to confirm these results. Further research is needed to identify the optimal format, content and impact of menu labels on consumer behaviour. [ABSTRACT FROM AUTHOR]

Published
2017
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42. An evaluation of Cro� MyAction community lifestyle modification programme compared to standard care to reduce progression to diabetes/pre-diabetes in women with prior gestational diabetes mellitus (GDM): study protocol for a randomised controlled trial

Author

Infanti, Jennifer J, primary, Dunne, Fidelma P, additional, O�Dea, Angela, additional, Gillespie, Paddy, additional, Gibson, Irene, additional, Glynn, Liam G, additional, Noctor, Eoin, additional, Newell, John, additional, and McGuire, Brian E, additional

Published
2013
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46. EAPC core curriculum for preventive cardiology

Author

Marco Ambrosetti, David R. Wood, Vass Vassiliou, Pedro Marques-Vidal, Paolo Emilio Adami, Marie-Christine Iliou, Michael Papadakis, Massimo F Piepoli, Paul Dendale, Ana Abreu, Elena Cavarretta, Flavio D'Ascenzi, Maria Antonopoulou, Alessandro Biffi, Matthias Wilhelm, Irene Gibson, Martin Halle, Diederick E. Grobbee, Uwe Nixdorff, Konstantinos C. Koskinas, Repositório da Universidade de Lisboa, Wilhelm, Matthias/0000-0003-4541-3995, Vassiliou, Vassilios/0000-0002-4005-7752, Marques-Vidal, Pedro/0000-0002-4548-8500, Wood , David, Ambrosetti, Marco, Gibson, Irene, Marques-Vidal, Pedro, Piepoli, Massimo F., Halle, Martin, Antonopoulou, Maria, DENDALE, Paul, Biffi, Alessandro, D'Ascenzi, Flavio, Iliou, Marie-Christine, Nixdorff, Uwe, Vassiliou, Vass, Koskinas, Konstantinos, Grobbee, Diederick E., Wilhelm, Matthias, Adami, Paolo Emilio, Abreu, Ana, Papadakis, Michael, and Cavarretta, Elena

Subjects
Cardiac & Cardiovascular Systems, certification, Epidemiology, medicine.medical_treatment, curriculum, Disease, Certification, DISEASE, population science, Weight management, cardiovascular rehabilitation, Prevention of CVD, Medicine, CARDIOVASCULAR PREVENTION, 610 Medicine & health, humans, exercise, ASSOCIATION, EUROPEAN-SOCIETY, Cardiovascular rehabilitation, cardiology, Population science, LIFE-STYLE, sports, Cardiology and Cardiovascular Medicine, prevention of CVD, Psychosocial, Life Sciences & Biomedicine, sports cardiology, POSITION PAPER, COUNTRIES, REHABILITATION, medicine.medical_specialty, Exercise testing, Context (language use), AMERICAN-COLLEGE, Subspecialty, Social determinants of health, Sports cardiology, exercise testing, Science & Technology, business.industry, cardiovascular diseases, Family medicine, Cardiovascular System & Cardiology, RISK-FACTORS, Smoking cessation, business
Abstract

© The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited., Preventive cardiology encompasses the whole spectrum of cardiovascular disease (CVD) prevention, at individual and population level, through all stages of life. This includes promotion of cardiovascular (CV) health, management of individuals at risk of developing CVD, and management of patients with established CVD, through interdisciplinary care in different settings. Preventive cardiology addresses all aspects of CV health in the context of the social determinants of health, including physical activity, exercise, sports, nutrition, weight management, smoking cessation, psychosocial factors and behavioural change, environmental, genetic and biological risk factors, and CV protective medications. This is the first European Core Curriculum for Preventive Cardiology, which will help to standardize, structure, deliver, and evaluate training in preventive cardiology across Europe. It will be the basis for dedicated fellowship programmes and a European Society of Preventive Cardiology (EAPC) subspecialty certification for cardiologists, with the intention to improve quality and outcome in CVD prevention.

Published
2022

47. The new Primary Care and Risk Factor Management (PCRFM) nucleus of the European Association of Preventive Cardiology: A call for action

Author

Paul Dendale, Donata Kurpas, Irene Gibson, Monika Hollander, Christi Deaton, Maria Antonopoulou, Frans H. Rutten, Henner Hanssen, Diederick E. Grobbee, Hollander, Monika, Deaton, Christi, Gibson, Irene, Kurpas, Donata, Rutten, Frans, Hanssen, Henner, Antonopoulou, Maria, DENDALE, Paul, Grobbee, Diederick E., Deaton, Christi [0000-0003-3209-0752], and Apollo - University of Cambridge Repository

Subjects
medicine.medical_specialty, Primary Health Care, Epidemiology, business.industry, Association (object-oriented programming), MEDLINE, Primary health care, Cardiology, Disease Management, Primary care, Preventive cardiology, Europe, Action (philosophy), Cardiovascular Diseases, Risk Factors, Commentaries, Family medicine, medicine, Humans, Risk factor management, Cardiology and Cardiovascular Medicine, business, Societies, Medical
Abstract

In recent decades, cardiovascular mortality has reduced significantly. Among others, improved treatment options for cardiovascular disease (CVD) and a reduction of smoking since the 1960s have contributed to this decline.1 In many countries, smoking in public areas is prohibited. However, western dietary habits, including foods high in sugar, salt and fat, and lack of exercise are still persistent, leading to obesity, diabetes and hypertension. Yet, despite numerous guidelines on prevention and treatment of CVD with medication and lifestyle management, the incidence of CVD is still increasing in many countries, fuelled by rising obesity levels, sedentary lifestyles and increased longevity.2 In particular in the southern hemisphere CVD is on the increase, with high rates of obesity, diabetes and hypertension.3 Demographics are changing in low and middle income countries, fuelling the rise of chronic diseases and a persistent burden of infectious diseases overwhelming the limited health care resources.4 In western countries survival after CVD events has successfully improved; however, at the price of more patients living with chronic CVDs.5 These developments will lead to an increased demand on healthcare services now and in the years ahead for both the prevention and the management of CVD. The organisation and continuity of care through the various layers of the different national healthcare systems is challenging and calls for close collaboration between hospital specialists, general practitioners (GPs) and other primary care workers in the battle against CVD. GPs are key in identifying patients at risk of CVD and providing individualised, risk stratified preventive care

Published
2020

48. Mobile health technologies to improve walking distance in people with intermittent claudication.

Author

Elfghi M, Dunne D, Jones J, Gibson I, Flaherty G, McEvoy JW, Sultan S, Jordan F, and Tawfick W

Subjects
Adult, Humans, Exercise Therapy methods, Walking, Lower Extremity, Randomized Controlled Trials as Topic, Intermittent Claudication drug therapy, Peripheral Arterial Disease complications, Peripheral Arterial Disease therapy
Abstract

Background: Peripheral arterial disease (PAD) is the obstruction or narrowing of the large arteries of the lower limbs, which can result in impaired oxygen supply to the muscle and other tissues during exercise, or even at rest in more severe cases. PAD is classified into five categories (Fontaine classification). It may be asymptomatic or various levels of claudication pain may be present; at a later stage, there may be ulceration or gangrene of the limb, with amputation occasionally being required. About 20% of people with PAD suffer from intermittent claudication (IC), which is muscular discomfort in the lower extremities induced by exertion and relieved by rest within 10 minutes; IC causes restriction of movement in daily life. Treatment for people with IC involves addressing lifestyle risk factors. Exercise is an important part of treatment, but supervised exercise programmes for individuals with IC have low engagement levels and high attrition rates. The use of mobile technologies has been suggested as a new way to engage people with IC in walking exercise interventions. The novelty of the intervention, low cost for the user, automation, and ease of access are some of the advantages mobile health (mhealth) technologies provide that give them the potential to be effective in boosting physical activity in adults., Objectives: To assess the benefits and harms of mobile health (mhealth) technologies to improve walking distance in people with intermittent claudication., Search Methods: The Cochrane Vascular Information Specialist conducted systematic searches of the Cochrane Vascular Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, and CINAHL, and also searched the World Health Organization International Clinical Trials Registry Platform (WHO ICTRP) and ClinicalTrials.gov. The most recent searches were carried out on 19 December 2022., Selection Criteria: We included randomised controlled trials (RCTs) in people aged 18 years or over with symptomatic PAD and a clinical diagnosis of IC. We included RCTs comparing mhealth interventions to improve walking distance versus usual care (no intervention or non-exercise advice), exercise advice, or supervised exercise programmes. We excluded people with chronic limb-threatening ischaemia (Fontaine III and IV)., Data Collection and Analysis: We used standard Cochrane methods. Our primary outcomes were change in absolute walking distance from baseline, change in claudication distance from baseline, amputation-free survival, revascularisation-free survival. Our secondary outcomes were major adverse cardiovascular events, major adverse limb events, above-ankle amputation, quality of life, and adverse events. We used GRADE to assess the certainty of the evidence., Main Results: We included four RCTs involving a total of 614 participants with a clinical diagnosis of IC. The duration of intervention of the four included RCTs ranged from 3 to 12 months. Participants were randomised to either mhealth or control (usual care or supervised exercise programme). All four studies had an unclear or high risk of bias in one or several domains. The most prevalent risk of bias was in the area of performance bias, which was rated high risk as it is not possible to blind participants and personnel in this type of trial. Based on GRADE criteria, we downgraded the certainty of the evidence to low, due to concerns about risk of bias, imprecision, and clinical inconsistency. Comparing mhealth with usual care, there was no clear evidence of an effect on absolute walking distance (mean difference 9.99 metres, 95% confidence interval (CI) -27.96 to 47.93; 2 studies, 503 participants; low-certainty evidence). None of the included studies reported on change in claudication walking distance, amputation-free survival, or revascularisation-free survival. Only one study reported on major adverse cardiovascular events (MACE) and found no clear difference between groups (risk ratio 1.37, 95% CI 0.07 to 28.17; 1 study, 305 participants; low-certainty evidence). None of the included studies reported on major adverse limb events (MALE) or above-ankle amputations., Authors' Conclusions: Mobile health technologies can be used to provide lifestyle interventions for people with chronic conditions, such as IC. We identified a limited number of studies that met our inclusion criteria. We found no clear difference between mhealth and usual care in improving absolute walking distance in people with IC; however, we judged the evidence to be low certainty. Larger, well-designed RCTs are needed to provide adequate statistical power to reliably evaluate the effects of mhealth technologies on walking distance in people with IC., (Copyright © 2024 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.)

Published
2024
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49. Can the Onset of Type 2 Diabetes Be Delayed by a Group-Based Lifestyle Intervention in Women with Prediabetes following Gestational Diabetes Mellitus (GDM)? Findings from a Randomized Control Mixed Methods Trial.

Author

O'Dea A, Tierney M, McGuire BE, Newell J, Glynn LG, Gibson I, Noctor E, Danyliv A, Connolly SB, and Dunne FP

Subjects
Anthropometry, Blood Glucose analysis, Diet, Female, Glucose Intolerance complications, Glucose Tolerance Test, Homeostasis, Humans, Insulin Resistance, Patient Compliance, Postpartum Period, Pregnancy, Quality of Life, Risk Factors, Treatment Outcome, Diabetes Mellitus, Type 2 prevention & control, Diabetes, Gestational physiopathology, Life Style, Prediabetic State blood
Abstract

Objective: To evaluate a 12-week group-based lifestyle intervention programme for women with prediabetes following gestational diabetes (GDM)., Design: A two-group, mixed methods randomized controlled trial in which 50 women with a history of GDM and abnormal glucose tolerance postpartum were randomly assigned to intervention (n = 24) or wait control (n = 26) and postintervention qualitative interviews with participants., Main Outcome Measures: Modifiable biochemical, anthropometric, behavioural, and psychosocial risk factors associated with the development of type 2 diabetes. The primary outcome variable was the change in fasting plasma glucose (FPG) from study entry to one-year follow-up., Results: At one-year follow-up, the intervention group showed significant improvements over the wait control group on stress, diet self-efficacy, and quality of life. There was no evidence of an effect of the intervention on measures of biochemistry or anthropometry; the effect on one health behaviour, diet adherence, was close to significance., Conclusions: Prevention programmes must tackle the barriers to participation faced by this population; home-based interventions should be investigated. Strategies for promoting long-term health self-management need to be developed and tested.

Published
2015
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